PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

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Resource Profile: Condition: Primary Cancer

This profile defines how to represent Primary Cancer Condition in HL7 FHIR for the purpose of the PanCareSurPass project. This profile is inspired from the mCode IG. A primary cancer condition, the original or first tumor in the body (Definition from: NCI Dictionary of Cancer Terms). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary. This profile should be also used for documenting primary cancer relapses during or after FLT.

Usages:

• Use this Profile: Bundle: Survivor Passport
• Refer to this Profile: CarePlan: PCSP-generated plan, Composition: Survivor Passport, Condition: GvHD, Condition: Others... Show 21 more, Condition: Primary Cancer, Condition: Metastatic Cancer, Condition: Severe Toxicity, DocumentReference: PCSP, MedicationAdministration: Chemotherapy, MedicationStatement: Chemotherapy, Procedure: Cryopreservation, Procedure: Catheter, Procedure: Front Line Treatment, Procedure: Radiotherapy, Procedure: Radiotherapy Boost, Procedure: Radiotherapy Shielding, Procedure: Stem Cell Transplantation, Procedure: SCT Prophylaxis, Procedure: Surgery, Procedure: Transfusion other infos, Procedure: Other Treatments, Observation: Cancer Stage Group, Observation: TNM Distant Metastases Category, Observation: TNM Primary Tumor Category and Observation: TNM Regional Nodes Category
• Examples for this Profile: Condition/ConditionPrimCancerMainzFischer, Condition/ConditionPrimCancerMainzZeisig and Condition/PrimaryCancerHulafe-1

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, mutually-exclusive-predisposition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
Slices for extension				Content/Rules for all slices
extension:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
subject	Σ	1..1	Reference(Patient: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Slices for evidence	C	0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding Constraints: con-2
evidence:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
evidence:diagnosisDetails	C	0..1	BackboneElement	Diagnosis details Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition	C	0..1	BackboneElement	Predisposition Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary	C	0..1	BackboneElement	Hereditary disease Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:geneticMarker, Condition.evidence:immunology, Condition.evidence:predisposition, Condition.evidence:hereditary	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()
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: mutually-exclusive-predisposition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
clinicalStatus		0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	S	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions		0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
Slices for extension				Content/Rules for all slices
extension:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
subject		1..1	Reference(Patient: PCSP)	Who has the condition?
encounter		0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	S	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age
stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally
summary		0..1	CodeableConcept	Most recent Stage Group
assessment		0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used.
Slices for evidence		0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding
evidence:diagnosisDetails		0..1	BackboneElement	Diagnosis details
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29308-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis
detail		0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker		0..1	BackboneElement	Genetic Marker
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
detail		0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display		0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology		0..1	BackboneElement	Immunology
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
detail		0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition		0..1	BackboneElement	Predisposition
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47708004
display		1..1	string	Representation defined by the system Fixed Value: Genetic predisposition
text		0..1	string	Text for predisposition
detail		0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary		0..1	BackboneElement	Hereditary disease
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 32895009
display		1..1	string	Representation defined by the system Fixed Value: Hereditary disease
text		0..1	string	Text for hereditary disease
detail		0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, mutually-exclusive-predisposition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (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:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
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: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Slices for evidence	C	0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding Constraints: con-2
evidence:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
evidence:diagnosisDetails	C	0..1	BackboneElement	Diagnosis details Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29308-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition	C	0..1	BackboneElement	Predisposition 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47708004
display		1..1	string	Representation defined by the system Fixed Value: Genetic predisposition
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Text for predisposition
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary	C	0..1	BackboneElement	Hereditary disease 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 32895009
display		1..1	string	Representation defined by the system Fixed Value: Hereditary disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Text for hereditary disease
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:diagnosisDetails.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:geneticMarker.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:geneticMarker.detail.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Condition.evidence:immunology.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:predisposition.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:hereditary.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:geneticMarker, Condition.evidence:immunology, Condition.evidence:predisposition, Condition.evidence:hereditary	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()
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

This structure is derived from Condition

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Encounter: Treatment Center (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Encounter-eu-pcsp)
• Observation: Cancer Stage Group (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-cancer-stage-group)
• Observation: Diagnosis details (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp)
• Observation: Hereditary Predisposition (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-predisposition-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing|5.2.0
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding
• The element 1 is sliced based on the value of Condition.evidence

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, mutually-exclusive-predisposition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
Slices for extension				Content/Rules for all slices
extension:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
subject	Σ	1..1	Reference(Patient: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Slices for evidence	C	0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding Constraints: con-2
evidence:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
evidence:diagnosisDetails	C	0..1	BackboneElement	Diagnosis details Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition	C	0..1	BackboneElement	Predisposition Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary	C	0..1	BackboneElement	Hereditary disease Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:geneticMarker, Condition.evidence:immunology, Condition.evidence:predisposition, Condition.evidence:hereditary	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()
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: mutually-exclusive-predisposition
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
clinicalStatus		0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	S	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions		0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
Slices for extension				Content/Rules for all slices
extension:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
subject		1..1	Reference(Patient: PCSP)	Who has the condition?
encounter		0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	S	0..1	dateTime, Age, Period, Range, string	Estimated or actual date, date-time, or age
stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally
summary		0..1	CodeableConcept	Most recent Stage Group
assessment		0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used.
Slices for evidence		0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding
evidence:diagnosisDetails		0..1	BackboneElement	Diagnosis details
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29308-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis
detail		0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker		0..1	BackboneElement	Genetic Marker
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
detail		0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display		0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology		0..1	BackboneElement	Immunology
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
detail		0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition		0..1	BackboneElement	Predisposition
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47708004
display		1..1	string	Representation defined by the system Fixed Value: Genetic predisposition
text		0..1	string	Text for predisposition
detail		0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary		0..1	BackboneElement	Hereditary disease
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 32895009
display		1..1	string	Representation defined by the system Fixed Value: Hereditary disease
text		0..1	string	Text for hereditary disease
detail		0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5, mutually-exclusive-predisposition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:condition-occurredFollowing		0..*	(Complex)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
value[x]		1..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
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:histologyMorphologyBehavior		0..1	(Complex)	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
extension:previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
extension:relapseType		0..1	(Complex)	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (3.0.0) (required)
text	Σ	0..1	string	Plain text representation of the concept
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (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:locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
extension:lateralityQualifier		0..1	(Complex)	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
value[x]		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set candidate
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: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(Observation: Cancer Stage Group)	Formal record of assessment
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Slices for evidence	C	0..*	BackboneElement	Supporting evidence Slice: Unordered, Open by pattern:code.coding Constraints: con-2
evidence:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
evidence:diagnosisDetails	C	0..1	BackboneElement	Diagnosis details Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29308-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnosis
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
evidence:predisposition	C	0..1	BackboneElement	Predisposition 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47708004
display		1..1	string	Representation defined by the system Fixed Value: Genetic predisposition
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Text for predisposition
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
evidence:hereditary	C	0..1	BackboneElement	Hereditary disease 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 32895009
display		1..1	string	Representation defined by the system Fixed Value: Hereditary disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Text for hereditary disease
detail	ΣC	0..*	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-morphology-eu-pcsp From this IG
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS http://hl7.eu/fhir/ig/pcsp/ValueSet/relapse-type-vs From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Condition.code.coding:iccc3-classification	required	ICCC3Vs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp From this IG
Condition.code.coding:exceptions	required	ClassNullFlavor http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor|3.0.0
Condition.bodySite	extensible	ICDO3TopographyVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp From this IG
Condition.bodySite.extension:lateralityQualifier.value[x]	preferred	LeftRightBiUnilateralVS http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs From this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:diagnosisDetails.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:geneticMarker.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:geneticMarker.detail.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Condition.evidence:immunology.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:predisposition.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard
Condition.evidence:hereditary.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence:geneticMarker, Condition.evidence:immunology, Condition.evidence:predisposition, Condition.evidence:hereditary	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()
mutually-exclusive-predisposition	error	Condition	Only one of Predisposition or Hereditary disease may be present : evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '47708004').exists() implies evidence.code.coding.where(system = 'http://snomed.info/sct' and code = '32895009').empty()

This structure is derived from Condition

Summary

Mandatory: 1 element(5 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Encounter: Treatment Center (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Encounter-eu-pcsp)
• Observation: Cancer Stage Group (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-cancer-stage-group)
• Observation: Diagnosis details (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp)
• Observation: Hereditary Predisposition (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-predisposition-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing|5.2.0
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.code.coding
• The element 1 is sliced based on the value of Condition.evidence