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XML Format: StructureDefinition-Condition-uv-ips
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<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="Condition-uv-ips"/> <meta> <lastUpdated value="2018-02-27T15:32:05.203+01:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">This profile represents the constraints applied to the Condition resource by the Trillium II project based on FHIR STU3. This profile is derived from the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the patient summary as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances (conditions) for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.</div> </text> <url value="http://hl7.eu/fhir/trillium2/StructureDefinition/Condition-uv-ips"/> <version value="0.1.0"/> <name value="Condition_uv_ips"/> <title value="Condition (Trillium II)"/> <status value="draft"/> <date value="2018-03-20T00:00:00+01:00"/> <publisher value="Trillium II Project"/> <description value="This profile represents the constraints applied to the Condition resource by the Trillium II project based on FHIR STU3. This profile is derived from the International Patient Summary (IPS) FHIR Implementation Guide. A record of problem is represented in the patient summary as an instance of the Condition resource constrained by this profile."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <purpose value="Representation of a problem in the international patient summary"/> <fhirVersion value="3.0.1"/> <mapping> <identity value="sct-concept"/> <uri value="http://snomed.info/conceptdomain"/> <name value="SNOMED CT Concept Domain Binding"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="sct-attr"/> <uri value="http://snomed.info/sct"/> <name value="SNOMED CT Attribute Binding"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Condition"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition"/> <derivation value="constraint"/> <snapshot> <element id="Condition"> <path value="Condition"/> <short value="Documentation of a health problem of the patient"/> <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern."/> <min value="0"/> <max value="*"/> <base> <path value="Condition"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="con-4"/> <severity value="error"/> <human value="If condition is abated, then clinicalStatus must be either inactive, resolved, or remission"/> <expression value="abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'"/> <xpath value="not(f:abatementBoolean/@value=true() or (not(exists(f:abatementBoolean)) and exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive'))"/> <source value="Condition"/> </constraint> <constraint> <key value="con-3"/> <severity value="error"/> <human value="Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error"/> <expression value="verificationStatus='entered-in-error' or clinicalStatus.exists()"/> <xpath value="f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)"/> <source value="Condition"/> </constraint> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="sct-concept"/> <map value="< 243796009 |Situation with explicit context|: 246090004 |Associated finding| = ((< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 272379006 |Event|)"/> </mapping> <mapping> <identity value="v2"/> <map value="PPR message"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Condition.id"> <path value="Condition.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <mustSupport value="true"/> <isSummary value="true"/> </element> <element id="Condition.meta"> <path value="Condition.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <mustSupport value="true"/> <isSummary value="true"/> </element> <element id="Condition.meta.id"> <path value="Condition.meta.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.meta.extension"> <path value="Condition.meta.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.meta.versionId"> <path value="Condition.meta.versionId"/> <short value="Version specific identifier"/> <definition value="The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted."/> <comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes."/> <min value="0"/> <max value="1"/> <base> <path value="Meta.versionId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="Condition.meta.lastUpdated"> <path value="Condition.meta.lastUpdated"/> <short value="When the resource version last changed"/> <definition value="When the resource last changed - e.g. when the version changed."/> <comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant."/> <min value="0"/> <max value="1"/> <base> <path value="Meta.lastUpdated"/> <min value="0"/> <max value="1"/> </base> <type> <code value="instant"/> </type> <isSummary value="true"/> </element> <element id="Condition.meta.profile"> <path value="Condition.meta.profile"/> <short value="Profiles this resource claims to conform to"/> <definition value="A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/STU3/)."/> <comment value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.profile"/> <min value="0"/> <max value="*"/> </base> <type> <code value="uri"/> </type> <mustSupport value="true"/> <isSummary value="true"/> </element> <element id="Condition.meta.security"> <path value="Condition.meta.security"/> <short value="Security Labels applied to this resource"/> <definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure."/> <comment value="The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.security"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SecurityLabels"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="Security Labels from the Healthcare Privacy and Security Classification System."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/security-labels"/> </valueSetReference> </binding> </element> <element id="Condition.meta.tag"> <path value="Condition.meta.tag"/> <short value="Tags applied to this resource"/> <definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource."/> <comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored."/> <min value="0"/> <max value="*"/> <base> <path value="Meta.tag"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Tags"/> </extension> <strength value="example"/> <description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones""/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/common-tags"/> </valueSetReference> </binding> </element> <element id="Condition.implicitRules"> <path value="Condition.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Condition.language"> <path value="Condition.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="Condition.text"> <path value="Condition.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Condition.contained"> <path value="Condition.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.extension"> <path value="Condition.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.modifierExtension"> <path value="Condition.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.identifier"> <path value="Condition.identifier"/> <short value="External Ids for this condition"/> <definition value="This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/> <requirements value="Need to allow connection to a wider workflow."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <short value="active | recurrence | inactive | remission | resolved"/> <definition value="The clinical status of the condition."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern."/> <min value="1"/> <max value="1"/> <base> <path value="Condition.clinicalStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <condition value="con-3"/> <condition value="con-4"/> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionClinicalStatus"/> </extension> <strength value="required"/> <description value="The clinical status of the condition or diagnosis."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-clinical"/> </valueSetReference> </binding> <mapping> <identity value="sct-concept"/> <map value="< 303105007 |Disease phases|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14 / DG1-6"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <short value="provisional | differential | confirmed | refuted | entered-in-error | unknown"/> <definition value="The verification status to support the clinical status of the condition."/> <comment value="This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.verificationStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <defaultValueCode value="unknown"/> <condition value="con-3"/> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionVerificationStatus"/> </extension> <strength value="required"/> <description value="The verification status to support or decline the clinical status of the condition or diagnosis."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-ver-status"/> </valueSetReference> </binding> <mapping> <identity value="sct-concept"/> <map value="< 410514004 |Finding context value|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-13"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="408729009"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Condition.category"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Condition.category"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'. "/> <comment value="In this profile, Condition represents a health problem of the patient. Therefore the code is fixed to the value problem-list-item."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> </element> <element id="Condition.severity"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Condition.severity"/> <short value="Concept - reference to a terminology or just text"/> <definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text."/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.severity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionSeverity"/> </extension> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/condition-severity-uv-ips"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> </element> <element id="Condition.code"> <path value="Condition.code"/> <slicing> <discriminator> <type value="value"/> <path value="coding.system"/> </discriminator> <description value="Discriminated by code system"/> <rules value="open"/> </slicing> <short value="Concept - reference to a terminology or just text"/> <definition value="Identification of the condition, problem or diagnosis or recording of "problem absent" or of "problems unknown"."/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <requirements value="0..1 to account for primarily narrative only resources."/> <min value="1"/> <max value="1"/> <base> <path value="Condition.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProblemCode"/> </extension> <strength value="preferred"/> <description value="Identification of the problem"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/core-problem-list-disorders-uv-ips"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Condition.code"/> <sliceName value="absentOrUnknownProblem"/> <short value="Code for absent problem or for unknown problem"/> <definition value="Code representing the statement "absent problem" or the statement "problems unknown""/> <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/> <requirements value="0..1 to account for primarily narrative only resources."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="absentOrUnknownProblem"/> </extension> <strength value="required"/> <description value="Absent problem or unknown problem"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> <mapping> <identity value="v2"/> <map value="CE/CNE/CWE"/> </mapping> <mapping> <identity value="rim"/> <map value="CD"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.id"> <path value="Condition.code.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.extension"> <path value="Condition.code.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding"> <path value="Condition.code.coding"/> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/> <requirements value="Allows for alternative encodings within a code system, and translations to other code systems."/> <min value="1"/> <max value="1"/> <base> <path value="CodeableConcept.coding"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/Coding-uv-ips"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.id"> <path value="Condition.code.coding.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.extension"> <path value="Condition.code.coding.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.system"> <path value="Condition.code.coding.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.version"> <path value="Condition.code.coding.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.code"> <path value="Condition.code.coding.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Condition.code.coding.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.display.id"> <path value="Condition.code.coding.display.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Condition.code:absentOrUnknownProblem.coding.display.extension"> <path value="Condition.code.coding.display.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Condition.code:absentOrUnknownProblem.coding.display.extension:translation"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="normative"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version"> <valueCode value="4.0.0"/> </extension> <path value="Condition.code.coding.display.extension"/> <sliceName value="translation"/> <short value="Language Translation (Localization)"/> <definition value="Language translation from base language of resource to another language."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/translation"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="ST.translation"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.coding.display.value"> <path value="Condition.code.coding.display.value"/> <representation value="xmlAttr"/> <short value="Primitive value for string"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="[ \r\n\t\S]+"/> </extension> <code> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"> <valueString value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type"> <valueString value="xsd:string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type"> <valueString value="xsd:string"/> </extension> </code> </type> <maxLength value="1048576"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Condition.code:absentOrUnknownProblem.coding.userSelected"> <path value="Condition.code.coding.