minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4 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 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: Primary Cancer Condition Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition Version: 4.0.0
Active as of 2024-12-03 Maturity Level: 4 Computable Name: PrimaryCancerCondition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.40

Records 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 SHALL be captured in an Observation that conforms to the StageGroup 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 SHALL 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:

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 USCoreConditionProblemsHealthConcernsProfile
    ... extension S 0..* Extension Extension
    ... Slices for extension Content/Rules for all slices
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... code 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... stage S 0..* BackboneElement Stage/grade, usually assessed formally
    .... summary 0..1 CodeableConcept Stage at time of last staging.
    .... assessment S 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... evidence
    .... code 0..* CodeableConcept Manifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-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 C 0..* USCoreConditionProblemsHealthConcernsProfile Detailed 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 ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept (USCDI) category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
    Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Who has the condition?
    ... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 (USCDI) When in resolution/remission
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
    ... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Stage at time of last staging.
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment SC 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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:screening-assessmentrequiredUSCoreScreeningAssessmentConditionCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile Detailed 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 Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept (USCDI) category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
    Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 (USCDI) When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
    ... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
    ... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
    ... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Stage at time of last staging.
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment SC 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)
    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note 0..* Annotation Additional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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:screening-assessmentrequiredUSCoreScreeningAssessmentConditionCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    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 USCoreConditionProblemsHealthConcernsProfile
    ... extension S 0..* Extension Extension
    ... Slices for extension Content/Rules for all slices
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... code 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... stage S 0..* BackboneElement Stage/grade, usually assessed formally
    .... summary 0..1 CodeableConcept Stage at time of last staging.
    .... assessment S 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... evidence
    .... code 0..* CodeableConcept Manifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-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 C 0..* USCoreConditionProblemsHealthConcernsProfile Detailed 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 ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept (USCDI) category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
    Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    ... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Who has the condition?
    ... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 (USCDI) When in resolution/remission
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
    ... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Stage at time of last staging.
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment SC 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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:screening-assessmentrequiredUSCoreScreeningAssessmentConditionCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Condition C 0..* USCoreConditionProblemsHealthConcernsProfile Detailed 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 Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    .... histologyMorphologyBehavior S 0..1 CodeableConcept Histology-Morphology-Behavior Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    Binding: Histology Morphology Behavior Value Set (extensible)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept (USCDI) category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    .... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
    Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
    Binding: Primary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... locationQualifier S 0..* CodeableConcept General 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 S 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 (USCDI) When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 0..1 dateTime (USCDI) Date record was first recorded
    ... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
    ... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
    ... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
    con-1: Stage SHALL have summary or assessment
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... summary C 0..1 CodeableConcept Stage at time of last staging.
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

    .... assessment SC 0..* Reference(Cancer Stage Profile) Formal record of assessment
    .... type 0..1 CodeableConcept The type of stage Staging system or method used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... evidence C 0..* BackboneElement Supporting evidence
    con-2: evidence SHALL have code or details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code ΣC 0..* CodeableConcept Manifestation/symptom
    Binding: Cancer Disease Status Evidence Type Value Set (required)
    .... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
    ... note 0..* Annotation Additional information about the Condition

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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:screening-assessmentrequiredUSCoreScreeningAssessmentConditionCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
    Condition.severitypreferredCondition/DiagnosisSeverity
    http://hl7.org/fhir/ValueSet/condition-severity
    from the FHIR Standard
    Condition.codeextensiblePrimaryCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-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.typeextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    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