IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-primaryCancer-eu-i4rc | Version: 0.1.0 | |||
| Draft as of 2026-01-19 | Computable Name: ConditionPrimaryCancerI4rc | |||
This profile defines how to represent Primary Cancer Condition in HL7 FHIR for the purpose of the IDEA4RC project. This profile is inspired from the mCode IG. A primary cancer condition, the original or first tumor 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 should be also used for documenting primary cancer relapses during or after FLT.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  Condition |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:condition-occurredFollowing |
0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
  Slices for value[x] |
1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. | |||||
  value[x]:valueReference |
0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
| extension:condition-dueTo |
0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
| Slices for value[x] |
1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. | |||||
 value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. 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://fhir.ohdsi.org/CodeSystem/concepts | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
| 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 | |||||
 extension:sameHospital |
0..1 | boolean | Same Hospital URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital | |||||
| extension:assertedDate |
0..1 | dateTime | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||
| extension:previousStatus |
0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
| extension:histology-morphology-behavior |
0..2 | CodeableConcept | Histology Morphology Behavior URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-histology-morphology-behavior Binding: Cancer histology behaviour: Athena (required) | |||||
| extension:relapseType |
0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
 Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
| coding:condition-clinical |
Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
| coding:athena |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: Disease Status: Athena (required) | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
| code |
Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer Diagnosis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Cancer site: Athena (extensible) | ||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:qualifier |
0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
| extension:laterality |
0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
 subject |
Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
 onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| Slices for evidence |
C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() Constraints: con-2 | ||||
 evidence:All Slices |
Content/Rules for all slices | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| evidence:diagnosisDetails |
C | 0..1 | BackboneElement | Diagnosis Details Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
| evidence:simpleResult |
C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
| evidence:genetic-test |
C | 0..* | BackboneElement | Genetic Tests performed Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: Genetic Test Expression) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Cancer Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.extension:condition-occurredFollowing.value[x] | Base | example | Condition Predecessor Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x] | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Id | Grade | Path(s) | Description | Expression |
| con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:simpleResult, Condition.evidence:genetic-test | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Condition.stage.summary | Base | required | Cancer Stage Grading: Athena | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:condition-occurredFollowing |
0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
| Slices for value[x] |
1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. | |||||
| value[x]:valueReference |
0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
| extension:condition-dueTo |
0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
| Slices for value[x] |
1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. | |||||
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. 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://fhir.ohdsi.org/CodeSystem/concepts | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
| 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 | |||||
| extension:sameHospital |
0..1 | boolean | Same Hospital URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital | |||||
| extension:assertedDate |
0..1 | dateTime | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||
| extension:previousStatus |
0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
| extension:histology-morphology-behavior |
0..2 | CodeableConcept | Histology Morphology Behavior URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-histology-morphology-behavior Binding: Cancer histology behaviour: Athena (required) | |||||
| extension:relapseType |
0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
| coding:condition-clinical |
Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
| coding:athena |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: Disease Status: Athena (required) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
| category |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
| 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 |
Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer Diagnosis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Cancer site: Athena (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 | |||||
| extension:qualifier |
0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
| extension:laterality |
0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | When in resolution/remission | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
Σ | 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 | Stage/grade, usually assessed formally Constraints: con-1 | ||||
| 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 | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | ||||
| assessment |
C | 0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer and Disease Extent Stage Group) | Formal record of assessment | ||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| Slices for evidence |
C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() Constraints: con-2 | ||||
| evidence:All Slices |
Content/Rules for all slices | |||||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:diagnosisDetails |
C | 0..1 | BackboneElement | Diagnosis Details Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
| evidence:simpleResult |
C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
| evidence:genetic-test |