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="Condition.code:absentOrUnknownProblem.text"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Condition.code.text"/> <short value="Plain text representation of the concept"/> <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/> <comment value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="0"/> <max value="1"/> <base> <path value="CodeableConcept.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite"/> <short value="Anatomical location, if relevant"/> <definition value="The anatomical location where this condition manifests itself."/> <comment value="Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="Codes describing anatomical locations. May include laterality."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/body-site"/> </valueSetReference> </binding> <mapping> <identity value="sct-concept"/> <map value="< 442083009 |Anatomical or acquired body structure|"/> </mapping> <mapping> <identity value="rim"/> <map value=".targetBodySiteCode"/> </mapping> <mapping> <identity value="sct-attr"/> <map value="363698007"/> </mapping> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <short value="Who has the condition?"/> <definition value="Indicates the patient or group who the condition record is associated with."/> <requirements value="Group is typically used for veterinary or public health use cases."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="Condition.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.eu/fhir/trillium2/StructureDefinition/Patient-uv-ips"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="Condition.subject.id"> <path value="Condition.subject.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.subject.extension"> <path value="Condition.subject.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.subject.reference"> <path value="Condition.subject.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/> <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/> <min value="1"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.subject.identifier"> <path value="Condition.subject.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/> <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Condition.subject.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Condition.subject.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.context"> <path value="Condition.context"/> <short value="Encounter or episode when condition first asserted"/> <definition value="Encounter during which the condition was first asserted."/> <comment value="This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known"."/> <alias value="encounter"/> <min value="0"/> <max value="1"/> <base> <path value="Condition.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PV1-19 (+PV1-54)"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="Condition.onsetDateTime:onsetDateTime"> <path value="Condition.onsetDateTime"/> <sliceName value="onsetDateTime"/> <short value="Estimated or actual date, date-time, or age"/> <definition value="Estimated or actual date or date-time the condition began, in the opinion of the clinician."/> <comment value="Age is generally used when the patient reports an age at which the Condition began to occur."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.onset[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PRB-16"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value"/> </mapping> <mapping> <identity value="w5"/> <map value="when.init"/> </mapping> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <short value="If/when in resolution/remission"/> <definition value="The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate."/> <comment value="There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.abatement[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Age"/> </type> <type> <code value="boolean"/> </type> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <type> <code value="string"/> </type> <condition value="con-4"/> <mustSupport value="true"/> <mapping> <identity value="rim"/> <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"/> </mapping> <mapping> <identity value="w5"/> <map value="when.done"/> </mapping> </element> <element id="Condition.assertedDate"> <path value="Condition.assertedDate"/> <short value="Date record was believed accurate"/> <definition value="The date on which the existance of the Condition was first asserted or acknowledged."/> <comment value="The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. Â The date of the last record modification can be retrieved from the resource metadata."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.assertedDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="REL-11"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> </element> <element id="Condition.asserter"> <path value="Condition.asserter"/> <short value="Person who asserts this condition"/> <definition value="Individual who is making the condition statement. Information source."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.asserter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="REL-7.1 identifier + REL-7.12 type code"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.author"/> </mapping> </element> <element id="Condition.stage"> <path value="Condition.stage"/> <short value="Stage/grade, usually assessed formally"/> <definition value="Clinical stage or grade of a condition. May include formal severity assessments."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.stage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="con-1"/> <severity value="error"/> <human value="Stage SHALL have summary or assessment"/> <expression value="summary.exists() or assessment.exists()"/> <xpath value="exists(f:summary) or exists(f:assessment)"/> </constraint> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]"/> </mapping> </element> <element id="Condition.stage.id"> <path value="Condition.stage.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.extension"> <path value="Condition.stage.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.stage.modifierExtension"> <path value="Condition.stage.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.stage.summary"> <path value="Condition.stage.summary"/> <short value="Simple summary (disease specific)"/> <definition value="A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific."/> <min value="0"/> <max value="1"/> <base> <path value="Condition.stage.summary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="con-1"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionStage"/> </extension> <strength value="example"/> <description value="Codes describing condition stages (e.g. Cancer stages)."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-stage"/> </valueSetReference> </binding> <mapping> <identity value="sct-concept"/> <map value="< 254291000 |Staging and scales|"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14"/> </mapping> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </element> <element id="Condition.stage.assessment"> <path value="Condition.stage.assessment"/> <short value="Formal record of assessment"/> <definition value="Reference to a formal record of the evidence on which the staging assessment is based."