minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - ballot United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. 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: Secondary Cancer Condition Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition Version: 4.0.0-ballot
Active as of 2024-03-26 Maturity Level: 4 Computable Name: SecondaryCancerCondition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.54

Records the history of secondary neoplasms, including location(s) and the date of onset of metastases. A secondary cancer results from the spread (metastasization) of cancer from its original site (Definition from: NCI Dictionary of Cancer Terms).

Usage

  • SNOMED CT coding: Use a code from the disorder hierarchy under secondary malignant neoplastic disease (SNOMED CT 128462008).
  • ICD-10-CM coding: Use one of the codes given in this value set representing secondary malignant neoplasms and neoplasms of uncertain or unspecified behavior. If body site is not precoordinated (implied by the code), it should be specified separately using the body location.

Note that ICD-O-3 specifies morphology and topography, not disorder; in this case that the disorder code must be SNOMED CT 128462008 (Secondary malignant neoplastic disease). The ICD-O-3 morphology and topography codes should be entered in the HistologyMorphologyBehavior and bodySite fields, respectively.

Conformance

Condition resources associated with an in-scope patient with a Condition.code in the value set SecondaryCancerDisorderVS SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an mCODE patient that would reasonably be expected to conform to this profile SHOULD be published in this form, for example, when employing a code that extends the SecondaryCancerDisorderVS value set. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Usage:

Changes since version true:

  • No changes
  • 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)
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... bodySite S0..*CodeableConceptAnatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... locationQualifier S0..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... stage 0..*BackboneElementNot used in this profile
    ... evidence
    .... code 0..*CodeableConceptManifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    Condition.evidence.coderequiredCancerDiseaseStatusEvidenceTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    ... 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
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... 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 S1..*CodeableConceptcategory codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S1..*CodeableConceptproblem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... 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
    ... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
    Binding: Secondary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... locationQualifier S0..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    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 C0..*BackboneElementNot used in this profile
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    Condition.category:sdohextensiblePattern: sdoh
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    ... 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)
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... id 0..1idUnique id for inter-element referencing
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... 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 S1..*CodeableConceptcategory codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S1..*CodeableConceptproblem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... 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
    ... 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: Secondary 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..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    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 C0..*BackboneElementNot used in this profile
    con-1: Stage SHALL have summary or assessment
    .... 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..1CodeableConceptSimple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
    .... type 0..1CodeableConceptKind of staging
    Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

    ... evidence C0..*BackboneElementSupporting evidence
    con-2: evidence SHALL have code or details
    .... 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: Cancer Disease Status Evidence Type Value Set (required)
    .... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
    ... note 0..*AnnotationAdditional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Condition.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    Condition.category:sdohextensiblePattern: sdoh
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    Condition.stage.summaryexampleConditionStage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.stage.typeexampleConditionStageType
    http://hl7.org/fhir/ValueSet/condition-stage-type
    from the FHIR Standard
    Condition.evidence.coderequiredCancerDiseaseStatusEvidenceTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs
    from this IG

    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)
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... bodySite S0..*CodeableConceptAnatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... locationQualifier S0..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... stage 0..*BackboneElementNot used in this profile
    ... evidence
    .... code 0..*CodeableConceptManifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    Condition.evidence.coderequiredCancerDiseaseStatusEvidenceTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    ... 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
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... 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 S1..*CodeableConceptcategory codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S1..*CodeableConceptproblem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... 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
    ... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
    Binding: Secondary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... locationQualifier S0..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    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 C0..*BackboneElementNot used in this profile
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    Condition.category:sdohextensiblePattern: sdoh
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C0..*USCoreConditionProblemsHealthConcernsProfileDetailed information about conditions, problems or diagnoses
    con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
    con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
    con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
    ... 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)
    ... relatedPrimaryCancerCondition S0..1Reference(Condition)Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... id 0..1idUnique id for inter-element referencing
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1Reference(Primary Cancer Condition Profile)Value of extension
    ... 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 S1..*CodeableConceptcategory codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S1..*CodeableConceptproblem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... 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
    ... 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: Secondary 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..*CodeableConceptGeneral location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    .... lateralityQualifier S0..1CodeableConceptLaterality qualifier for this bodySite
    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 C0..*BackboneElementNot used in this profile
    con-1: Stage SHALL have summary or assessment
    .... 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..1CodeableConceptSimple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
    .... type 0..1CodeableConceptKind of staging
    Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

    ... evidence C0..*BackboneElementSupporting evidence
    con-2: evidence SHALL have code or details
    .... 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: Cancer Disease Status Evidence Type Value Set (required)
    .... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
    ... note 0..*AnnotationAdditional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Condition.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Condition.clinicalStatusrequiredConditionClinicalStatusCodes
    http://hl7.org/fhir/ValueSet/condition-clinical
    from the FHIR Standard
    Condition.verificationStatusrequiredConditionVerificationStatus
    http://hl7.org/fhir/ValueSet/condition-ver-status
    from the FHIR Standard
    Condition.categoryextensibleConditionCategoryCodes
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.category:us-corerequiredUSCoreProblemOrHealthConcern
    http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
    Condition.category:sdohextensiblePattern: sdoh
    http://hl7.org/fhir/ValueSet/condition-category
    from the FHIR Standard
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensibleSecondaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs
    from this IG
    Condition.bodySiteextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    Condition.stage.summaryexampleConditionStage
    http://hl7.org/fhir/ValueSet/condition-stage
    from the FHIR Standard
    Condition.stage.typeexampleConditionStageType
    http://hl7.org/fhir/ValueSet/condition-stage-type
    from the FHIR Standard
    Condition.evidence.coderequiredCancerDiseaseStatusEvidenceTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs
    from this IG

     

    Other representations of profile: CSV, Excel, Schematron