CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ACH Monthly Event Condition

This profile contains Required and Must Support data elements for reporting patient condition information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 Condition Encounter Diagnosis profile, which inherits from US Core 6.1.0 Condition Encounter Diagnosis profile.

Usages:

• Refer to this Profile: ACH Monthly Event MedicationAdministration, ACH Monthly Event MedicationRequest and ACH Monthly Event Procedure
• Examples for this Profile: Condition/condition-example-diagnosis-ach-monthly-pass1, Condition/condition-example-diagnosis-ach-monthly-pass2-problem, Condition/condition-example-diagnosis-ach-monthly-pass2, Condition/condition-example-diagnosis-ach-monthly-pass3-problem and Condition/condition-example-diagnosis-ach-monthly-pass3

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate	S This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	S This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
Condition.Slices for category.category:us-core.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.extension		0..*	Extension	Additional content defined by implementations
Condition.Slices for category.category:us-core.text		0..1	string	Plain text representation of the concept
Condition.Slices for category.category:us-core.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system Fixed Value: (Complex)
Condition.Slices for category.category:us-core.coding.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.coding.extension		0..*	Extension	Additional content defined by implementations
Condition.Slices for category.category:us-core.coding.version		0..1	string	Version of the system - if relevant
Condition.Slices for category.category:us-core.coding.display		0..1	string	Representation defined by the system
Condition.Slices for category.category:us-core.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Condition.Slices for category.category:us-core.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
Condition.Slices for category.category:us-core.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	S This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	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.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category:us-core	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).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 QICoreConditionEncounterDiagnosis

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta
Condition.meta.Slices for extension				Content/Rules for all slices
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate		0..1	ConditionAssertedDate(5.3.0)	(NHSN-MS)(USCDI) Date the condition was first asserted
Condition.clinicalStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) active | recurrence | relapse | inactive | remission | resolved
Condition.verificationStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Condition.category		1..*	CodeableConcept	(NHSN-MS)(USCDI) category codes
Condition.Slices for category				Content/Rules for all slices
Condition.Slices for category.category:us-core		1..1	CodeableConcept	(NHSN-MS)(USCDI) encounter-diagnosis
Condition.Slices for category.category:us-core.coding	S This element must be supported.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	S This element must be supported.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	S This element must be supported.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Identification of the condition, problem or diagnosis
Condition.subject		1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	S This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter		0..1	Reference(QICore Encounter) {b}	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.abatement[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) When in resolution/remission
Condition.recordedDate		0..1	dateTime	(NHSN-MS)(USCDI) Date record was first recorded
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.meta.id		0..1	string	Unique id for inter-element referencing
Condition.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Condition.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Condition.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Condition.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Condition.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Condition.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.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
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate	S This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	S This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
Condition.Slices for category.category:us-core.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.Slices for category.category:us-core.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system Fixed Value: (Complex)
Condition.Slices for category.category:us-core.coding.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.Slices for category.category:us-core.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
Condition.Slices for category.category:us-core.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Condition.Slices for category.category:us-core.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
Condition.Slices for category.category:us-core.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Condition.Slices for category.category:us-core.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Condition.Slices for category.category:us-core.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Condition.severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.id		0..1	string	Unique id for inter-element referencing
Condition.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.subject.type	Σ This element is included in summaries.	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).
Condition.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.id		0..1	string	Unique id for inter-element referencing
Condition.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.encounter.type	Σ This element is included in summaries.	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).
Condition.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.encounter.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	S This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere
Condition.note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Condition.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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.category:us-core	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	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1
Condition.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍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.

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).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 QICoreConditionEncounterDiagnosis

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)
• QICore Encounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate	S This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	S This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
Condition.Slices for category.category:us-core.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.extension		0..*	Extension	Additional content defined by implementations
Condition.Slices for category.category:us-core.text		0..1	string	Plain text representation of the concept
Condition.Slices for category.category:us-core.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system Fixed Value: (Complex)
Condition.Slices for category.category:us-core.coding.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.coding.extension		0..*	Extension	Additional content defined by implementations
Condition.Slices for category.category:us-core.coding.version		0..1	string	Version of the system - if relevant
Condition.Slices for category.category:us-core.coding.display		0..1	string	Representation defined by the system
Condition.Slices for category.category:us-core.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Condition.Slices for category.category:us-core.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
Condition.Slices for category.category:us-core.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	S This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	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.category	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.category:us-core	Base	extensible	Condition Category Codes	📦4.0.1	FHIR Std.
Condition.code	Base	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).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 QICoreConditionEncounterDiagnosis

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta
Condition.meta.Slices for extension				Content/Rules for all slices
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.Slices for extension				Content/Rules for all slices
Condition.Slices for extension.extension:assertedDate		0..1	ConditionAssertedDate(5.3.0)	(NHSN-MS)(USCDI) Date the condition was first asserted
Condition.clinicalStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) active | recurrence | relapse | inactive | remission | resolved
Condition.verificationStatus		0..1	CodeableConcept	(NHSN-MS)(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Condition.category		1..*	CodeableConcept	(NHSN-MS)(USCDI) category codes
Condition.Slices for category				Content/Rules for all slices
Condition.Slices for category.category:us-core		1..1	CodeableConcept	(NHSN-MS)(USCDI) encounter-diagnosis
Condition.Slices for category.category:us-core.coding	S This element must be supported.	1..*	Coding	(NHSN-MS) Code defined by a terminology system
Condition.Slices for category.category:us-core.coding.system	S This element must be supported.	1..1	uri	(NHSN-MS) Identity of the terminology system
Condition.Slices for category.category:us-core.coding.code	S This element must be supported.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system
Condition.code		1..1	CodeableConcept	(NHSN-MS)(USCDI) Identification of the condition, problem or diagnosis
Condition.subject		1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.reference	S This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.encounter		0..1	Reference(QICore Encounter) {b}	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of
Condition.encounter.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.onset[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.abatement[x]		0..1	dateTime, Age, Period, Range	(NHSN-MS)(QI-Core)(USCDI) When in resolution/remission
Condition.recordedDate		0..1	dateTime	(NHSN-MS)(USCDI) Date record was first recorded
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	QICoreConditionEncounterDiagnosis	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, Condition-coding-from-common-codesystems, dqm-Con-2
Condition.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.meta.id		0..1	string	Unique id for inter-element referencing
Condition.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Condition.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Condition.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Condition.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Condition.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Condition.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Condition.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.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
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Condition.Slices for extension.extension:assertedDate	S This element must be supported.	0..1	dateTime	(NHSN-MS) (USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
Condition.verificationStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	0..1	CodeableConcept	(NHSN-MS) (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Condition.Slices for category	S This element must be supported.	1..*	CodeableConcept	(NHSN-MS) (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for category.category:us-core	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) (USCDI) encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
Condition.Slices for category.category:us-core.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.Slices for category.category:us-core.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	(NHSN-MS) Code defined by a terminology system Fixed Value: (Complex)
Condition.Slices for category.category:us-core.coding.id		0..1	string	Unique id for inter-element referencing
Condition.Slices for category.category:us-core.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.Slices for category.category:us-core.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	(NHSN-MS) Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
Condition.Slices for category.category:us-core.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Condition.Slices for category.category:us-core.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
Condition.Slices for category.category:us-core.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Condition.Slices for category.category:us-core.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Condition.Slices for category.category:us-core.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Condition.severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
Condition.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Identification of the condition, problem or diagnosis Binding: USCoreConditionCodes (6.1.0) (extensible): Valueset to describe the actual problem experienced by the patient
Condition.bodySite	Σ This element is included in summaries.	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.subject.id		0..1	string	Unique id for inter-element referencing
Condition.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Condition.subject.type	Σ This element is included in summaries.	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).
Condition.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Condition.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of
Condition.encounter.id		0..1	string	Unique id for inter-element referencing
Condition.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Condition.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Condition.encounter.type	Σ This element is included in summaries.	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).
Condition.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Condition.encounter.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Condition.onset[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime S This target must be supported.
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.abatement[x]	S This element must be supported. C	0..1		(NHSN-MS) (QI-Core)(USCDI) When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime S This target must be supported.
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.recordedDate	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	(NHSN-MS) (USCDI) Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Resource)	Supporting information found elsewhere
Condition.note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Condition.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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.category:us-core	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	extensible	US Core Condition Codes	📍6.1.0	US Core v6.1
Condition.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍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.

Constraints

Id	Grade	Path(s)	Description	Expression
Condition-coding-from-common-codesystems	error	Condition	Condition: code must contains a SNOMED CT, ICD-10-CM, or ICD-9-CM coding	code.coding.where(system='http://snomed.info/sct').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-9-cm').exists() or code.coding.where(system='http://hl7.org/fhir/sid/icd-10-cm').exists()
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()
dqm-Con-2	error	Condition	At least one Condition.category SHALL be encounter-diagnosis, problem-list-item, or health-concern	category.where(coding.where(system = 'http://terminology.hl7.org/CodeSystem/condition-category' and code='encounter-diagnosis').exists()).exists() or category.where(coding.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern')).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 QICoreConditionEncounterDiagnosis

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)
• QICore Encounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 2

Other representations of profile: CSV, Excel, Schematron