Onconova Implementation Guide
0.2.0 - ci-build

Onconova Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Secondary Cancer Condition Profile

Official URL: http://onconova.github.io/fhir/StructureDefinition/onconova-secondary-cancer-condition Version: 0.2.0
Active as of 2025-10-17 Computable Name: OnconovaSecondaryCancerCondition

A profile recording the a secondary neoplasm, including location and the date of onset of metastases. A secondary cancer results from the spread (metastasization) of cancer from its original site (Definition from: NCI Dictionary of Cancer Terms).

It constrains the mCODE SecondaryCancerCCondition profile to constrain the terminologies of the cancer topography and morphology extensions to use exclusively ICD-O-3 codes.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, o-con-1, o-con-2, o-con-req-1, o-con-req-2, o-con-req-3, o-con-req-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
.... extension:histologyMorphologyBehavior S 1..1 (Complex) Histology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf S 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... Slices for extension Content/Rules for all slices
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept Not used in this profile
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Not used in this profile
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: SecondaryCancerDisorderVS (4.0.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... bodySite SΣ 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier S 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
Constraints: ext-1
..... extension:lateralityQualifier S 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
Constraints: ext-1
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Not used in this profile
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... evidence C 0..* BackboneElement Not used in this profile
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:histologyMorphologyBehavior.​value[x] Base required ICD-O-3 Morphology Behavior 📍0.2.0 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.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible Secondary Cancer Disorder Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Condition.implicitRules, Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:histologyMorphologyBehavior.value[x], Condition.extension:relatedPrimaryCancerCondition, Condition.extension:relatedPrimaryCancerCondition.value[x], Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus, Condition.clinicalStatus.extension:recurrenceType, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.evidence, Condition.evidence.modifierExtension All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:relatedPrimaryCancerCondition, Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus.extension:recurrenceType, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()

This structure is derived from SecondaryCancerCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:histologyMorphologyBehavior 1..1 HistologyMorphologyBehavior(4.0.0) Histology-Morphology-Behavior Extension
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition 0..1 ConditionRelated(5.2.0) Conditions associated with this condition
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
... clinicalStatus
.... Slices for extension Content/Rules for all slices
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
... severity 0..1 CodeableConcept Not used in this profile
... code 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
... bodySite 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
... subject 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter 0..1 Reference(Encounter) Not used in this profile
... recordedDate 0..1 dateTime Not used in this profile
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... evidence 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.extension:histologyMorphologyBehavior.​value[x] Base required ICD-O-3 Morphology Behavior 📍0.2.0 This IG
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, o-con-1, o-con-2, o-con-req-1, o-con-req-2, o-con-req-3, o-con-req-4
... 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
... 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 S 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
.... extension:histologyMorphologyBehavior S 1..1 (Complex) Histology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
Constraints: ext-1
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf S 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
.... 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
Constraints: ext-1
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Not used in this profile
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Not used in this profile
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: SecondaryCancerDisorderVS (4.0.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... bodySite SΣ 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
.... 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
Constraints: ext-1
..... extension:locationQualifier S 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
Constraints: ext-1
..... extension:lateralityQualifier S 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Not used in this profile
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... stage C 0..* BackboneElement Not used in this profile
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Not used in this profile
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: CancerDiseaseStatusEvidenceTypeVS (4.0.0) (required)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco 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 Behavior 📍0.2.0 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.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible Secondary Cancer Disorder Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 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 required Cancer Disease Status Evidence Type Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0

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 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 Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:histologyMorphologyBehavior.value[x], Condition.extension:relatedPrimaryCancerCondition, Condition.extension:relatedPrimaryCancerCondition.value[x], Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.clinicalStatus.extension, Condition.clinicalStatus.extension:recurrenceType, Condition.clinicalStatus.coding, Condition.clinicalStatus.text, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.bodySite.extension, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.bodySite.coding, Condition.bodySite.text, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:relatedPrimaryCancerCondition, Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus.extension, Condition.clinicalStatus.extension:recurrenceType, Condition.bodySite.extension, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, o-con-1, o-con-2, o-con-req-1, o-con-req-2, o-con-req-3, o-con-req-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
.... extension:histologyMorphologyBehavior S 1..1 (Complex) Histology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
Constraints: ext-1
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf S 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... Slices for extension Content/Rules for all slices
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
Constraints: ext-1
... verificationStatus ?!SΣC 0..1 CodeableConcept Not used in this profile
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Not used in this profile
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: SecondaryCancerDisorderVS (4.0.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... bodySite SΣ 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier S 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
Constraints: ext-1
..... extension:lateralityQualifier S 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
Constraints: ext-1
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Not used in this profile
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... evidence C 0..* BackboneElement Not used in this profile
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.extension:histologyMorphologyBehavior.​value[x] Base required ICD-O-3 Morphology Behavior 📍0.2.0 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.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible Secondary Cancer Disorder Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error Condition.implicitRules, Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:histologyMorphologyBehavior.value[x], Condition.extension:relatedPrimaryCancerCondition, Condition.extension:relatedPrimaryCancerCondition.value[x], Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus, Condition.clinicalStatus.extension:recurrenceType, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.evidence, Condition.evidence.modifierExtension All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:relatedPrimaryCancerCondition, Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus.extension:recurrenceType, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()

