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 2025-01-13 | 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.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | Condition | 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
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1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. ele-1: All FHIR elements must have a @value or children | |||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. ele-1: All FHIR elements must have a @value or children | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
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1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. ele-1: All FHIR elements must have a @value or children | |||||
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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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) ele-1: All FHIR elements must have a @value or children | ||||
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?!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. ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) ele-1: All FHIR elements must have a @value or children | ||||
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Content/Rules for all slices | |||||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
ele-1: All FHIR elements must have a @value or children | |||||
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) ele-1: All FHIR elements must have a @value or children | |||||
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Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified ele-1: All FHIR elements must have a @value or children | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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C | 0..1 | BackboneElement | Diagnosis Details con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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C | 0..* | BackboneElement | Genetic Tests performed con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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0..* | Annotation | Additional information about the Cancer Condition ele-1: All FHIR elements must have a @value or children | |||||
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Path | Conformance | ValueSet / Code | URI |
Condition.extension:condition-occurredFollowing.value[x] | example | ConditionPredecessorCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-predecessor | |
Condition.extension:condition-dueTo.value[x] | example | ConditionCauseCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-cause | |
Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | example | Pattern: 4029715http://hl7.org/fhir/ValueSet/condition-cause | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | |
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | |
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | |
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs |
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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Condition | |||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
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1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Open by type:$this | |||||
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0..0 | |||||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
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1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this | |||||
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1..1 | CodeableConcept | Value of extension Required Pattern: At least the following | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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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 | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
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0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | |||||
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1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | |||||
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1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) | |||||
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1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) | |||||
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0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) | |||||
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Content/Rules for all slices | |||||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
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1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | |||||
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0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | |||||
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S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | ||||
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0..1 | CodeableConcept | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | |||||
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0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer Stage Group) | Formal record of assessment | |||||
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0..1 | CodeableConcept | Staging system used. | |||||
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0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() | |||||
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0..1 | BackboneElement | Diagnosis Details | |||||
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0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | |||||
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0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results | |||||
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0..* | Reference(Observation: test results) | Supporting information found elsewhere | |||||
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0..* | BackboneElement | Genetic Tests performed | |||||
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0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere | |||||
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0..* | Annotation | Additional information about the Cancer Condition | |||||
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | |
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | |
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | |
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | |
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs | |
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-stageGrading-athena-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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C | 0..* | Condition | 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
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1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition. | |||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
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1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionCauseCodes (example): Codes that describe causes of patient conditions; e.g. Surgical mishap, escalation of a previous condition, etc. | |||||
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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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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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 | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!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"}]} | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
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Σ | 0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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?!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. | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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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. | |||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | ||||
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C | 0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer Stage Group) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() con-2: evidence SHALL have code or details | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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C | 0..1 | BackboneElement | Diagnosis Details con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
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C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
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C | 0..* | BackboneElement | Genetic Tests performed con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Cancer Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.extension:condition-occurredFollowing.value[x] | example | ConditionPredecessorCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-predecessor | ||||
Condition.extension:condition-dueTo.value[x] | example | ConditionCauseCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-cause | ||||
Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | example | Pattern: 4029715http://hl7.org/fhir/ValueSet/condition-cause | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | ||||
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | ||||
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | ||||
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs | ||||
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-stageGrading-athena-vs from this IG | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:diagnosisDetails.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:simpleResult.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:genetic-test.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
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![]() | ||||
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C | 0..* | Condition | 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
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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. ele-1: All FHIR elements must have a @value or children | |||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. ele-1: All FHIR elements must have a @value or children | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
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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. ele-1: All FHIR elements must have a @value or children | |||||
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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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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?!ΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | ||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) ele-1: All FHIR elements must have a @value or children | ||||
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?!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. ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) ele-1: All FHIR elements must have a @value or children | ||||
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Content/Rules for all slices | |||||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
ele-1: All FHIR elements must have a @value or children | |||||
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) ele-1: All FHIR elements must have a @value or children | |||||
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Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? ele-1: All FHIR elements must have a @value or children | ||||
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Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified ele-1: All FHIR elements must have a @value or children | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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Content/Rules for all slices | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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C | 0..1 | BackboneElement | Diagnosis Details con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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C | 0..* | BackboneElement | Genetic Tests performed con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
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ΣC | 0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children | ||||
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0..* | Annotation | Additional information about the Cancer Condition ele-1: All FHIR elements must have a @value or children | |||||
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Path | Conformance | ValueSet / Code | URI |
Condition.extension:condition-occurredFollowing.value[x] | example | ConditionPredecessorCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-predecessor | |
Condition.extension:condition-dueTo.value[x] | example | ConditionCauseCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-cause | |
Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | example | Pattern: 4029715http://hl7.org/fhir/ValueSet/condition-cause | |
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | |
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | |
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | |
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | |
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | |
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | |
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs |
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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Condition | |||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
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1..1 | Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement) | Value of extension Slice: Unordered, Open by type:$this | |||||
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0..0 | |||||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
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1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this | |||||
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1..1 | CodeableConcept | Value of extension Required Pattern: At least the following | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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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 | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
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0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]} | |||||
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1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | |||||
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1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) | |||||
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1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) | |||||
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0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) | |||||
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Content/Rules for all slices | |||||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
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1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | |||||
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0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | |||||
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S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | ||||
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||||||||
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0..1 | CodeableConcept | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | |||||
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0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer Stage Group) | Formal record of assessment | |||||
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0..1 | CodeableConcept | Staging system used. | |||||
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0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() | |||||
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0..1 | BackboneElement | Diagnosis Details | |||||
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0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | |||||
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0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results | |||||
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0..* | Reference(Observation: test results) | Supporting information found elsewhere | |||||
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0..* | BackboneElement | Genetic Tests performed | |||||
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0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere | |||||
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0..* | Annotation | Additional information about the Cancer Condition | |||||
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Path | Conformance | ValueSet | URI |
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | |
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | |
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | |
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | |
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | |
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs | |
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-stageGrading-athena-vs from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition | 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 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing" | |||||
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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. | |||||
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0..1 | Reference(Condition: Primary Cancer) | For relapses, reference to the first occurance of this tumor. | |||||
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0..* | (Complex) | If Radiation therapy induced URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-dueTo" | |||||
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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. | |||||
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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 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.ohdsi.org/CodeSystem/concepts | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 4029715 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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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 | |||||
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0..1 | CodeableConcept | Previous Status URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required) | |||||
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0..1 | CodeableConcept | Relapse Type URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/condition-relapseType | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!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"}]} | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..* | Coding | Code defined by a terminology system Slice: Ordered, Open by value:system | ||||
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Σ | 1..1 | Coding | Code defined by a terminology system Binding: ConditionClinicalStatusCodes (required) | ||||
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Σ | 0..1 | Coding | Code defined by a terminology system Binding: Cancer Event Type: Athena (required) | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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?!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. | ||||
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0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | |||||
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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. | |||||
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Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Cancer diagnosis: Athena (extensible) | ||||
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Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Subsites: Athena (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..* | (Complex) | Body Location Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Body site qualifier (extensible)
| |||||
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0..1 | (Complex) | Laterality Qualifier URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier" | |||||
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1..1 | CodeableConcept | Value of extension Binding: Laterality Qualifier Value Set (extensible) | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 1..1 | Reference(Patient: IDEA4RC) | Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter: IDEA4RC) | Encounter this primary cancer has been identified | ||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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C | 0..1 | When in resolution/remission | |||||
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dateTime | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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Σ | 0..1 | dateTime | Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Most recent Stage Group Binding: Cancer Stage Grading: Athena (required) | ||||
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C | 0..* | Reference(Observation: Head Neck Cancer Stage Group | Observation: Sarcoma Cancer Stage Group) | Formal record of assessment | ||||
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0..1 | CodeableConcept | Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
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C | 0..* | BackboneElement | Supporting evidence Slice: Unordered, Open by profile:$this.detail.resolve() con-2: evidence SHALL have code or details | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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C | 0..1 | BackboneElement | Diagnosis Details con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: Diagnosis details) | Supporting information found elsewhere | ||||
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C | 0..* | BackboneElement | Tumor size, Mitotic count score, laboratory Test results con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: test results) | Supporting information found elsewhere | ||||
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C | 0..* | BackboneElement | Genetic Tests performed con-2: evidence SHALL have code or details | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
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ΣC | 0..* | Reference(Observation: Yes / No assertions) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Cancer Condition | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Condition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Condition.extension:condition-occurredFollowing.value[x] | example | ConditionPredecessorCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-predecessor | ||||
Condition.extension:condition-dueTo.value[x] | example | ConditionCauseCodes (a valid code from SNOMED CT)http://hl7.org/fhir/ValueSet/condition-cause | ||||
Condition.extension:condition-dueTo.value[x]:valueCodeableConcept | example | Pattern: 4029715http://hl7.org/fhir/ValueSet/condition-cause | ||||
Condition.clinicalStatus | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 from the FHIR Standard | ||||
Condition.clinicalStatus.coding:condition-clinical | required | ConditionClinicalStatusCodeshttp://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard | ||||
Condition.clinicalStatus.coding:athena | required | CancerEventTypeVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-event-type-vs from this IG | ||||
Condition.verificationStatus | required | ConditionVerificationStatushttp://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 from the FHIR Standard | ||||
Condition.category | extensible | ConditionCategoryCodeshttp://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard | ||||
Condition.severity | preferred | Condition/DiagnosisSeverityhttp://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard | ||||
Condition.code | extensible | CancerDiagnosisVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-diagnosis-athena-vs from this IG | ||||
Condition.bodySite | extensible | VsSubsiteAthenaI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/nasal-subsite-athena-i4rc from this IG | ||||
Condition.bodySite.extension:qualifier.value[x] | extensible | VsSiteQualifierI4rchttp://hl7.eu/fhir/ig/idea4rc/ValueSet/site-qualifier-i4rc from this IG | ||||
Condition.bodySite.extension:laterality.value[x] | extensible | LateralityQualifierVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-laterality-qualifier-vs | ||||
Condition.stage.summary | required | CancerStageGradingVShttp://hl7.eu/fhir/ig/idea4rc/ValueSet/cancer-stageGrading-athena-vs from this IG | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:diagnosisDetails.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:simpleResult.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
Condition.evidence:genetic-test.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |