Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zib Wound - Detailed Descriptions

Draft as of 2024-04-09

Definitions for the zib-Wound resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Condition
ShortWound
Alternate NamesWond
2. Condition.extension
SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Condition.extension:DateOfLastDressingChange
    Slice NameDateOfLastDressingChange
    Control0..1
    TypeExtension(Date of last dressing change) (Extension Type: dateTime)
    6. Condition.extension:DateOfLastDressingChange.valueDateTime:valueDateTime
    Slice NamevalueDateTime
    8. Condition.code
    Definition

    Description of the type of wound.

    ShortWoundType
    BindingUnless not suitable, these codes SHALL be taken from WondSoortCodelijst
    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000)

    WondSoortCodelijst

    Alternate NamesWondSoort
    10. Condition.code.coding
    Control1..?
    12. Condition.code.coding.system
    Control1..?
    14. Condition.code.coding.code
    Control1..?
    16. Condition.bodySite
    ShortAnatomicalLocation
    BindingUnless not suitable, these codes SHALL be taken from WondAnatomischeLocatieCodelijst
    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000)

    WondAnatomischeLocatieCodelijst

    Alternate NamesAnatomischeLocatie
    18. Condition.bodySite.extension
    SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 20. Condition.bodySite.extension:Laterality
      Slice NameLaterality
      Control0..1
      TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
      22. Condition.bodySite.extension:Laterality.valueCodeableConcept:valueCodeableConcept
      Slice NamevalueCodeableConcept
      Definition

      Laterality adds information about body side to the anatomic location, e.g. left

      ShortLaterality
      BindingThe codes SHALL be taken from WondLateraliteitCodelijst
      (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000)

      WondLateraliteitCodelijst

      Alternate NamesLateraliteit
      24. Condition.subject
      TypeReference(nl-core-patient)
      26. Condition.onset[x]
      Definition

      The date on which the wound appeared.

      ShortWoundDateOfOnset
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Alternate NamesWondOntstaansDatum
      28. Condition.note
      Definition

      Comment on the wound.

      30. Condition.note.text
      Definition

      Comment on the wound.

      ShortComment
      Alternate NamesToelichting

      Guidance on how to interpret the contents of this table can be found here

      0. Condition
      Definition

      A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

      ShortWoundDetailed information about conditions, problems or diagnoses
      Control0..*
      Alternate NamesWond
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive')
      con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
      dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive')
      con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
      2. Condition.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. Condition.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional Content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Condition.extension:DateOfLastDressingChange
        Slice NameDateOfLastDressingChange
        Definition

        An Extension

        ShortDateOfLastDressingChange
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Date of last dressing change) (Extension Type: dateTime)
        Alternate NamesDatumLaatsteVerbandwissel
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Condition.extension:DateOfLastDressingChange.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
        10. Condition.extension:DateOfLastDressingChange.value[x]
        Definition

        Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

        ShortValue of extension
        Control0..1
        TypedateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
        [x] NoteSee Choice of Data Types for further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 12. Condition.extension:DateOfLastDressingChange.value[x]:valueDateTime
          Slice NamevalueDateTime
          Definition

          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

          ShortValue of extension
          Control0..1
          TypedateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          14. Condition.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Alternate Namesextensions, user content
          16. Condition.clinicalStatus
          Definition

          The clinical status of the condition.

          Shortactive | recurrence | inactive | remission | resolved
          Comments

          This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.

          Control0..1
          This element is affected by the following invariants: con-3, con-4
          BindingThe codes SHALL be taken from Condition Clinical Status Codeshttp://hl7.org/fhir/ValueSet/condition-clinical
          (required to http://hl7.org/fhir/ValueSet/condition-clinical)

          The clinical status of the condition or diagnosis.

          Typecode
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          18. Condition.verificationStatus
          Definition

          The verification status to support the clinical status of the condition.

          Shortprovisional | differential | confirmed | refuted | entered-in-error | unknown
          Comments

          verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.

          This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.

          Control0..1
          This element is affected by the following invariants: con-3
          BindingThe codes SHALL be taken from ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status
          (required to http://hl7.org/fhir/ValueSet/condition-ver-status)

          The verification status to support or decline the clinical status of the condition or diagnosis.

          Typecode
          Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Default Valueunknown
          20. Condition.code
          Definition

          Description of the type of wound.


