This Finnish base profile for the Condition resource is still very early in development, and implementer feedback is appreciated in many aspects. There are many TODO parts intentionally left in this draft version. See also the foreseen further development needs below.

Scope and Usage

Use cases:

• Diagnosis -based conditions and Finnish Kayntisyy
• Other usages?

Diagnosis -based conditions and Finnish käyntisyy

A condition isn’t always a diagnosis. category is used to identify that a condition is a diagnosis. To identify that a condition is a diagnosis or Finnish käyntisyy, the category -field MUST contain code 166 from Finnish AR/YDIN - Näkymät -code system.

TODO is ok to use 166 for Finnish käyntisyy also? Having a category code would clean up this profile. We would not need an extension.

THL has a data model for Finnish diagnosis in code server: THL/Tietosisältö - Diagnoosit (“THL specification”).

Diagnosis Code Systems

When using Finnish ICD-10 it’s usage has special rules. These are described below. For reference and detailed specifications, see Potilastiedon arkiston Kertomus ja lomakkeet.

Diagnosis code (reason)

code SHALL only contain the reason code.

When using Finnish ICD-10, the code MUST NOT contain special characters (+,&,# after the code indicate reason). Pre-built pairs (like E85.9+I68.0) SHALL be broken down to constituent parts and the code part indicating reason (in case of E85.9+I68.0, Koodi1 field) used here.

In THL specification, this data is codeId 1: Diagnoosi.

In THL specification, there is another codeId 6: “ICD-10 -vastaavuuskoodi ICPC-koodille”. This MAY be in code (it’s the same code, but coded in another code system, so repetition of code is ok). Other codes, like symptom and accident type SHOULD NOT be repetitions of code.

Symptom code

Symptom code SHOULD be communicated via evidence.

When using Finnish ICD-10, code MUST NOT contain special characters (+ after the code and * before code indicates symptom). Pre-built pairs (like E85.9+I68.0) code . SHALL be broken down to constituent parts and the code part indicating symptom (in case of in case of E85.9+I68.0, Koodi2 field) used here.

In THL specification, this data is codeId 26: Diagnoosin tai käyntisyyn oirekoodi.

When name differs from code.display

Medical doctor may make some adjustments to the name of the diagnosis. code.display MUST be the original name from the codesystem and code.text MAY contain adjusted name for the diagnosis.

In THL specification, this data is codeId 21: Diagnoosin tai käyntisyyn nimi.

Primary/main diagnosis (or käyntisyy)

Use category code from “AR/YDIN - Diagnoosin /toimenpiteen ensisijaisuus” (1.2.246.537.5.40005.2003).

In THL specification, this data is codeId 2: Diagnoosin tai käyntisyyn ensisijaisuus.

Permanence (finnish “pysyvyys”)

Use category code from “AR/YDIN - Pysyvyys” versiosta (1.2.246.537.5.40003.2003).

In THL specification, this data is codeId 8: Diagnoosin pysyvyys.

Onset

Standard onset SHOULD be used.

In THL specification, this data is codeId 12: Diagnoosin tai käyntisyyn toteamispäivä.

Abatement

Standard abatement MAY be used.

In THL specification, this data is codeId 16: Diagnoosin päättymispäivä.

Asserter

Standard asserter MAY be used.

When asserter references a Practitioner, it can provide information for codeId 11: Toteajan nimi in THL specification. When asserter references a PractitionerRole, it can provide information for both codeId 11: Toteajan nimi and codeId 19: Toteajan palveluyksikkö.

Is not authored by a medical doctor (Käyntisyy)

Some conditions are very much like diagnosis but the asserter is not a medical doctor. THL specification identifies these as käyntisyy.

Extension isNotAuthoredByMedicalDoctor with value true MUST be used when condition is a käyntisyy. It MAY be used with value false on medical doctor asserted diagnosis, but absence of this extension SHALL be interpreted as not being a käyntisyy.

In THL specification, this data is codeId 23: Käyntisyy.

Type of sport in injury cases

Extension sport.

TODO add example.

In THL specification, this data is codeId: 24 Tapaturman liikuntalaji.

Endocrinological disorder

Extension endocrinologicalDisorder.

TODO add example.

In THL specification, this data is codeId: 27 Endokrinologisen häiriön koodi.

28 Aiheuttajan ATC-koodi

TODO define extension and example

3 Diagnoosin ulkoinen syy

TODO define extension and example

4 Diagnoosin tapaturmatyyppi

TODO define extension and example

5 Haittavaikutuksen aiheuttaja

TODO define extension and example

Other category usages

category SHOULD also contain the standard encounter-diagnosis.

Further development needs

Finnish diagnosis has some data that is not yet modeled in this profile. There is more modeling and mapping work to be done. Following list contains most relevant parts that need work:

• Use of problem-list-item for long term diagnosis (“Pitkäaikaisdiagnoosi” or “Pysyvä diagnoosi” in finnish)? The conceptual mapping is not staightforward.
• THL Tietosisältö 10 Tiedon lähde
  • extension?
• THL Tietosisältö 15 Diagnoosin päättymisen toteajan nimi
• THL Tietosisältö 17 Diagnoosin päättymisen syy
• THL Tietosisältö 18 Diagnoosin päättymisen syyn tarkenne
• THL Tietosisältö 20 Diagnoosin päättymisen toteajan palveluyksikkö
• THL Tietosisältö 22 Episodin nimi
• THL Tietosisältö 7 Diagnoosin tai käyntisyyn varmuusaste
• THL Tietosisältö 9 Diagnoosin tai käyntisyyn episoditunnus

Links

• Suomalainen tautien kirjaamisen ohjekirja national guide for the use if ICD-10.

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

This structure is derived from IPACondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	IPACondition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	IPACondition	Detailed information about conditions, problems or diagnoses
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
subject	SΣ	1..1	Reference(IPA-Patient)	Who has the condition?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.code	example	Condition/Problem/DiagnosisCodes

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()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	IPACondition	Detailed information about conditions, problems or diagnoses
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): 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	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(IPA-Patient)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes

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()
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 IPACondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	IPACondition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	IPACondition	Detailed information about conditions, problems or diagnoses
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
subject	SΣ	1..1	Reference(IPA-Patient)	Who has the condition?
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.code	example	Condition/Problem/DiagnosisCodes

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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	IPACondition	Detailed information about conditions, problems or diagnoses
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
isNotAuthoredByMedicalDoctor		0..1	boolean	Is not authored by medical doctor URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
sport		0..1	Coding	Type of sport in injury URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
endocrinologicalDisorder		0..1	Coding	Endocrinological disorder URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	S	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): 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	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(IPA-Patient)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes

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()
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 IPACondition

Summary

Extensions

This structure refers to these extensions:

• https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-is-not-authored-by-medical-doctor
• https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-sport
• https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/condition-endocrinological-disorder