minimal Common Oncology Data Elements (mCODE) Implementation Guide
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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 2024-04-09 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..* USCoreConditionProblemsHealthConcernsProfile Detailed information about conditions, problems or diagnoses
    ... extension S 0..* Extension Extension
    ... 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)
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... bodySite S 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... 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 0..* BackboneElement Not used in this profile
    ... 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.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 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 Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... extension 0..0
    .... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... category:sdoh S 0..1 CodeableConcept problem-list-item | encounter-diagnosis
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: sdoh
    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: Secondary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... 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) Who has the condition?
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ... stage C 0..* BackboneElement Not used in this profile
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ 0..* Extension Extensions 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 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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 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)
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... id 0..1 id Unique id for inter-element referencing
    .... extension 0..0
    .... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... category:sdoh S 0..1 CodeableConcept problem-list-item | encounter-diagnosis
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: sdoh
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text 0..1 string Plain text representation of the concept
    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: Secondary 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) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
    ... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
    ... stage C 0..* BackboneElement Not used in this profile
    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 Simple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

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

    ... evidence C 0..* BackboneElement Supporting evidence
    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

    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..* USCoreConditionProblemsHealthConcernsProfile Detailed information about conditions, problems or diagnoses
    ... extension S 0..* Extension Extension
    ... 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)
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... bodySite S 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... 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 0..* BackboneElement Not used in this profile
    ... 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.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 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 Date the condition was first asserted
    URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... extension 0..0
    .... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... category:sdoh S 0..1 CodeableConcept problem-list-item | encounter-diagnosis
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: sdoh
    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: Secondary Cancer Disorder Value Set (extensible)
    ... bodySite SΣ 0..* CodeableConcept Anatomical location, if relevant
    Binding: Cancer Body Location Value Set (extensible)
    .... 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) Who has the condition?
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ... stage C 0..* BackboneElement Not used in this profile
    con-1: Stage SHALL have summary or assessment
    .... modifierExtension ?!Σ 0..* Extension Extensions 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 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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 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)
    ... relatedPrimaryCancerCondition S 0..1 (Complex) Related Primary Cancer Condition
    URL: http://hl7.org/fhir/StructureDefinition/condition-related
    .... id 0..1 id Unique id for inter-element referencing
    .... extension 0..0
    .... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
    .... value[x] 1..1 Reference(Primary Cancer Condition Profile) Value of extension
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Ids for this condition
    ... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
    Binding: ConditionClinicalStatusCodes (required)
    ... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
    Binding: ConditionVerificationStatus (required)
    ... Slices for category S 1..* CodeableConcept category codes
    Slice: Unordered, Open by pattern:$this
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


    .... category:us-core S 1..* CodeableConcept problem-list-item | health-concern
    Binding: US Core Problem or Health Concern (required)
    .... category:sdoh S 0..1 CodeableConcept problem-list-item | encounter-diagnosis
    Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: sdoh
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text 0..1 string Plain text representation of the concept
    ... severity 0..1 CodeableConcept Subjective severity of condition
    Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

    ... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
    Binding: Secondary 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) Who has the condition?
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... onset[x] SΣ 0..1 Estimated or actual date, date-time, or age
    .... onsetDateTime dateTime S
    .... onsetAge Age
    .... onsetPeriod Period
    .... onsetRange Range
    .... onsetString string
    ... abatement[x] SC 0..1 When in resolution/remission
    .... abatementDateTime dateTime S
    .... abatementAge Age
    .... abatementPeriod Period
    .... abatementRange Range
    .... abatementString string
    ... recordedDate SΣ 0..1 dateTime Date record was first recorded
    ... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
    ... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
    ... stage C 0..* BackboneElement Not used in this profile
    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 Simple summary (disease specific)
    Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

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

    ... evidence C 0..* BackboneElement Supporting evidence
    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

    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

     

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