# ACT-NOW diagnosis - ACT-NOW Implementation Guide v0.5.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **ACT-NOW diagnosis**

## Resource Profile: ACT-NOW diagnosis 

| | |
| :--- | :--- |
| *Official URL*:http://canshare.co.nz/fhir/StructureDefinition/an-condition | *Version*:0.5.0 |
| Draft as of 2026-06-15 | *Computable Name*:AnCondition |

 
The primary diagnosis for this cancer. Can have an evidence.detail reference to an Observation that has the histology and a stage.assessment reference to the TNM Observation staging (clinical and pathological) 

**Usages:**

* Examples for this Profile: [Condition/exSmallCellCancer](Condition-exSmallCellCancer.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/actnow.canshare.co.nz|current/StructureDefinition/StructureDefinition-an-condition.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-an-condition.csv), [Excel](StructureDefinition-an-condition.xlsx), [Schematron](StructureDefinition-an-condition.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "an-condition",
  "url" : "http://canshare.co.nz/fhir/StructureDefinition/an-condition",
  "version" : "0.5.0",
  "name" : "AnCondition",
  "title" : "ACT-NOW diagnosis",
  "status" : "draft",
  "date" : "2026-06-15T22:12:46+00:00",
  "publisher" : "Te aho o te kahu - Cancer Control Agency",
  "contact" : [{
    "name" : "Te aho o te kahu - Cancer Control Agency",
    "telecom" : [{
      "system" : "email",
      "value" : "mailto:david.hay25@gmail.com"
    }]
  }],
  "description" : "The primary diagnosis for this cancer. Can have an evidence.detail reference to an Observation\nthat has the histology and a stage.assessment reference to the TNM Observation staging (clinical and pathological)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "NZ",
      "display" : "New Zealand"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Condition",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Condition",
      "path" : "Condition"
    },
    {
      "id" : "Condition.extension",
      "path" : "Condition.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Condition.extension:laterality",
      "path" : "Condition.extension",
      "sliceName" : "laterality",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier"]
      }]
    },
    {
      "id" : "Condition.extension:assertedDate",
      "path" : "Condition.extension",
      "sliceName" : "assertedDate",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1"]
      }]
    },
    {
      "id" : "Condition.extension:recurrence-type",
      "path" : "Condition.extension",
      "sliceName" : "recurrence-type",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type"]
      }]
    },
    {
      "id" : "Condition.identifier",
      "path" : "Condition.identifier",
      "min" : 1
    },
    {
      "id" : "Condition.bodySite",
      "path" : "Condition.bodySite",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Condition.stage.assessment",
      "path" : "Condition.stage.assessment",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://canshare.co.nz/fhir/StructureDefinition/an-pGroup",
        "http://canshare.co.nz/fhir/StructureDefinition/an-cGroup"]
      }]
    },
    {
      "id" : "Condition.evidence.code",
      "path" : "Condition.evidence.code",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://nzhts.digital.health.nz/fhir/ValueSet/canshare-sact-basis-of-cancer-diagnosis"
      }
    },
    {
      "id" : "Condition.evidence.detail",
      "path" : "Condition.evidence.detail",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://canshare.co.nz/fhir/StructureDefinition/an-histology"]
      }]
    }]
  }
}

```
