Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	NlcoreProblem	Problem 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	?!SΣC	0..1	CodeableConcept	ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
verificationStatus	?!SΣC	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:verificationStatusCodelist	Σ	1..1	Coding	Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:problemType		0..1	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis.
Slices for extension				Content/Rules for all slices
extension:furtherSpecificationProblemName	N	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd10	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
code	Σ	1..1	code	Symbol in syntax defined by the system
bodySite	Σ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:laterality	S	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
subject	Σ	1..1	Reference(Patient | Group | nl core Patient)	Who has the condition?
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
note		0..1	Annotation	Additional information about the Condition
text	Σ	1..1	markdown	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG
Condition.verificationStatus.coding:verificationStatusCodelist	required	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:problemType	required	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000
Condition.code	required	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000
Condition.bodySite	required	LocatieCodelijsten http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	NlcoreProblem	Problem
clinicalStatus	S	0..1	CodeableConcept	ProblemStatus
verificationStatus	S	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
code	S	1..1	CodeableConcept	ProblemName
Slices for coding	C	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
code		1..1	code	Symbol in syntax defined by the system
coding:icd10		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
code		1..1	code	Symbol in syntax defined by the system
bodySite
Slices for extension				Content/Rules for all slices
extension:laterality	S	0..1	ExtAnatomicalLocationLaterality	Optional Extensions Element
encounter	S	0..1	Reference(Encounter)	Encounter created as part of
recordedDate	S	1..1	dateTime	Date record was first recorded
recorder	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	NlcoreProblem	Problem 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	?!SΣC	0..1	CodeableConcept	ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
verificationStatus	?!SΣC	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:verificationStatusCodelist	Σ	1..1	Coding	Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
text	Σ	0..1	string	Plain text representation of the concept
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:problemType		0..1	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:furtherSpecificationProblemName	N	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:laterality	S	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group | nl core Patient)	Who has the condition?
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..1	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG
Condition.verificationStatus.coding:verificationStatusCodelist	required	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:problemType	required	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000
Condition.bodySite	required	LocatieCodelijsten http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	NlcoreProblem	Problem 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	?!SΣC	0..1	CodeableConcept	ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
verificationStatus	?!SΣC	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:verificationStatusCodelist	Σ	1..1	Coding	Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:problemType		0..1	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis.
Slices for extension				Content/Rules for all slices
extension:furtherSpecificationProblemName	N	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd10	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
code	Σ	1..1	code	Symbol in syntax defined by the system
bodySite	Σ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:laterality	S	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
subject	Σ	1..1	Reference(Patient | Group | nl core Patient)	Who has the condition?
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
note		0..1	Annotation	Additional information about the Condition
text	Σ	1..1	markdown	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG
Condition.verificationStatus.coding:verificationStatusCodelist	required	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:problemType	required	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000
Condition.code	required	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000
Condition.bodySite	required	LocatieCodelijsten http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	NlcoreProblem	Problem
clinicalStatus	S	0..1	CodeableConcept	ProblemStatus
verificationStatus	S	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
code	S	1..1	CodeableConcept	ProblemName
Slices for coding	C	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
code		1..1	code	Symbol in syntax defined by the system
coding:icd10		0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
code		1..1	code	Symbol in syntax defined by the system
bodySite
Slices for extension				Content/Rules for all slices
extension:laterality	S	0..1	ExtAnatomicalLocationLaterality	Optional Extensions Element
encounter	S	0..1	Reference(Encounter)	Encounter created as part of
recordedDate	S	1..1	dateTime	Date record was first recorded
recorder	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	NlcoreProblem	Problem 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	?!SΣC	0..1	CodeableConcept	ProblemStatus Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
verificationStatus	?!SΣC	0..1	CodeableConcept	VerificationStatus Binding: Actieve diagnoses (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:verificationStatusCodelist	Σ	1..1	Coding	Code defined by a terminology system Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
text	Σ	0..1	string	Plain text representation of the concept
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:problemType		0..1	CodeableConcept	ProblemType Binding: ProbleemTypeCodelijst (required): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	ProblemName Binding: ProbleemNaamCodelijst (required): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:furtherSpecificationProblemName	N	0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Problem.FurtherSpecificationProblemName
Slices for coding	ΣC	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Constraints: plugin-condition-1
coding:dhd_dx_th	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://plugin.healthcare/fhir/CodeSystem/dhd-dx-thesaurus
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org/fhir/sid/icd-10-nl
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:laterality	S	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient | Group | nl core Patient)	Who has the condition?
encounter	SΣ	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	Σ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	Σ	0..1	dateTime	ProblemStartDate
Slices for abatement[x]	C	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	C	0..1	dateTime	ProblemEndDate
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..1	Annotation	Additional information about the Condition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	PluginActiveConditions https://plugin.healthcare/fhir/ValueSet/plugin-active-conditions-vs From this IG
Condition.verificationStatus.coding:verificationStatusCodelist	required	VerificatieStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.category:problemType	required	ProbleemTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	ProbleemNaamCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000
Condition.bodySite	required	LocatieCodelijsten http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
plugin-condition-1	error	Condition.code.coding	code SHALL at least contain a code from ICD-10 or the DHD diagnosethesaurus : code.coding[dhd_dx_th].exists() or code.coding[icd10].exists()

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements

Slices

This structure defines the following Slices:

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