Differential View

This structure is derived from SecondaryCancerCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:histologyMorphologyBehavior 1..1 HistologyMorphologyBehavior(4.0.0) Histology-Morphology-Behavior Extension
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition 0..1 ConditionRelated(5.2.0) Conditions associated with this condition
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
... clinicalStatus
.... Slices for extension Content/Rules for all slices
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
... severity 0..1 CodeableConcept Not used in this profile
... code 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
... bodySite 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
... subject 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter 0..1 Reference(Encounter) Not used in this profile
... recordedDate 0..1 dateTime Not used in this profile
... recorder 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... evidence 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.extension:histologyMorphologyBehavior.​value[x] Base required ICD-O-3 Morphology Behavior 📍0.2.0 This IG
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* SecondaryCancerCondition(4.0.0) Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, o-con-1, o-con-2, o-con-req-1, o-con-req-2, o-con-req-3, o-con-req-4
... 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
... 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 S 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:assertedDate S 0..1 dateTime (USCDI) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Constraints: ext-1
.... extension:histologyMorphologyBehavior S 1..1 (Complex) Histology-Morphology-Behavior Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: ICDO3MorphologyBehavior (0.2.0) (required)
.... extension:relatedPrimaryCancerCondition S 0..1 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
Constraints: ext-1
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] 1..1 Reference(Primary Cancer Condition Profile(0.2.0)) Value of extension
.... extension:recurrenceOf S 0..1 Reference(Primary Cancer Condition Profile(4.0.0)) Recurrence Of
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept (USCDI) active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
.... 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
Constraints: ext-1
..... extension:recurrenceType 0..1 CodeableConcept Recurrence Type
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type
Binding: RecurrenceTypeVS (0.2.0) (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Not used in this profile
Binding: ConditionVerificationStatus (required)
... Slices for category S 1..* CodeableConcept (USCDI) category codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:us-core S 1..* CodeableConcept (USCDI) problem-list-item | health-concern
Binding: USCoreProblemOrHealthConcern (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
.... category:screening-assessment S 0..* CodeableConcept (USCDI) USCDI Health Status/Assessments Data Class
Binding: USCoreScreeningAssessmentConditionCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... severity 0..1 CodeableConcept Not used in this profile
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept (USCDI) Identification of the condition, problem or diagnosis
Binding: SecondaryCancerDisorderVS (4.0.0) (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 128462008
..... display 1..1 string Representation defined by the system
Fixed Value: Secondary malignant neoplastic disease
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... bodySite SΣ 1..* CodeableConcept Anatomical location, if relevant
Binding: ICDO3Topography (0.2.0) (required)
.... 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
Constraints: ext-1
..... extension:locationQualifier S 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
Constraints: ext-1
..... extension:lateralityQualifier S 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... onset[x] SΣ 0..1 (USCDI) Estimated or actual date, date-time, or age
.... onsetDateTime dateTime S
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
... abatement[x] SC 0..1 (USCDI) When in resolution/remission
.... abatementDateTime dateTime S
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 0..1 dateTime Not used in this profile
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Not used in this profile
... stage C 0..* BackboneElement Not used in this profile
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Not used in this profile
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: CancerDiseaseStatusEvidenceTypeVS (4.0.0) (required)
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco 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 Behavior 📍0.2.0 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.category:us-core Base required US Core Problem or Health Concern 📍6.1.0 US Core v6.1
Condition.category:screening-assessment Base required US Core Screening Assessment Condition Category 📍6.1.0 US Core v6.1
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base extensible Secondary Cancer Disorder Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0
Condition.bodySite Base required ICD-O-3 Topography 📍0.2.0 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 required Cancer Disease Status Evidence Type Value Set 📍4.0.0 minimal Common Oncology Data Elements v4.0

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 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 Condition.meta, Condition.implicitRules, Condition.language, Condition.text, Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:histologyMorphologyBehavior.value[x], Condition.extension:relatedPrimaryCancerCondition, Condition.extension:relatedPrimaryCancerCondition.value[x], Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.identifier, Condition.clinicalStatus, Condition.clinicalStatus.extension, Condition.clinicalStatus.extension:recurrenceType, Condition.clinicalStatus.coding, Condition.clinicalStatus.text, Condition.verificationStatus, Condition.category, Condition.category:us-core, Condition.category:screening-assessment, Condition.severity, Condition.code, Condition.bodySite, Condition.bodySite.extension, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.bodySite.coding, Condition.bodySite.text, Condition.subject, Condition.encounter, Condition.onset[x], Condition.abatement[x], Condition.recordedDate, Condition.recorder, Condition.asserter, Condition.stage, Condition.stage.extension, Condition.stage.modifierExtension, Condition.stage.summary, Condition.stage.assessment, Condition.stage.type, Condition.evidence, Condition.evidence.extension, Condition.evidence.modifierExtension, Condition.evidence.code, Condition.evidence.detail, Condition.note All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Condition.extension, Condition.extension:assertedDate, Condition.extension:histologyMorphologyBehavior, Condition.extension:relatedPrimaryCancerCondition, Condition.extension:recurrenceOf, Condition.modifierExtension, Condition.clinicalStatus.extension, Condition.clinicalStatus.extension:recurrenceType, Condition.bodySite.extension, Condition.bodySite.extension:locationQualifier, Condition.bodySite.extension:lateralityQualifier, Condition.stage.extension, Condition.stage.modifierExtension, Condition.evidence.extension, Condition.evidence.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-con-1 error Condition If clinicalStatus is 'recurrence', the recurrenceOf extension must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-of').exists()
o-con-2 error Condition If clinicalStatus is 'recurrence', the type of recurrence must be provided. clinicalStatus.exists() and clinicalStatus.coding.code = 'recurrence' implies clinicalStatus.extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-recurrence-type').exists()
o-con-req-1 error Condition The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-con-req-2 error Condition The assertedDate extension is required and must be provided. extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').exists()
o-con-req-3 error Condition The bodySite element is required and must be provided. bodySite.exists() and bodySite.coding.exists()
o-con-req-4 error Condition The histologyMorphologyBehavior extension is required and must be provided. extension('http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior').exists()

 

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