PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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

## Resource Profile: Condition: Primary Cancer

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp | Version: 1.0.0
Active as of 2026-01-16 | Computable Name: ConditionPrimaryCancerPcsp

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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 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 | ?!Σ C | 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 | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification | S Σ | 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 |  | Extension Slice: Unordered, Open by value:url
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] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
stage | S C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Status | Usage | ValueSet | Version | Source
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
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 | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG
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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence: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 | Status | Usage | ValueSet | Version | Source
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 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 | ?!Σ C | 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 | S Σ | 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 | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification | S Σ | 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 |  | Extension Slice: Unordered, Open by value:url
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] | S 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
stage | S C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Most recent Stage Group Binding: 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
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 | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG
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.
Condition.evidence:diagnosisDetails.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:geneticMarker.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:geneticMarker.​detail.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Condition.evidence:immunology.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:predisposition.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:hereditary.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence: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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 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 | ?!Σ C | 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 | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification | S Σ | 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 |  | Extension Slice: Unordered, Open by value:url
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] | S Σ | 0..1 |  | Estimated or actual date, date-time, or age
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
stage | S C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Status | Usage | ValueSet | Version | Source
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
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 | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG
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.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence: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 | Status | Usage | ValueSet | Version | Source
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 | ?!Σ C | 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 | ?!Σ C | 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 | S Σ | 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 | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification | S Σ | 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 |  | Extension Slice: Unordered, Open by value:url
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] | S 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
stage | S C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Most recent Stage Group Binding: 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.extension:histologyMorphologyBehavior.​value[x] | Base | required | ICD-O-3 Morphology | 📦1.0.0 | This IG
Condition.extension:relapseType.​value[x] | Base | preferred | Relapse type (Local/Distant/Combined) | 📦1.0.0 | This IG
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 | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:iccc3-classification | Base | required | ICCC-3 | 📦1.0.0 | This IG
Condition.code.coding:exceptions | Base | required | ClassNullFlavor | 📍3.0.0 | THO v7.0
Condition.bodySite | Base | extensible | ICD-O-3 Topography | 📦1.0.0 | This IG
Condition.bodySite.extension:lateralityQualifier.​value[x] | Base | preferred | Laterality Qualifier Value Set | 📦1.0.0 | This IG
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.
Condition.evidence:diagnosisDetails.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:geneticMarker.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:geneticMarker.​detail.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Condition.evidence:immunology.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:predisposition.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.
Condition.evidence:hereditary.​code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence, Condition.evidence:diagnosisDetails, Condition.evidence: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

Other representations of profile: CSV, Excel, Schematron