minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.1.0 - Pre-STU 3 Development United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Primary Cancer Condition Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition Version: 2.1.0
Active as of 2023-02-02 Maturity Level: 4 Computable Name: PrimaryCancerCondition

Records the the primary cancer condition, the original or first neoplasm in the body (Definition from: NCI Dictionary of Cancer Terms). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.

Usage

This profile captures the cancer diagnosis. More information on coding the diagnosis can be found on the page Content by Group -> Disease.

In mCODE, staging information MUST be captured in an Observation that conforms to the TNMStageGroup profile. The resulting stage group MAY appear in this profile, in stage.summary and stage.type, but mCODE Data Senders and Receivers MAY ignore it in favor of the TNMStageGroup Observation. If present, cancer staging information summarized in this profile should reflect the most recent staging assessment on the patient, and should be updated if and when there is a new staging assessment. Past staging assessments will be preserved in instances of the TNMStageGroup, which refer back to PrimaryCancerCondition.

For SNOMED CT coding, use a code from the disorder hierarchy under SNOMED CT 363346000 ‘Malignant neoplastic disease (disorder)’ excluding codes descending from SNOMED CT 128462008 ‘Secondary malignant neoplastic disease (disorder)’. If body location is not precoordinated (i.e., implied by the code), the site of the primary tumor should be specified in the body site attribute.

For ICD-10-CM coding, use one of the codes given in this value set representing primary malignant neoplasms and neoplasms of uncertain or unspecified behavior.

Note that ICD-O-3 specifies morphology and topography, not disorder. If ICD-O-3 is used, the primary cancer disorder code must be specifically be SNOMED CT 363346000 ‘Malignant neoplastic disease (disorder)’. The ICD-O-3 morphology and topography codes should be entered in the HistologyMorphologyBehavior and body location fields, respectively.

Conformance

Condition resources associated with an in-scope patient with a Condition.code in the value set PrimaryCancerDisorderVS MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... extension S0..*ExtensionExtension
... histologyMorphologyBehavior S0..1CodeableConceptHistology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Binding: Histology Morphology Behavior Value Set (extensible)
... category 2..*CodeableConceptcategory codes
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
... category:mcode-category 1..1CodeableConceptcategory codes
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
... stage S0..*BackboneElementStage/grade, usually assessed formally
.... summary 0..1CodeableConceptStage at time of last staging.
.... assessment S0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.typerequiredCancerStagingMethodVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptproblem-list-item | health-concern
Binding: US Core Problem or Health Concern (required)

Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
.... category:sdoh S0..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: sdoh
.... category:mcode-category S1..1CodeableConceptcategory codes
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
... recordedDate SΣ0..1dateTimeDate record was first recorded
... stage SC0..*BackboneElementStage/grade, usually assessed formally
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptStage at time of last staging.
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment SC0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-corerequiredPattern: problem-list-item
Condition.category:sdohextensiblePattern: sdoh
Condition.category:mcode-categoryextensiblePattern: SNOMED CT code 372087000
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.summaryexampleConditionStage
Condition.stage.typerequiredCancerStagingMethodVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior S0..1CodeableConceptHistology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Binding: Histology Morphology Behavior Value Set (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptproblem-list-item | health-concern
Binding: US Core Problem or Health Concern (required)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:sdoh S0..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: sdoh
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:mcode-category S1..1CodeableConceptcategory codes
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime S
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage SC0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptStage at time of last staging.
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment SC0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)
... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-corerequiredPattern: problem-list-item
Condition.category:sdohextensiblePattern: sdoh
Condition.category:mcode-categoryextensiblePattern: SNOMED CT code 372087000
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.summaryexampleConditionStage
Condition.stage.typerequiredCancerStagingMethodVS
Condition.evidence.codeexampleManifestationAndSymptomCodes

Differential View

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... extension S0..*ExtensionExtension
... histologyMorphologyBehavior S0..1CodeableConceptHistology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Binding: Histology Morphology Behavior Value Set (extensible)
... category 2..*CodeableConceptcategory codes
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
... category:mcode-category 1..1CodeableConceptcategory codes
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
... stage S0..*BackboneElementStage/grade, usually assessed formally
.... summary 0..1CodeableConceptStage at time of last staging.
.... assessment S0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.typerequiredCancerStagingMethodVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptproblem-list-item | health-concern
Binding: US Core Problem or Health Concern (required)

Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
.... category:sdoh S0..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: sdoh
.... category:mcode-category S1..1CodeableConceptcategory codes
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
... recordedDate SΣ0..1dateTimeDate record was first recorded
... stage SC0..*BackboneElementStage/grade, usually assessed formally
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptStage at time of last staging.
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment SC0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-corerequiredPattern: problem-list-item
Condition.category:sdohextensiblePattern: sdoh
Condition.category:mcode-categoryextensiblePattern: SNOMED CT code 372087000
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.summaryexampleConditionStage
Condition.stage.typerequiredCancerStagingMethodVS

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... histologyMorphologyBehavior S0..1CodeableConceptHistology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Binding: Histology Morphology Behavior Value Set (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptproblem-list-item | health-concern
Binding: US Core Problem or Health Concern (required)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: problem-list-item
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:sdoh S0..1CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: sdoh
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:mcode-category S1..1CodeableConceptcategory codes
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 372087000
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Primary Cancer Disorder Value Set (extensible)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: Cancer Body Location Value Set (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... locationQualifier S0..*CodeableConceptBody Location Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
.... lateralityQualifier S0..1CodeableConceptLaterality Qualifier Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime S
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage SC0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptStage at time of last staging.
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment SC0..*Reference(Cancer Stage Group Profile)Formal record of assessment
.... type 0..1CodeableConceptStaging system or method used.
Binding: Cancer Staging Method Value Set (required)
... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-corerequiredPattern: problem-list-item
Condition.category:sdohextensiblePattern: sdoh
Condition.category:mcode-categoryextensiblePattern: SNOMED CT code 372087000
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.codeextensiblePrimaryCancerDisorderVS
Condition.bodySiteextensibleCancerBodyLocationVS
Condition.stage.summaryexampleConditionStage
Condition.stage.typerequiredCancerStagingMethodVS
Condition.evidence.codeexampleManifestationAndSymptomCodes

 

Other representations of profile: CSV, Excel, Schematron