FHIR Implementation Guide for NJSAMS

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed"
value[x]		0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence"
value[x]		0..1	integer	Value of extension ele-1: All FHIR elements must have a @value or children
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate"
value[x]		0..1	dateTime	Value of extension ele-1: All FHIR elements must have a @value or children
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers"
value[x]		0..1	Coding	Value of extension Binding: NJSAMS Use Specifiers (required) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:DSMID	SΣ	1..1	Identifier	Identifier for instance of DSMV Evaluation ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	SC	1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(US Core Patient Profile)	Who has the condition? ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
abatement[x]	C	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
recorder	SΣC	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.extension:specifiers.value[x]	required	NJSAMSUseSpecifiers https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-use-specifiers-vs from this IG
Condition.identifier:DSMID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item("Problem List Item") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG
Condition.code	extensible	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension:substance, Condition.extension:sequence, Condition.extension:updatedDate, Condition.extension:specifiers, Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Condition.subject, Condition.recorder, Condition.asserter	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
us-core-1	best practice	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
Slices for extension				Content/Rules for all slices
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
value[x]		0..1	string	Value of extension
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
value[x]		0..1	integer	Value of extension
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
value[x]		0..1	dateTime	Value of extension
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers
value[x]		0..1	Coding	Value of extension
Slices for identifier		1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:DSMID	S	1..1	Identifier	Identifier for instance of DSMV Evaluation
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required)
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis
subject		1..1	Reference(US Core Patient Profile)	Who has the condition?
recordedDate		0..1	dateTime	Date record was first recorded
recorder	S	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
note
text		1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed"
value[x]		0..1	string	Value of extension
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence"
value[x]		0..1	integer	Value of extension
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate"
value[x]		0..1	dateTime	Value of extension
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers"
value[x]		0..1	Coding	Value of extension Binding: NJSAMS Use Specifiers (required)
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:DSMID	SΣ	1..1	Identifier	Identifier for instance of DSMV Evaluation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SC	1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required)
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣC	1..1	Reference(US Core Patient Profile)	Who has the condition? ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	SΣC	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment ref-1: SHALL have a contained resource if a local reference is provided
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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 ref-1: SHALL have a contained resource if a local reference is provided
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.extension:specifiers.value[x]	required	NJSAMSUseSpecifiers https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-use-specifiers-vs from this IG
Condition.identifier:DSMID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.identifier:DSMID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item("Problem List Item") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG
Condition.code	extensible	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension, Condition.extension:substance, Condition.extension:sequence, Condition.extension:updatedDate, Condition.extension:specifiers, Condition.modifierExtension, Condition.identifier:DSMID.extension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.note.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Condition.identifier:DSMID.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Condition.identifier:DSMID.assigner, Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
us-core-1	best practice	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.identifier

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed"
value[x]		0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence"
value[x]		0..1	integer	Value of extension ele-1: All FHIR elements must have a @value or children
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate"
value[x]		0..1	dateTime	Value of extension ele-1: All FHIR elements must have a @value or children
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers"
value[x]		0..1	Coding	Value of extension Binding: NJSAMS Use Specifiers (required) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:DSMID	SΣ	1..1	Identifier	Identifier for instance of DSMV Evaluation ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	SC	1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(US Core Patient Profile)	Who has the condition? ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
abatement[x]	C	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded ele-1: All FHIR elements must have a @value or children
recorder	SΣC	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.extension:specifiers.value[x]	required	NJSAMSUseSpecifiers https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-use-specifiers-vs from this IG
Condition.identifier:DSMID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item("Problem List Item") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG
Condition.code	extensible	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension:substance, Condition.extension:sequence, Condition.extension:updatedDate, Condition.extension:specifiers, Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Condition.subject, Condition.recorder, Condition.asserter	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
us-core-1	best practice	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
Slices for extension				Content/Rules for all slices
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
value[x]		0..1	string	Value of extension
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
value[x]		0..1	integer	Value of extension
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
value[x]		0..1	dateTime	Value of extension
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers
value[x]		0..1	Coding	Value of extension
Slices for identifier		1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:DSMID	S	1..1	Identifier	Identifier for instance of DSMV Evaluation
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
category		1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required)
code		1..1	CodeableConcept	Identification of the condition, problem or diagnosis
subject		1..1	Reference(US Core Patient Profile)	Who has the condition?
recordedDate		0..1	dateTime	Date record was first recorded
recorder	S	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
note
text		1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:substance	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed"
value[x]		0..1	string	Value of extension
extension:sequence	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence"
value[x]		0..1	integer	Value of extension
extension:updatedDate	S	0..1	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate"
value[x]		0..1	dateTime	Value of extension
extension:specifiers	S	0..2	(Complex)	Extension URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers"
value[x]		0..1	Coding	Value of extension Binding: NJSAMS Use Specifiers (required)
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier	Σ	1..*	Identifier	External Ids for this condition Slice: Unordered, Open by value:system
identifier:DSMID	SΣ	1..1	Identifier	Identifier for instance of DSMV Evaluation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/DSMID
value	Σ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SC	1..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: problem-list-item
display		1..1	string	Representation defined by the system Fixed Value: Problem List Item
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	1..1	CodeableConcept	Subjective severity of condition Binding: NJSAMS Condition Severity (required)
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (extensible): Valueset to describe the actual problem experienced by the patient
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣC	1..1	Reference(US Core Patient Profile)	Who has the condition? ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	SΣC	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition ref-1: SHALL have a contained resource if a local reference is provided
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment ref-1: SHALL have a contained resource if a local reference is provided
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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 ref-1: SHALL have a contained resource if a local reference is provided
note		0..*	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.extension:specifiers.value[x]	required	NJSAMSUseSpecifiers https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-use-specifiers-vs from this IG
Condition.identifier:DSMID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Condition.identifier:DSMID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	Pattern: problem-list-item("Problem List Item") http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.severity	required	NJSAMSConditionSeverity https://fhir.njsams.rutgers.edu/NJSAMS-fhir/ValueSet/njsams-condition-severity-vs from this IG
Condition.code	extensible	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Condition.extension, Condition.extension:substance, Condition.extension:sequence, Condition.extension:updatedDate, Condition.extension:specifiers, Condition.modifierExtension, Condition.identifier:DSMID.extension, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.note.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
per-1	error	Condition.identifier:DSMID.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Condition.identifier:DSMID.assigner, Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
us-core-1	best practice	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/SubstanceUsed
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/Sequence
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UpdatedDate
• https://fhir.njsams.rutgers.edu/NJSAMS-fhir/StructureDefinition/UseSpecifiers

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.identifier