          Identification of the condition, problem or diagnosis.

          ShortWoundTypeIdentification of the condition, problem or diagnosis
          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see WondSoortCodelijsthttp://hl7.org/fhir/ValueSet/condition-code
          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000)

          WondSoortCodelijst


          Identification of the condition or diagnosis.

          TypeCodeableConcept
          Summarytrue
          Requirements

          0..1 to account for primarily narrative only resources.

          Alternate Namestype, WondSoort
          22. Condition.code.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..*
          TypeCoding
          Summarytrue
          Requirements

          Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

          24. Condition.code.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

          Control10..1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          26. Condition.code.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          28. Condition.bodySite
          Definition

          The anatomical location where this condition manifests itself.

          ShortAnatomicalLocationAnatomical location, if relevant
          Comments

          Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see WondAnatomischeLocatieCodelijsthttp://hl7.org/fhir/ValueSet/body-site
          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000)

          WondAnatomischeLocatieCodelijst


          Codes describing anatomical locations. May include laterality.

          TypeCodeableConcept
          Summarytrue
          Alternate NamesAnatomischeLocatie
          30. Condition.bodySite.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional Content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Alternate Namesextensions, user content
          SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 32. Condition.bodySite.extension:Laterality
            Slice NameLaterality
            Definition

            Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

            ShortExtension
            Control0..1
            TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
            34. Condition.bodySite.extension:Laterality.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
            36. Condition.bodySite.extension:Laterality.value[x]
            Definition

            Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

            ShortValue of extension
            Control0..1
            TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            SlicingThis element introduces a set of slices on Condition.bodySite.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
            • type @ $this
            • 38. Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept
              Slice NamevalueCodeableConcept
              Definition

              Laterality adds information about body side to the anatomic location, e.g. left


              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

              ShortLateralityValue of extension
              Control0..1
              BindingThe codes SHALL be taken from For codes, see WondLateraliteitCodelijst
              (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000)

              WondLateraliteitCodelijst

              TypeCodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              Alternate NamesLateraliteit
              40. Condition.subject
              Definition

              Indicates the patient or group who the condition record is associated with.

              ShortWho has the condition?
              Control1..1
              TypeReference(nl-core-patient, Patient, Group)
              Summarytrue
              Requirements

              Group is typically used for veterinary or public health use cases.

              Alternate Namespatient
              42. Condition.onset[x]
              Definition

              The date on which the wound appeared.


              Estimated or actual date or date-time the condition began, in the opinion of the clinician.

              ShortWoundDateOfOnsetEstimated or actual date, date-time, or age
              Comments

              Age is generally used when the patient reports an age at which the Condition began to occur.

              Control0..1
              TypeChoice of: dateTime, Age, Period, Range, string
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate NamesWondOntstaansDatum
              44. Condition.note
              Definition

              Comment on the wound.


              Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.

              ShortAdditional information about the Condition
              Control0..*
              TypeAnnotation
              46. Condition.note.text
              Definition

              Comment on the wound.


              The text of the annotation.

              ShortCommentThe annotation - text content
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Alternate NamesToelichting

              Guidance on how to interpret the contents of this table can be found here

              0. Condition
              Definition

              A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

              ShortWound
              Control0..*
              Alternate NamesWond
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
              dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
              con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission (abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive')
              con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error (verificationStatus='entered-in-error' or clinicalStatus.exists())
              2. Condition.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

              Control0..1
              Typeid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              4. Condition.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Summarytrue
              6. Condition.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

              This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

              Control0..1
              Typeuri
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              8. Condition.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Common Languages
              (extensible to http://hl7.org/fhir/ValueSet/languages)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              10. Condition.text
              Definition

              A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

              Control0..1
              This element is affected by the following invariants: dom-1
              TypeNarrative
              Alternate Namesnarrative, html, xhtml, display
              12. Condition.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

              Control0..*
              TypeResource
              Alternate Namesinline resources, anonymous resources, contained resources
              14. Condition.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              SlicingThis element introduces a set of slices on Condition.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 16. Condition.extension:DateOfLastDressingChange
                Slice NameDateOfLastDressingChange
                Definition