C | 0..* | BackboneElement | Genetic Tests performed Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: Genetic Test Expression) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Cancer Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.extension:condition-occurredFollowing.value[x] | Base | example | Condition Predecessor Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x] | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Condition.stage.summary | Base | required | Cancer Stage Grading: Athena | 📦0.1.0 | This IG |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:diagnosisDetails.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:simpleResult.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:genetic-test.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:simpleResult, Condition.evidence:genetic-test | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:condition-occurredFollowing |
0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
| Slices for value[x] |
1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. | |||||
| value[x]:valueReference |
0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
| extension:condition-dueTo |
0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
| Slices for value[x] |
1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. | |||||
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. 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://fhir.ohdsi.org/CodeSystem/concepts | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
| 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 | |||||
| extension:sameHospital |
0..1 | boolean | Same Hospital URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital | |||||
| extension:assertedDate |
0..1 | dateTime | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||
| extension:previousStatus |
0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
| extension:histology-morphology-behavior |
0..2 | CodeableConcept | Histology Morphology Behavior URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-histology-morphology-behavior Binding: Cancer histology behaviour: Athena (required) | |||||
| extension:relapseType |
0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
| coding:condition-clinical |
Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
| coding:athena |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: Disease Status: Athena (required) | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
| code |
Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer Diagnosis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Cancer site: Athena (extensible) | ||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:qualifier |
0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
| extension:laterality |
0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
| subject |
Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| Slices for evidence |
C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() Constraints: con-2 | ||||
| evidence:All Slices |
Content/Rules for all slices | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| evidence:diagnosisDetails |
C | 0..1 | BackboneElement | Diagnosis Details Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
| evidence:simpleResult |
C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
| evidence:genetic-test |
C | 0..* | BackboneElement | Genetic Tests performed Constraints: con-2 | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| detail |
ΣC | 0..* | Reference(Observation: Genetic Test Expression) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Cancer Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.extension:condition-occurredFollowing.value[x] | Base | example | Condition Predecessor Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x] | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Id | Grade | Path(s) | Description | Expression |
| con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:simpleResult, Condition.evidence:genetic-test | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Condition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
Condition | |||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:condition-occurredFollowing |
0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
| Slices for value[x] |
1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Open by type:$this | |||||
| value[x]:valueCodeableConcept |
0..0 | Value of extension | ||||||
| value[x]:valueReference |
0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
| extension:condition-dueTo |
0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
| Slices for value[x] |
1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this | |||||
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension 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://fhir.ohdsi.org/CodeSystem/concepts | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
| extension:sameHospital |
0..1 | boolean | Same Hospital URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital | |||||
| extension:assertedDate |
0..1 | dateTime | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||
| extension:previousStatus |
0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
| extension:histology-morphology-behavior |
0..2 | CodeableConcept | Histology Morphology Behavior URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-histology-morphology-behavior Binding: Cancer histology behaviour: Athena (required) | |||||
| extension:relapseType |
0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
| clinicalStatus |
0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | |||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | |||||
| coding:condition-clinical |
1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | |||||
| coding:athena |
0..1 | Coding | Code defined by a terminology system Binding: Disease Status: Athena (required) | |||||
| code |
1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer Diagnosis: Athena (extensible) | |||||
| bodySite |
0..* | CodeableConcept | Anatomical location, if relevant Binding: Cancer site: Athena (extensible) | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:qualifier |
0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
| extension:laterality |
0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
| subject |
1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | |||||
| encounter |
0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | |||||
| onset[x] |
S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | ||||
| stage |
||||||||
| summary |
0..1 | CodeableConcept | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | |||||
| assessment |
0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer and Disease Extent Stage Group) | Formal record of assessment | |||||
| type |
0..1 | CodeableConcept | Staging system used. | |||||
| Slices for evidence |
0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() | |||||
| evidence:diagnosisDetails |
0..1 | BackboneElement | Diagnosis Details | |||||
| detail |
