PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use 150

This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Condition: Severe Toxicity

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-toxicity-eu-pcsp Version: 0.1.0
Active as of 2023-01-26 Computable Name: ConditionToxicityPcsp

This profile defines how to describe a Severe Toxicity event in HL7 FHIR for the purpose of the PanCareSurPass project.

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... clinicalStatus 0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
... subject 1..1Reference(Patient: PCSP)Who has the condition?
... onsetDateTime 0..1dateTimeonset date, omitted if unknown
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.severityrequiredToxicitySeverityVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
.... Slices for value[x] 1..1Reference(Condition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... clinicalStatus ?!ΣC0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... verificationStatus ?!ΣC0..1CodeableConceptVerification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
... subject Σ1..1Reference(Patient: PCSP)Who has the condition?
... Slices for onset[x] Σ0..1Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime Σ0..1dateTimeonset date, omitted if unknown
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severityrequiredToxicitySeverityVS
Condition.codeexamplePattern: SNOMED CT code 75478009("Toxicity")
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
.... Slices for value[x] 1..1Reference(Condition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... verificationStatus ?!ΣC0..1CodeableConceptVerification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ1..1Reference(Patient: PCSP)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for onset[x] Σ0..1Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime Σ0..1dateTimeonset date, omitted if unknown
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.severityrequiredToxicitySeverityVS
Condition.codeexamplePattern: SNOMED CT code 75478009("Toxicity")
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

This structure is derived from Condition

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... clinicalStatus 0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code 1..1CodeableConceptIdentification of the condition, problem or diagnosis
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
... subject 1..1Reference(Patient: PCSP)Who has the condition?
... onsetDateTime 0..1dateTimeonset date, omitted if unknown
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.severityrequiredToxicitySeverityVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
.... Slices for value[x] 1..1Reference(Condition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... clinicalStatus ?!ΣC0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... verificationStatus ?!ΣC0..1CodeableConceptVerification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
... subject Σ1..1Reference(Patient: PCSP)Who has the condition?
... Slices for onset[x] Σ0..1Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime Σ0..1dateTimeonset date, omitted if unknown
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.severityrequiredToxicitySeverityVS
Condition.codeexamplePattern: SNOMED CT code 75478009("Toxicity")

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedPrimaryCancerCondition 1..1Reference(Condition)Related Cancer Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/condition-related"
.... Slices for value[x] 1..1Reference(Condition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(Condition: Primary Cancer)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptElement omitted if status unknown
Binding: Active or resolved Condition (required)
... verificationStatus ?!ΣC0..1CodeableConceptVerification status
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Toxicity Severity (required)
... code Σ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 75478009
..... display1..1stringRepresentation defined by the system
Fixed Value: Toxicity
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject Σ1..1Reference(Patient: PCSP)Who has the condition?
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for onset[x] Σ0..1Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onsetDateTimedateTime
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
.... onset[x]:onsetDateTime Σ0..1dateTimeonset date, omitted if unknown
... abatement[x] C0..1When in resolution/remission
.... abatementDateTimedateTime
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationNotes

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredActiveResolvedConditionVS
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.severityrequiredToxicitySeverityVS
Condition.codeexamplePattern: SNOMED CT code 75478009("Toxicity")
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

This structure is derived from Condition

 

Other representations of profile: CSV, Excel, Schematron