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
Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition | Version: 4.0.0-ballot | |||
Active as of 2024-10-30 | 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.
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.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Path | Conformance | ValueSet | URI |
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | |
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | |
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | |
Condition.evidence.code | required | CancerDiseaseStatusEvidenceTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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 |
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) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:us-core | required | USCoreProblemOrHealthConcernhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
Condition.category:screening-assessment | required | USCoreScreeningAssessmentConditionCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category | |
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | |
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | |
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | |
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:us-core | required | USCoreProblemOrHealthConcernhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
Condition.category:screening-assessment | required | USCoreScreeningAssessmentConditionCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | ||||
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | ||||
Condition.evidence.code | required | CancerDiseaseStatusEvidenceTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Differential View
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Path | Conformance | ValueSet | URI |
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | |
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | |
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | |
Condition.evidence.code | required | CancerDiseaseStatusEvidenceTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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 |
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) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | |
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | |
Condition.category:us-core | required | USCoreProblemOrHealthConcernhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
Condition.category:screening-assessment | required | USCoreScreeningAssessmentConditionCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category | |
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | |
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | |
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | |
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.category:us-core | required | USCoreProblemOrHealthConcernhttp://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
Condition.category:screening-assessment | required | USCoreScreeningAssessmentConditionCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | PrimaryCancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs from this IG | ||||
Condition.bodySite | extensible | CancerBodyLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | extensible | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | ||||
Condition.evidence.code | required | CancerDiseaseStatusEvidenceTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron