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-secondaryCancer-eu-i4rc | Version: 0.1.0 | |||
| Draft as of 2026-01-19 | Computable Name: ConditionSecondaryCancerI4rc | |||
This profile defines how to represent metastatic cancer in FHIR for the purpose of the IDEA4RC project. This profile is inspired from the mCode IG. Records the history of secondary neoplasms, including location(s) and the date of onset of metastases. A secondary cancer results from the spread (metastasization) of cancer from its original site (Definition from: NCI Dictionary of Cancer Terms).
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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   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 | |||||
 extension:relatedPrimaryCancerCondition |
1..1 | (Complex) | Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | |||||
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-related" | |||||
  value[x] |
1..1 | Reference(Condition: Primary Cancer) | Value of extension | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
 clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
| verificationStatus |
?!SΣC | 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 | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Metastatis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Site of metastasis (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? | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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-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.code | Base | extensible | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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 |
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| extension:relatedPrimaryCancerCondition |
1..1 | (Complex) | Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-related" | |||||
| value[x] |
1..1 | Reference(Condition: Primary Cancer) | Value of extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
| verificationStatus |
?!SΣC | 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 | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Metastatis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Site of metastasis (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) | Encounter created as part of | ||||
 onset[x] |
Σ | 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 | ||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence 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(Resource) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| 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 | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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 | example | Condition Stage | 📍4.0.1 | FHIR Std. |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| con-2 | error | Condition.evidence | 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: 2 elements
Must-Support: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| extension:relatedPrimaryCancerCondition |
1..1 | (Complex) | Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-related" | |||||
| value[x] |
1..1 | Reference(Condition: Primary Cancer) | Value of extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
| verificationStatus |
?!SΣC | 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 | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Metastatis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Site of metastasis (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? | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std. |
| Condition.code | Base | extensible | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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-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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| extension:relatedPrimaryCancerCondition |
1..1 | (Complex) | Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | |||||
| value[x] |
1..1 | Reference(Condition: Primary Cancer) | Value of extension | |||||
 clinicalStatus |
S | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | ||||
| verificationStatus |
S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | ||||
| code |
0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Metastatis: Athena (extensible) | |||||
| bodySite |
0..* | CodeableConcept | Anatomical location, if relevant Binding: Site of metastasis (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? | |||||
| stage |
0..0 | Not used in this profile | ||||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.code | Base | extensible | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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 |
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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| extension:relatedPrimaryCancerCondition |
1..1 | (Complex) | Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/condition-related" | |||||
| value[x] |
1..1 | Reference(Condition: Primary Cancer) | Value of extension | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this condition | ||||
| clinicalStatus |
?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. | ||||
| verificationStatus |
?!SΣC | 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 | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Metastatis: Athena (extensible) | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: Site of metastasis (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) | Encounter created as part of | ||||
| onset[x] |
Σ | 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 | ||||
| evidence |
C | 0..* | BackboneElement | Supporting evidence 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(Resource) | Supporting information found elsewhere | ||||
| note |
0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std. |
| 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 | Metastatis: Athena | 📦0.1.0 | This IG |
| Condition.bodySite | Base | extensible | Site of metastasis | 📦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 | example | Condition Stage | 📍4.0.1 | FHIR Std. |
| 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. |
| Id | Grade | Path(s) | Description | Expression |
| con-2 | error | Condition.evidence | 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: 2 elements
Must-Support: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
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.
