FHIR New Zealand Patient Summary IG
0.7.0 - ci-build
NZ
FHIR New Zealand Patient Summary IG - Local Development build (v0.7.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir-ig.digital.health.nz/nzps/StructureDefinition/nzps-problem | Version: 0.7.0 | |||
| Draft as of 2026-04-10 |
Realm: |
Computable Name: NZPSProblem | ||
NZPS problem (FHIR Condition resource). This profile derives from the International Patient Summary Condition resource used to document a health problem, with localisations using international and NZ Government standards for the NZ context.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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C | 0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ Constraints: con-3, con-4, con-5 | ||||||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
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?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||||||||||||||
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SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||||||
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SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||||
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SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||||||
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SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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dateTime | |||||||||||||||||||
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Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||||
Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1From the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1From the FHIR Standard | |
| Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityFrom the FHIR Standard | |
| Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips |
| Id | Grade | Path(s) | Details | Requirements |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ConditionUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ | |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ Constraints: con-3, con-4, con-5 | ||||||||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||||||
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?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||||||
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?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||||||||||||||
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SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||||||
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SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||||
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SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||||||
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SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| |||||||||||||||||
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dateTime | |||||||||||||||||||
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Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||||
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C | 0..1 | When in resolution/remission | |||||||||||||||||
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dateTime | |||||||||||||||||||
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Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||||||||||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||||||
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C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||||||||||
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0..* | Annotation | Additional information about the Condition | |||||||||||||||||
Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1From the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1From the FHIR Standard | ||||
| Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityFrom the FHIR Standard | ||||
| Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | ||||
| Condition.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage|4.0.1From the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type|4.0.1From the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ConditionUvIps
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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C | 0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ Constraints: con-3, con-4, con-5 | ||||||||||||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
![]() ![]() |
?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||||||
![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||||||||||||||
![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||||||
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SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||||
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SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||||||
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SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
| |||||||||||||||||
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dateTime | |||||||||||||||||||
![]() ![]() ![]() |
Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
| ||||||||||||||||
Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1From the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1From the FHIR Standard | |
| Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | |
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityFrom the FHIR Standard | |
| Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips |
| Id | Grade | Path(s) | Details | Requirements |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from ConditionUvIps
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ | |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | ConditionUvIps | Documentation of a health problem of the patient This profile also imposes the profile Condition resource for use in NZ Constraints: con-3, con-4, con-5 | ||||||||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||||||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||||||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||||||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||||||||||||
![]() ![]() |
?!SOΣC | 0..1 | CodeableConceptIPS | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
| ||||||||||||||||
![]() ![]() |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||||||||||||||
![]() ![]() |
SO | 0..* | CodeableConceptIPS | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
| ||||||||||||||||
![]() ![]() |
SO | 0..1 | CodeableConceptIPS | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
| ||||||||||||||||
![]() ![]() |
SOΣ | 1..1 | CodeableConceptIPS | Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
| ||||||||||||||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred) | ||||||||||||||||
![]() ![]() |
SOΣ | 1..1 | Reference(Patient (IPS)) | Who has the condition?
| ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||
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SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||||||
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Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||||||||||
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SOΣ | 0..1 | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
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dateTime | |||||||||||||||||||
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Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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SOΣ | 0..1 | dateTime | Estimated or actual date, date-time, or age
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C | 0..1 | When in resolution/remission | |||||||||||||||||
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dateTime | |||||||||||||||||||
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Age | |||||||||||||||||||
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Period | |||||||||||||||||||
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Range | |||||||||||||||||||
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string | |||||||||||||||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||||||||||||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||||||||||||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||||||||||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||||||||||||
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0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||||||||||||
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C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||||||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||||||||||||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||||||||||||||
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0..* | Annotation | Additional information about the Condition | |||||||||||||||||
Documentation for this format | ||||||||||||||||||||
| Path | Conformance | ValueSet | URI | |||
| Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1From the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1From the FHIR Standard | ||||
| Condition.category | extensible | ProblemTypeUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severityFrom the FHIR Standard | ||||
| Condition.code | preferred | ProblemsUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/problems-uv-ips | ||||
| Condition.bodySite | preferred | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Condition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage|4.0.1From the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type|4.0.1From the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from ConditionUvIps
Other representations of profile: CSV, Excel, Schematron