0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | |||||
| evidence:simpleResult |
0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results | |||||
| detail |
0..* | Reference(Observation: test results) | Supporting information found elsewhere | |||||
| evidence:genetic-test |
0..* | BackboneElement | Genetic Tests performed | |||||
| detail |
0..* | Reference(Observation: Genetic Test Expression) | Supporting information found elsewhere | |||||
| note |
0..* | Annotation | Additional information about the Cancer Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Condition.stage.summary | Base | required | Cancer Stage Grading: Athena | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Condition |
C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5 | ||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:condition-occurredFollowing |
0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
| Slices for value[x] |
1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. | |||||
| value[x]:valueReference |
0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
| extension:condition-dueTo |
0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
| Slices for value[x] |
1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. | |||||
| value[x]:valueCodeableConcept |
1..1 | CodeableConcept | Value of extension Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. 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://fhir.ohdsi.org/CodeSystem/concepts | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
| 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 | |||||
| extension:sameHospital |
0..1 | boolean | Same Hospital URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital | |||||
| extension:assertedDate |
0..1 | dateTime | Date the allergy, intolerance, condition, problem, or diagnosis or other event, situation, issue, or clinical concept was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | |||||
| extension:previousStatus |
0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
| extension:histology-morphology-behavior |
0..2 | CodeableConcept | Histology Morphology Behavior URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-histology-morphology-behavior Binding: Cancer histology behaviour: Athena (required) | |||||
| extension:relapseType |
0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
| coding:condition-clinical |
Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
| coding:athena |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: Disease Status: Athena (required) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| verificationStatus |
?!ΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. | ||||
| category |
0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
| 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 |
Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer Diagnosis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Cancer site: Athena (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 | |||||
| extension:qualifier |
0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
| extension:laterality |
0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
| encounter |
Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
| onset[x] |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
| onsetDateTime |
dateTime | |||||||
| onsetAge |
Age | |||||||
| onsetPeriod |
Period | |||||||
| onsetRange |
Range | |||||||
| onsetString |
string | |||||||
| abatement[x] |
C | 0..1 | When in resolution/remission | |||||
| abatementDateTime |
dateTime | |||||||
| abatementAge |
Age | |||||||
| abatementPeriod |
Period | |||||||
| abatementRange |
Range | |||||||
| abatementString |
string | |||||||
| recordedDate |
Σ | 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 | Stage/grade, usually assessed formally Constraints: con-1 | ||||
| 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 | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | ||||
| assessment |
C | 0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer and Disease Extent Stage Group) | Formal record of assessment | ||||
| type |
0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| Slices for evidence |
C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() Constraints: con-2 | ||||
| evidence:All Slices |
Content/Rules for all slices | |||||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:diagnosisDetails |
C | 0..1 | BackboneElement | Diagnosis Details Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
| evidence:simpleResult |
C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
| evidence:genetic-test |
C | 0..* | BackboneElement | Genetic Tests performed Constraints: con-2 | ||||
| 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: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| detail |
ΣC | 0..* | Reference(Observation: Genetic Test Expression) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Cancer Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.extension:condition-occurredFollowing.value[x] | Base | example | Condition Predecessor Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x] | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | Base | example | Condition Cause Codes | 📦5.2.0 | FHIR Extensions Pack v5.2 |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:condition-clinical | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
| Condition.clinicalStatus.coding:athena | Base | required | Disease Status: Athena | 📦0.1.0 | This IG |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std. |
| Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Cancer Diagnosis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Cancer site: Athena | 📦0.1.0 | This IG |
| Condition.bodySite.extension:qualifier.value[x] | Base | extensible | Body site qualifier | 📦0.1.0 | This IG |
| Condition.bodySite.extension:laterality.value[x] | Base | extensible | Laterality Qualifier Value Set | 📦3.0.0 | minimal Common Oncology Data Elements v3.0 |
| Condition.stage.summary | Base | required | Cancer Stage Grading: Athena | 📦0.1.0 | This IG |
| Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std. |
| Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:diagnosisDetails.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:simpleResult.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Condition.evidence:genetic-test.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
| con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:simpleResult, Condition.evidence:genetic-test | evidence SHALL have code or details |
code.exists() or detail.exists()
|
| con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
| con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
| con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
| dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Condition
Summary
Mandatory: 1 element(3 nested mandatory elements)
Must-Support: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2026-01-19
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
