Cumuluz Translate Implementation Guide
0.1.0 - ci-build

Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: XIB Problem/Diagnosis

Official URL: https://fhir.cumuluz.org/xib/StructureDefinition/xib-Problem Version: 0.1.0
Draft as of 2026-07-11 Computable Name: XibProblem

XIB problem/diagnosis target profile based on EU Base Condition with implemented nl-core Problem data points and explicit extension homes for reviewed problem/diagnosis details.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
Url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
Url: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additionele bindingsDoelDocumentatie
eHDSI Illness and Disorder . Voorkeur
For cross border data exchange
.... Slices voor extension Content/regels voor alle slices
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
.... Slices voor extension Content/regels voor alle slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
Url: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
... subject SΣ 1..1 Reference(Patient (EU core)) Who has the condition?
... Slices voor onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Zonder volgorde, Gesloten op type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices voor abatement[x] C 0..1 When in resolution/remission
Slice: Zonder volgorde, Open op type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0 tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ConditionEuCore

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
... Slices voor extension Content/regels voor alle slices
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... Slices voor extension Content/regels voor alle slices
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
... bodySite S 0..* CodeableConcept Anatomical location, if relevant
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
... subject S 1..1 Reference(Patient (EU core)) Who has the condition?
... onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... 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
... text 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
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
Url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
Url: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additionele bindingsDoelDocumentatie
eHDSI Illness and Disorder . Voorkeur
For cross border data exchange
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
Url: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient (EU core)) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices voor onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Zonder volgorde, Gesloten op type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices voor abatement[x] C 0..1 When in resolution/remission
Slice: Zonder volgorde, Open op type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... recorder Σ 0..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who asserted the condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... 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 Most recent Stage Group
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 Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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 ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0 tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
Url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
Url: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additionele bindingsDoelDocumentatie
eHDSI Illness and Disorder . Voorkeur
For cross border data exchange
.... Slices voor extension Content/regels voor alle slices
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
.... Slices voor extension Content/regels voor alle slices
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
Url: http://hl7.org/fhir/StructureDefinition/bodySite
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
... subject SΣ 1..1 Reference(Patient (EU core)) Who has the condition?
... Slices voor onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Zonder volgorde, Gesloten op type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices voor abatement[x] C 0..1 When in resolution/remission
Slice: Zonder volgorde, Open op type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0 tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
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 ConditionEuCore

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
... Slices voor extension Content/regels voor alle slices
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... Slices voor extension Content/regels voor alle slices
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
... bodySite S 0..* CodeableConcept Anatomical location, if relevant
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
... subject S 1..1 Reference(Patient (EU core)) Who has the condition?
... onset[x] S 0..1 dateTime, Age, Period, Range, string Estimated or actual date, date-time, or age

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Condition C 0..* ConditionEuCore Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... 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
... text 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
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:assertedDate 0..1 (Complex) Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted
Url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] 1..1 dateTime Date and time of the diagnosis assertion
.... extension:relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
Url: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
.... extension:problemDetails S 0..1 (Complex) XIB Problem Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProblemDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category 0..* CodeableConcept Category
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred)
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Problems - IPS . (preferred): Valueset to describe the actual problem experienced by the patient
Additionele bindingsDoelDocumentatie
eHDSI Illness and Disorder . Voorkeur
For cross border data exchange
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:furtherSpecificationProblemName S 0..1 string Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣC 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:bodySite 0..1 (Complex) Target anatomic location or structure
Url: http://hl7.org/fhir/StructureDefinition/bodySite
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Zonder volgorde, Open op value:url
...... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
...... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient (EU core)) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices voor onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
Slice: Zonder volgorde, Gesloten op type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetDateTime Σ 0..1 dateTime Estimated or actual date, date-time, or age
... Slices voor abatement[x] C 0..1 When in resolution/remission
Slice: Zonder volgorde, Open op type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementDateTime C 0..1 dateTime When in resolution/remission
... recordedDate Σ 0..1 dateTime Date when the condition record was created
... recorder Σ 0..1 Reference(PractitionerRole (EU base) | Practitioner (EU base) | Patient (EU core) | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who asserted the condition
... stage C 0..* BackboneElement Stage/grade
Constraints: con-1
.... 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 Most recent Stage Group
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 Staging system used.
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... 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 ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📦4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📦4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base preferred Problems - IPS . ⏿2.0.0 tx.hl7europe.eu
Condition.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constrains

Id Grade Pad(en) Omschrijving Expressie
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())
eu-bodysite-1 error Condition.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron