Austrian Patient Summary (R4)
1.0.0 - STU1

Austrian Patient Summary (R4) - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: AT APS Condition

Official URL: https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition | Version: 1.0.0
Active as of 2026-02-17 | Computable Name: AtApsCondition

Das AT APS-Profil für die Condition-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte `imposeProfile`-Erweiterung verwendet wird.

Usages:

- Use this Profile: AT APS Bundle
- Refer to this Profile: AT APS CarePlan, AT APS ClinicalImpression, AT APS Composition, AT APS DeviceUseStatement... Show 6 more, AT APS ImagingStudy, AT APS Immunization, AT APS MedicationAdministration, AT APS MedicationRequest, AT APS MedicationStatement and AT APS Procedure
- Examples for this Profile: Condition/AtApsExampleCondition01
- CapabilityStatements using this Profile: AT APS CapabilityStatement (Server)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(AT APS Patient) | Who has the condition?
recorder | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Person who asserts this condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | 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()`

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS)
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code |  | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite |  | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject |  | 1..1 | Reference(AT APS Patient) | Who has the condition?
recorder |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Person who asserts this condition
stage |  |  |  |
assessment |  | 0..* | Reference(AT APS ClinicalImpression | AT APS DiagnosticReport | AT APS Observation) | Formal record of assessment
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS) 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(AT APS Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
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 | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS 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(AT APS ClinicalImpression | AT APS DiagnosticReport | AT APS 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### 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()`

This structure is derived from Condition

Summary

Structures

This structure refers to these other structures:

- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
- AT APS ClinicalImpression (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression)
- AT APS DiagnosticReport (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport)
- AT APS Observation (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS) Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(AT APS Patient) | Who has the condition?
recorder | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Person who asserts this condition
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | 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()`

Differential View

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS)
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code |  | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite |  | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject |  | 1..1 | Reference(AT APS Patient) | Who has the condition?
recorder |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Person who asserts this condition
stage |  |  |  |
assessment |  | 0..* | Reference(AT APS ClinicalImpression | AT APS DiagnosticReport | AT APS Observation) | Formal record of assessment
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | AT APS Condition This profile also imposes the profile Condition (IPS) 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Problem Type - IPS (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-problemarten | Extensible
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: https://termgit.elga.gv.at/ValueSet/elga-problemseverity (extensible)
code | Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problems - IPS (extensible)
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
subject | Σ | 1..1 | Reference(AT APS Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
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 | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole | AT APS 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(AT APS ClinicalImpression | AT APS DiagnosticReport | AT APS 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Problem Type - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.severity | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-problemseverity | Not State | Unknown
Condition.code | Base | extensible | Problems - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### 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()`

This structure is derived from Condition

Summary

Structures

This structure refers to these other structures:

- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
- AT APS ClinicalImpression (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-clinicalimpression)
- AT APS DiagnosticReport (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport)
- AT APS Observation (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation)

Other representations of profile: CSV, Excel, Schematron