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.stage.assessment"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <condition value="con-1"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </element> <element id="Condition.evidence"> <path value="Condition.evidence"/> <short value="Supporting evidence"/> <definition value="Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed."/> <comment value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="con-2"/> <severity value="error"/> <human value="evidence SHALL have code or details"/> <expression value="code.exists() or detail.exists()"/> <xpath value="exists(f:code) or exists(f:detail)"/> </constraint> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Condition.evidence.id"> <path value="Condition.evidence.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.evidence.extension"> <path value="Condition.evidence.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Condition.evidence.modifierExtension"> <path value="Condition.evidence.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Condition.evidence.code"> <path value="Condition.evidence.code"/> <short value="Manifestation/symptom"/> <definition value="A manifestation or symptom that led to the recording of this condition."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence.code"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="con-2"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ManifestationOrSymptom"/> </extension> <strength value="example"/> <description value="Codes that describe the manifestation or symptoms of a condition."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/manifestation-or-symptom"/> </valueSetReference> </binding> <mapping> <identity value="sct-concept"/> <map value="< 404684003 |Clinical finding|"/> </mapping> <mapping> <identity value="rim"/> <map value="[code="diagnosis"].value"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Condition.evidence.detail"> <path value="Condition.evidence.detail"/> <short value="Supporting information found elsewhere"/> <definition value="Links to other relevant information, including pathology reports."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.evidence.detail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <condition value="con-2"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Condition.note"> <path value="Condition.note"/> <short value="Additional information about the Condition"/> <definition value="Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis."/> <min value="0"/> <max value="*"/> <base> <path value="Condition.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="v2"/> <map value="NTE child of PRB"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value"/> </mapping> </element> </snapshot> <differential> <element id="Condition"> <path value="Condition"/> <short value="Documentation of a health problem of the patient"/> <mustSupport value="true"/> </element> <element id="Condition.id"> <path value="Condition.id"/> <mustSupport value="true"/> </element> <element id="Condition.meta"> <path value="Condition.meta"/> <mustSupport value="true"/> </element> <element id="Condition.meta.profile"> <path value="Condition.meta.profile"/> <mustSupport value="true"/> </element> <element id="Condition.text"> <path value="Condition.text"/> <mustSupport value="true"/> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus"/> <min value="1"/> <type> <code value="code"/> </type> <mustSupport value="true"/> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus"/> <comment value="This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid."/> <type> <code value="code"/> </type> <mustSupport value="true"/> </element> <element id="Condition.category"> <path value="Condition.category"/> <definition value="A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'. "/> <comment value="In this profile, Condition represents a health problem of the patient. Therefore the code is fixed to the value problem-list-item."/> <max value="1"/> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionCategory"/> </extension> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips"/> </valueSetReference> </binding> </element> <element id="Condition.severity"> <path value="Condition.severity"/> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ConditionSeverity"/> </extension> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/condition-severity-uv-ips"/> </valueSetReference> </binding> </element> <element id="Condition.code"> <path value="Condition.code"/> <slicing> <discriminator> <type value="value"/> <path value="coding.system"/> </discriminator> <description value="Discriminated by code system"/> <rules value="open"/> </slicing> <definition value="Identification of the condition, problem or diagnosis or recording of "problem absent" or of "problems unknown"."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProblemCode"/> </extension> <strength value="preferred"/> <description value="Identification of the problem"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/core-problem-list-disorders-uv-ips"/> </valueSetReference> </binding> </element> <element id="Condition.code:absentOrUnknownProblem"> <path value="Condition.code"/> <sliceName value="absentOrUnknownProblem"/> <short value="Code for absent problem or for unknown problem"/> <definition value="Code representing the statement "absent problem" or the statement "problems unknown""/> <max value="1"/> <type> <code value="CodeableConcept"/> <profile value="http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="absentOrUnknownProblem"/> </extension> <strength value="required"/> <description value="Absent problem or unknown problem"/> <valueSetReference> <reference value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"/> </valueSetReference> </binding> </element> <element id="Condition.code:absentOrUnknownProblem.coding"> <path value="Condition.code.coding"/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Condition.code:absentOrUnknownProblem.coding.system"> <path value="Condition.code.coding.system"/> <min value="1"/> <max value="1"/> <fixedUri value="http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips"/> <mustSupport value="true"/> </element> <element id="Condition.subject"> <path value="Condition.subject"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.eu/fhir/trillium2/StructureDefinition/Patient-uv-ips"/> </type> <mustSupport value="true"/> </element> <element id="Condition.subject.reference"> <path value="Condition.subject.reference"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="Condition.onsetDateTime:onsetDateTime"> <path value="Condition.onsetDateTime"/> <sliceName value="onsetDateTime"/> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]"/> <mustSupport value="true"/> </element> <element id="Condition.asserter"> <path value="Condition.asserter"/> <definition value="Individual who is making the condition statement. Information source."/> <mustSupport value="true"/> </element> </differential> </StructureDefinition>