                An Extension

                ShortDateOfLastDressingChange
                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(Date of last dressing change) (Extension Type: dateTime)
                Alternate NamesDatumLaatsteVerbandwissel
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                18. Condition.extension:DateOfLastDressingChange.id
                Definition

                unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                Shortxml:id (or equivalent in JSON)
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                20. Condition.extension:DateOfLastDressingChange.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional Content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Alternate Namesextensions, user content
                SlicingThis element introduces a set of slices on Condition.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 22. Condition.extension:DateOfLastDressingChange.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/condition-dateOfLastDressingChange
                  24. Condition.extension:DateOfLastDressingChange.value[x]
                  Definition

                  Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                  ShortValue of extension
                  Control0..1
                  TypedateTime
                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  SlicingThis element introduces a set of slices on Condition.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                  • type @ $this
                  • 26. Condition.extension:DateOfLastDressingChange.value[x]:valueDateTime
                    Slice NamevalueDateTime
                    Definition

                    Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                    ShortValue of extension
                    Control0..1
                    TypedateTime
                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    28. Condition.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Alternate Namesextensions, user content
                    30. Condition.identifier
                    Definition

                    This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

                    ShortExternal Ids for this condition
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Summarytrue
                    Requirements

                    Need to allow connection to a wider workflow.

                    32. Condition.clinicalStatus
                    Definition

                    The clinical status of the condition.

                    Shortactive | recurrence | inactive | remission | resolved
                    Comments

                    This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.

                    Control0..1
                    This element is affected by the following invariants: con-3, con-4
                    BindingThe codes SHALL be taken from Condition Clinical Status Codes
                    (required to http://hl7.org/fhir/ValueSet/condition-clinical)

                    The clinical status of the condition or diagnosis.

                    Typecode
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    34. Condition.verificationStatus
                    Definition

                    The verification status to support the clinical status of the condition.

                    Shortprovisional | differential | confirmed | refuted | entered-in-error | unknown
                    Comments

                    verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.

                    This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.

                    Control0..1
                    This element is affected by the following invariants: con-3
                    BindingThe codes SHALL be taken from ConditionVerificationStatus
                    (required to http://hl7.org/fhir/ValueSet/condition-ver-status)

                    The verification status to support or decline the clinical status of the condition or diagnosis.

                    Typecode
                    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Default Valueunknown
                    36. Condition.category
                    Definition

                    A category assigned to the condition.

                    Shortproblem-list-item | encounter-diagnosis
                    Comments

                    The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.

                    Control0..*
                    BindingFor example codes, see Condition Category Codes
                    (example to http://hl7.org/fhir/ValueSet/condition-category)

                    A category assigned to the condition.

                    TypeCodeableConcept
                    38. Condition.severity
                    Definition

                    A subjective assessment of the severity of the condition as evaluated by the clinician.

                    ShortSubjective severity of condition
                    Comments

                    Coding of the severity with a terminology is preferred, where possible.

                    Control0..1
                    BindingThe codes SHOULD be taken from Condition/Diagnosis Severity
                    (preferred to http://hl7.org/fhir/ValueSet/condition-severity)

                    A subjective assessment of the severity of the condition as evaluated by the clinician.

                    TypeCodeableConcept
                    40. Condition.code
                    Definition

                    Description of the type of wound.

                    ShortWoundType
                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from WondSoortCodelijst
                    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4--20171231000000)

                    WondSoortCodelijst

                    TypeCodeableConcept
                    Summarytrue
                    Requirements

                    0..1 to account for primarily narrative only resources.

                    Alternate Namestype, WondSoort
                    42. Condition.code.id
                    Definition

                    unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    44. Condition.code.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional Content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Alternate Namesextensions, user content
                    SlicingThis element introduces a set of slices on Condition.code.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 46. Condition.code.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control1..*
                      TypeCoding
                      Summarytrue
                      Requirements

                      Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                      48. Condition.code.coding.id
                      Definition

                      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      50. Condition.code.coding.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional Content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Alternate Namesextensions, user content
                      SlicingThis element introduces a set of slices on Condition.code.coding.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 52. Condition.code.coding.system
                        Definition

                        The identification of the code system that defines the meaning of the symbol in the code.

                        ShortIdentity of the terminology system
                        Comments

                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

                        Control1..1
                        Typeuri
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to be unambiguous about the source of the definition of the symbol.

                        54. Condition.code.coding.version
                        Definition

                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                        ShortVersion of the system - if relevant
                        Comments

                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                        NoteThis is a business versionId, not a resource version id (see discussion)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        56. Condition.code.coding.code
                        Definition

                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                        ShortSymbol in syntax defined by the system
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        58. Condition.code.coding.display
                        Definition

                        A representation of the meaning of the code in the system, following the rules of the system.

                        ShortRepresentation defined by the system
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                        60. Condition.code.coding.userSelected
                        Definition

                        Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

                        ShortIf this coding was chosen directly by the user
                        Comments

                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                        Control0..1
                        Typeboolean
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                        62. Condition.code.text
                        Definition

                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                        ShortPlain text representation of the concept
                        Comments

                        Very often the text is the same as a displayName of one of the codings.

                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                        64. Condition.bodySite
                        Definition

                        The anatomical location where this condition manifests itself.

                        ShortAnatomicalLocation
                        Comments

                        Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both.

                        Control0..*
                        BindingUnless not suitable, these codes SHALL be taken from WondAnatomischeLocatieCodelijst
                        (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6--20171231000000)

                        WondAnatomischeLocatieCodelijst

                        TypeCodeableConcept
                        Summarytrue
                        Alternate NamesAnatomischeLocatie
                        66. Condition.bodySite.id
                        Definition

                        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        Shortxml:id (or equivalent in JSON)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        68. Condition.bodySite.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        SlicingThis element introduces a set of slices on Condition.bodySite.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 70. Condition.bodySite.extension:Laterality
                          Slice NameLaterality
                          Definition

                          Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

                          ShortExtension
                          Control0..1
                          TypeExtension(BodySite Qualifier) (Extension Type: CodeableConcept)
                          72. Condition.bodySite.extension:Laterality.id
                          Definition

                          unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          Shortxml:id (or equivalent in JSON)
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          74. Condition.bodySite.extension:Laterality.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional Content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Alternate Namesextensions, user content
                          SlicingThis element introduces a set of slices on Condition.bodySite.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 76. Condition.bodySite.extension:Laterality.url
                            Definition

                            Source of the definition for the extension code - a logical name or a URL.

                            Shortidentifies the meaning of the extension
                            Comments

                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                            Control1..1
                            Typeuri
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
                            78. Condition.bodySite.extension:Laterality.value[x]
                            Definition

                            Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                            ShortValue of extension
                            Control0..1
                            TypeCodeableConcept
                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                            SlicingThis element introduces a set of slices on Condition.bodySite.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                            • type @ $this
                            • 80. Condition.bodySite.extension:Laterality.value[x]:valueCodeableConcept
                              Slice NamevalueCodeableConcept
                              Definition

                              Laterality adds information about body side to the anatomic location, e.g. left

                              ShortLaterality
                              Control0..1
                              BindingThe codes SHALL be taken from WondLateraliteitCodelijst
                              (required to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8--20171231000000)

                              WondLateraliteitCodelijst

                              TypeCodeableConcept
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Alternate NamesLateraliteit
                              82. Condition.bodySite.coding
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control0..*
                              TypeCoding
                              Summarytrue
                              Requirements

                              Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

                              84. Condition.bodySite.text
                              Definition

                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                              ShortPlain text representation of the concept
                              Comments

                              Very often the text is the same as a displayName of one of the codings.

                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                              86. Condition.subject
                              Definition

                              Indicates the patient or group who the condition record is associated with.

                              ShortWho has the condition?
                              Control1..1
                              TypeReference(nl-core-patient)
                              Summarytrue
                              Requirements

                              Group is typically used for veterinary or public health use cases.

                              Alternate Namespatient
                              88. Condition.context
                              Definition

                              Encounter during which the condition was first asserted.

                              ShortEncounter or episode when condition first asserted
                              Comments

                              This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".

                              Control0..1
                              TypeReference(Encounter, EpisodeOfCare)
                              Summarytrue
                              Alternate Namesencounter
                              90. Condition.onset[x]
                              Definition

                              The date on which the wound appeared.

                              ShortWoundDateOfOnset
                              Comments

                              Age is generally used when the patient reports an age at which the Condition began to occur.

                              Control0..1
                              TypeChoice of: dateTime, Age, Period, Range, string
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Alternate NamesWondOntstaansDatum
                              92. Condition.abatement[x]
                              Definition

                              The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.

                              ShortIf/when in resolution/remission
                              Comments

                              There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.

                              Control0..1
                              This element is affected by the following invariants: con-4
                              TypeChoice of: dateTime, Age, boolean, Period, Range, string
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              94. Condition.assertedDate
                              Definition

                              The date on which the existance of the Condition was first asserted or acknowledged.

                              ShortDate record was believed accurate
                              Comments

                              The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata.

                              Control0..1
                              TypedateTime
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              96. Condition.asserter
                              Definition

                              Individual who is making the condition statement.

                              ShortPerson who asserts this condition
                              Control0..1
                              TypeReference(Practitioner, Patient, RelatedPerson)
                              Summarytrue
                              98. Condition.stage
                              Definition

                              Clinical stage or grade of a condition. May include formal severity assessments.

                              ShortStage/grade, usually assessed formally
                              Control0..1
                              TypeBackboneElement
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                              con-1: Stage SHALL have summary or assessment (summary.exists() or assessment.exists())
                              100. Condition.stage.id
                              Definition

                              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              Shortxml:id (or equivalent in JSON)
                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              102. Condition.stage.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional Content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Alternate Namesextensions, user content
                              104. Condition.stage.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              ShortExtensions that cannot be ignored
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                              Summarytrue
                              Alternate Namesextensions, user content, modifiers
                              106. Condition.stage.summary
                              Definition

                              A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.

                              ShortSimple summary (disease specific)
                              Control0..1
                              This element is affected by the following invariants: con-1
                              BindingFor example codes, see Condition Stage
                              (example to http://hl7.org/fhir/ValueSet/condition-stage)

                              Codes describing condition stages (e.g. Cancer stages).

                              TypeCodeableConcept
                              108. Condition.stage.assessment
                              Definition

                              Reference to a formal record of the evidence on which the staging assessment is based.

                              ShortFormal record of assessment
                              Control0..*
                              This element is affected by the following invariants: con-1
                              TypeReference(ClinicalImpression, DiagnosticReport, Observation)
                              110. Condition.evidence
                              Definition

                              Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.

                              ShortSupporting evidence
                              Comments

                              The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.

                              Control0..*
                              TypeBackboneElement
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                              con-2: evidence SHALL have code or details (code.exists() or detail.exists())
                              112. Condition.evidence.id
                              Definition

                              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              Shortxml:id (or equivalent in JSON)
                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              114. Condition.evidence.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional Content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Alternate Namesextensions, user content
                              116. Condition.evidence.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              ShortExtensions that cannot be ignored
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                              Summarytrue
                              Alternate Namesextensions, user content, modifiers
                              118. Condition.evidence.code
                              Definition

                              A manifestation or symptom that led to the recording of this condition.

                              ShortManifestation/symptom
                              Control0..*
                              This element is affected by the following invariants: con-2
                              BindingFor example codes, see Manifestation and Symptom Codes
                              (example to http://hl7.org/fhir/ValueSet/manifestation-or-symptom)

                              Codes that describe the manifestation or symptoms of a condition.

                              TypeCodeableConcept
                              Summarytrue
                              120. Condition.evidence.detail
                              Definition

                              Links to other relevant information, including pathology reports.

                              ShortSupporting information found elsewhere
                              Control0..*
                              This element is affected by the following invariants: con-2
                              TypeReference(Resource)
                              Summarytrue
                              122. Condition.note
                              Definition

                              Comment on the wound.

                              ShortAdditional information about the Condition
                              Control0..*
                              TypeAnnotation
                              124. Condition.note.id
                              Definition

                              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              Shortxml:id (or equivalent in JSON)
                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              126. Condition.note.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional Content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Alternate Namesextensions, user content
                              SlicingThis element introduces a set of slices on Condition.note.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 128. Condition.note.author[x]
                                Definition

                                The individual responsible for making the annotation.

                                ShortIndividual responsible for the annotation
                                Control0..1
                                TypeChoice of: Reference(Practitioner, Patient, RelatedPerson), string
                                [x] NoteSee Choice of Data Types for further information about how to use [x]
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                130. Condition.note.time
                                Definition

                                Indicates when this particular annotation was made.

                                ShortWhen the annotation was made
                                Control0..1
                                TypedateTime
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                132. Condition.note.text
                                Definition

                                Comment on the wound.

                                ShortComment
                                Control1..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Alternate NamesToelichting