My Health Record FHIR IG
1.2.0 - active

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: ADHA Core Condition

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1 | Version: 1.2.0
Active as of 2024-09-19 | Computable Name: ADHAConditionCore
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a core representation of a condition for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile supports a statement of a condition, problem, or diagnosis including asserting negation for specific conditions or problems.

This profile identifies the additional constraints, extensions, and value sets that build on and extend Condition that are supported.

This profile is designed to set a core Condition standard for:

- Query for a patient's conditions
- Record or update a condition belonging to a patient

#### Profile specific guidance

- `Condition.category` provides an efficient way of supporting system interactions, e.g. restricting searches. Implementers need to understand that data categorisation is somewhat subjective. The categorisation applied by the source may not align with a receiver’s expectations.
- An active condition is represented using "active" in `Condition.clinicalStatus`.
- To represent that a patient does not have a condition or history of condition, an appropriate negation code is used in `Condition.code`.
- Refutation is not expected to be handled except as above - an appropriate negation code in `Condition.code` and `Condition.verificationStatus` of "confirmed" or "unconfirmed".

Usage:

- Refer to this Resource Profile: ADHA Core Encounter and ADHA Core Procedure
- Examples for this Resource Profile: Condition/uti-es-02 and Condition/wound-es-01

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from AUCoreCondition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
subject | S C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
recorder | S C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
verificationStatus | ?!SO Σ C | 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.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter | S Σ | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
onset[x] | SO Σ | 0..1 |  | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
abatement[x] | SO C | 0..1 |  | When in resolution/remission
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
recorder | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
note | SO | 0..* | Annotation | Additional information about the Condition
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | extensible | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | ClinicalCondition `https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
verificationStatus | ?!SO Σ C | 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.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
bodySite | Σ C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter | S Σ | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
onset[x] | SO Σ | 0..1 |  | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
abatement[x] | SO C | 0..1 |  | When in resolution/remission
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: Clinical Finding (preferred)
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | SO | 0..* | Annotation | Additional information about the Condition
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | extensible | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | ClinicalCondition `https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1` from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite | extensible | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

This structure is derived from AUCoreCondition

Summary

Mandatory: 1 element
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
- ADHA Core Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-core-1)
- ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
- ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
- ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
- ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)

Differential View

This structure is derived from AUCoreCondition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
subject | S C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
encounter | S | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
recorder | S C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
verificationStatus | ?!SO Σ C | 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.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter | S Σ | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
onset[x] | SO Σ | 0..1 |  | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
abatement[x] | SO C | 0..1 |  | When in resolution/remission
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
recorder | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
note | SO | 0..* | Annotation | Additional information about the Condition
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | extensible | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | ClinicalCondition `https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* | AUCoreCondition | A condition, problem or diagnosis statement in an Australian healthcare context con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error inv-dh-cond-01: If present, an asserter shall at least have a reference, an identifier or a display inv-dh-cond-04: Clinical status shall be present if verification status is not entered-in-error
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!SO Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
verificationStatus | ?!SO Σ C | 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.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
category | SO | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
severity | SO | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
bodySite | Σ C | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Body Site (extensible) au-core-cond-02: If a coded body site is provided, at least one code shall be from SNOMED CT
subject | SO Σ C | 1..1 | Reference(ADHA Core Patient) | Who has the condition? inv-dh-cond-02: At least reference or a valid identifier shall be present
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
encounter | S Σ | 0..1 | Reference(ADHA Core Encounter) | Encounter created as part of
onset[x] | SO Σ | 0..1 |  | Estimated or actual date, date-time, or age
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
abatement[x] | SO C | 0..1 |  | When in resolution/remission
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | S Σ C | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who recorded the condition inv-dh-cond-03: At least reference or display or a valid identifier shall be present
asserter | S Σ C | 0..1 | Reference(ADHA Core PractitionerRole | ADHA Core Patient | ADHA Core RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: Clinical Finding (preferred)
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | SO | 0..* | Annotation | Additional information about the Condition
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | extensible | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | extensible | ClinicalCondition `https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1` from https://tx.ontoserver.csiro.au/fhir
Condition.bodySite | extensible | BodySite `https://healthterminologies.gov.au/fhir/ValueSet/body-site-1` from https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### Constraints

Id | Grade | Path(s) | Details | Requirements
inv-dh-cond-01 | error | Condition | If present, an asserter shall at least have a reference, an identifier or a display : asserter.exists() implies asserter.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists()) |
inv-dh-cond-02 | error | Condition.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-03 | error | Condition.recorder | At least reference or display or a valid identifier shall be present : reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists() |
inv-dh-cond-04 | error | Condition | Clinical status shall be present if verification status is not entered-in-error : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() |

This structure is derived from AUCoreCondition

Summary

Mandatory: 1 element
Must-Support: 4 elements

Structures

This structure refers to these other structures:

- ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
- ADHA Core Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-core-1)
- ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
- ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
- ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
- ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)

Other representations of profile: CSV, Excel, Schematron