Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (extensible) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.category	Base	extensible	Problem Type - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG
Condition.code	Base	preferred	Problems - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	ConditionUvIps	Documentation of a health problem of the patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
clinicalStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
severity
coding		0..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text
coding		0..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		1..1	Reference(RareLink IPS Patient)	Who has the condition?
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime		0..1	dateTime	Estimated or actual date, date-time, or age
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (extensible) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
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	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.category	Base	extensible	Problem Type - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG
Condition.code	Base	preferred	Problems - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
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.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
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• RareLink IPS Patient (https://rarelink.bih-charite.de/fhir/StructureDefinition/rarelink-ips-patient)

Extensions

This structure refers to these extensions:

• https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis
• https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.onset[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (extensible) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
Slices for extension				Content/Rules for all slices
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.category	Base	extensible	Problem Type - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG
Condition.code	Base	preferred	Problems - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	ConditionUvIps	Documentation of a health problem of the patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
clinicalStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
severity
coding		0..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text
coding		0..1	CodingIPS	A reference to a code defined by a terminology system
system		0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject		1..1	Reference(RareLink IPS Patient)	Who has the condition?
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
Slices for onset[x]		0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime		0..1	dateTime	Estimated or actual date, date-time, or age
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionUvIps	Documentation of a health problem of the patient Constraints: con-3, con-4, con-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:age_at_diagnosis		0..1	CodeableConcept	Age at Diagnosis URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis Binding: Age at Diagnosis Value Set (extensible)
extension:age_at_onset		0..1	CodeableConcept	Age at Onset URL: https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset Binding: Age at Onset Value Set (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition Clinical Status Codes (required)
verificationStatus		1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: ConditionVerificationStatus (required)
category	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problem Type - IPS (extensible) Additional Bindings Purpose Problem Type (LOINC) candidate
severity	S	0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Condition/DiagnosisSeverity (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system Binding: Severity Value Set (extensible)
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Problems - IPS (preferred): Code for a clinical problem (or absent/unknown problem) that is selected from SNOMED CT
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	S	0..1	CodingIPS	A reference to a code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:translation		0..*	(Complex)	Language Translation (Localization) URL: http://hl7.org/fhir/StructureDefinition/translation
value		0..1	string	Primitive value for string Max Length:1048576
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(RareLink IPS Patient)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	SΣ	0..1	dateTime S	Estimated or actual date, date-time, or age
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	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📦1.0.1	THO v7.0
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📦1.0.1	THO v7.0
Condition.category	Base	extensible	Problem Type - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.severity.coding.​code	Base	extensible	Severity Value Set	📦2.0.0	This IG
Condition.code	Base	preferred	Problems - IPS	📦2.0.0-ballot	International Patient Summary Implementation Guide v2.0
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.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
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• RareLink IPS Patient (https://rarelink.bih-charite.de/fhir/StructureDefinition/rarelink-ips-patient)

Extensions

This structure refers to these extensions:

• https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-diagnosis
• https://rarelink.bih-charite.de/fhir/StructureDefinition/age-at-onset

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.onset[x]