FHIR Implementatiegids voor de Nederlandse Kankerregistratie
1.4.0 - release

FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NcrEhrCondition

Official URL: http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-condition Version: 1.4.0
Draft as of 2026-01-22 Computable Name: NcrEhrCondition

Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 1..1 CodeableConcept ProblemStatus
Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:verificationStatusCodelist Σ 1..1 Coding Code defined by a terminology system
Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by value:$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.
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: 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 SΣ 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... 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
... stage C 0..1 BackboneElement Cancer stage
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 1..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... text SΣ 1..1 string Plain text representation of the concept
... note 0..1 Annotation Additional information about the Condition
.... text Σ 1..1 markdown Comment

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:verificationStatusCodelist Base required VerificatieStatusCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:problemType Base required ProbleemTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.
Condition.code Base required ProbleemNaamCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.bodySite Base required LocatieCodelijsten 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.

Constraints

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

This structure is derived from NlcoreProblem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* NlcoreProblem Problem
... clinicalStatus S 1..1 CodeableConcept ProblemStatus
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
... category 1..* CodeableConcept problem-list-item | encounter-diagnosis
... Slices for category Content/Rules for all slices
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: 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
... subject S 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... recordedDate S 1..1 dateTime Date record was first recorded
... stage 0..1 BackboneElement Cancer stage
.... summary 1..1 CodeableConcept Simple summary (disease specific)
..... text S 1..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 1..1 CodeableConcept ProblemStatus
Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verificationStatus ?!ΣC 0..1 CodeableConcept VerificationStatus
Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus.
.... 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:$this
..... coding:verificationStatusCodelist Σ 1..1 Coding Code defined by a terminology system
Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
.... text Σ 0..1 string Plain text representation of the concept
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by value:$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.
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding Σ 1..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
Fixed Value: 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 SΣ 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... encounter Σ 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..1 BackboneElement Cancer stage
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 1..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 1..1 string Plain text representation of the concept
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:verificationStatusCodelist Base required VerificatieStatusCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:problemType Base required ProbleemTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base required ProbleemNaamCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.bodySite Base required LocatieCodelijsten 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

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

This structure is derived from NlcoreProblem

Summary

Mandatory: 9 elements(2 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 1..1 CodeableConcept ProblemStatus
Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:verificationStatusCodelist Σ 1..1 Coding Code defined by a terminology system
Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by value:$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.
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: 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 SΣ 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... 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
... stage C 0..1 BackboneElement Cancer stage
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 1..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... text SΣ 1..1 string Plain text representation of the concept
... note 0..1 Annotation Additional information about the Condition
.... text Σ 1..1 markdown Comment

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:verificationStatusCodelist Base required VerificatieStatusCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:problemType Base required ProbleemTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.
Condition.code Base required ProbleemNaamCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.bodySite Base required LocatieCodelijsten 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from NlcoreProblem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* NlcoreProblem Problem
... clinicalStatus S 1..1 CodeableConcept ProblemStatus
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
... category 1..* CodeableConcept problem-list-item | encounter-diagnosis
... Slices for category Content/Rules for all slices
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: 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
... subject S 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... recordedDate S 1..1 dateTime Date record was first recorded
... stage 0..1 BackboneElement Cancer stage
.... summary 1..1 CodeableConcept Simple summary (disease specific)
..... text S 1..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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 1..1 CodeableConcept ProblemStatus
Binding: ConditionClinicalStatusCodes (required): Use ConceptMap ProbleemStatusCodelijst_to_ConditionClinicalStatusCodes to translate terminology from the functional model to profile terminology in ValueSet ConditionClinicalStatusCodes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-clinical
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: active
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verificationStatus ?!ΣC 0..1 CodeableConcept VerificationStatus
Binding: ConditionVerificationStatus (required): Use ConceptMap VerificatieStatusCodelijst_to_ConditionVerificationStatus to translate terminology from the functional model to profile terminology in ValueSet ConditionVerificationStatus.
.... 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:$this
..... coding:verificationStatusCodelist Σ 1..1 Coding Code defined by a terminology system
Binding: VerificatieStatusCodelijst (required): In addition to a coding from this ValueSet, the corresponding coding from the FHIR base ValueSet SHALL be communicated. The ConceptMap http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus can be used to relate these two ValueSets.
.... text Σ 0..1 string Plain text representation of the concept
... Slices for category 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by value:$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.
.... category:ncr-ehr-category S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (required)
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:icd10coding Σ 1..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
Fixed Value: 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 SΣ 1..1 Reference(NcrEhrPatient) {b} Who has the condition?
... encounter Σ 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..1 BackboneElement Cancer stage
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 1..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 1..1 string Plain text representation of the concept
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.verificationStatus.​coding:verificationStatusCodelist Base required VerificatieStatusCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:problemType Base required ProbleemTypeCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.category:ncr-ehr-category Base required Condition Category Codes 📦4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base required ProbleemNaamCodelijst 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.bodySite Base required LocatieCodelijsten 📦2020-09-01T00:00:00 FHIR implementation of zibs 2020 v0.12
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

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

This structure is derived from NlcoreProblem

Summary

Mandatory: 9 elements(2 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron