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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Condition: Primary Cancer

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

Usage:

• Use this Resource Profile: Bundle: Survivor Passport
• Refer to this Resource Profile: Bundle: Survivor Passport
• Examples for this Resource Profile: Condition/ConditionPrimCancerMainzFischer, Condition/ConditionPrimCancerMainzZeisig, Condition/PrimaryCancerHulafe-1

Formal Views of Profile Content

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

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

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept		0..0
valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	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 (required)
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
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)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set Candidate Validation Binding
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
evidence:diagnosisDetails		0..1	BackboneElement	Diagnosis details
code		0..*	CodeableConcept	Manifestation/symptom Binding: ICCC-3 (required)
detail		0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker		0..1	BackboneElement	Genetic Marker
code		1..*	CodeableConcept	Manifestation/symptom 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: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
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		1..*	CodeableConcept	Manifestation/symptom 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: 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
display		0..1	string	Text alternative for the resource (immunology)
evidence:predisposition		0..1	BackboneElement	Predisposition
code		0..*	CodeableConcept	Manifestation/symptom Binding: Hereditary Predispositions or Disease (required)
Slices for detail		0..*	Reference(Condition | Observation | FamilyMemberHistory | DocumentReference)	Supporting information found elsewhere Slice: Unordered, Open by type:$this.resolve()
detail:All Slices				Content/Rules for all slices
display		0..1	string	Text alternative for the resource (predisposition)
detail:observation	S	0..1	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS
Condition.code.coding:iccc3-classification	required	ICCC3Vs
Condition.code.coding:exceptions	required	ClassNullFlavor
Condition.bodySite	extensible	ICDO3TopographyVs
Condition.bodySite.extension:lateralityQualifier.valueCodeableConcept	preferred	LeftRightBiUnilateralVS Additional Bindings Purpose Documentation Laterality Qualifier Value Set Candidate Validation Binding Qualifiers to specify laterality.
Condition.evidence:diagnosisDetails.code	required	ICCC3Vs
Condition.evidence:predisposition.code	required	HereditaryPredispositionDisease

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept			CodeableConcept
valueReference			Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
value[x]:valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (required)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
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)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set Candidate Validation Binding
subject	Σ	1..1	Reference(Patient: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
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
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ICCC-3 (required)
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (immunology)
evidence:predisposition	C	0..1	BackboneElement	Predisposition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Hereditary Predispositions or Disease (required)
Slices for detail	ΣC	0..*	Reference(Condition | Observation | FamilyMemberHistory | DocumentReference)	Supporting information found elsewhere Slice: Unordered, Open by type:$this.resolve()
detail:All Slices				Content/Rules for all slices
display	Σ	0..1	string	Text alternative for the resource (predisposition)
detail:observation	SΣC	0..1	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.extension:condition-occurredFollowing.value[x]	example	ConditionPredecessorCodes (a valid code from SNOMED CT)
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:iccc3-classification	required	ICCC3Vs
Condition.code.coding:exceptions	required	ClassNullFlavor
Condition.bodySite	extensible	ICDO3TopographyVs
Condition.bodySite.extension:lateralityQualifier.value[x]:valueCodeableConcept	preferred	LeftRightBiUnilateralVS Additional Bindings Purpose Documentation Laterality Qualifier Value Set Candidate Validation Binding Qualifiers to specify laterality.
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence:diagnosisDetails.code	required	ICCC3Vs
Condition.evidence:geneticMarker.code	example	Pattern: SNOMED CT code 106221001("Genetic finding")
Condition.evidence:immunology.code	example	Pattern: SNOMED CT code 365861007("Finding of immune status")
Condition.evidence:predisposition.code	required	HereditaryPredispositionDisease

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept			CodeableConcept
valueReference			Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
value[x]:valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (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
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)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set Candidate Validation Binding
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
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
evidence:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
evidence:diagnosisDetails	C	0..1	BackboneElement	Diagnosis details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ICCC-3 (required)
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 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		0..1	string	Plain text representation of the concept
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource (immunology)
evidence:predisposition	C	0..1	BackboneElement	Predisposition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Hereditary Predispositions or Disease (required)
Slices for detail	ΣC	0..*	Reference(Condition | Observation | FamilyMemberHistory | DocumentReference)	Supporting information found elsewhere Slice: Unordered, Open by type:$this.resolve()
detail: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 Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource (predisposition)
detail:observation	SΣC	0..1	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.extension:condition-occurredFollowing.value[x]	example	ConditionPredecessorCodes (a valid code from SNOMED CT)
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:iccc3-classification	required	ICCC3Vs
Condition.code.coding:exceptions	required	ClassNullFlavor
Condition.bodySite	extensible	ICDO3TopographyVs
Condition.bodySite.extension:lateralityQualifier.value[x]:valueCodeableConcept	preferred	LeftRightBiUnilateralVS Additional Bindings Purpose Documentation Laterality Qualifier Value Set Candidate Validation Binding Qualifiers to specify laterality.
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes
Condition.evidence:diagnosisDetails.code	required	ICCC3Vs
Condition.evidence:geneticMarker.code	example	Pattern: SNOMED CT code 106221001("Genetic finding")
Condition.evidence:geneticMarker.detail.type	extensible	ResourceType
Condition.evidence:immunology.code	example	Pattern: SNOMED CT code 365861007("Finding of immune status")
Condition.evidence:immunology.detail.type	extensible	ResourceType
Condition.evidence:predisposition.code	required	HereditaryPredispositionDisease
Condition.evidence:predisposition.detail.type	extensible	ResourceType

This structure is derived from Condition

Summary

Mandatory: 1 element (3 nested mandatory elements)
Must-Support: 6 elements
Prohibited: 1 element

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
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate
• 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 Condition.code.coding is sliced based on the value of pattern:$this
• The element Condition.evidence is sliced based on the value of pattern:code
• The element Condition.evidence.detail is sliced based on the value of type:$this.resolve()

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept		0..0
valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	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 (required)
bodySite		0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
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)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set Candidate Validation Binding
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
evidence:diagnosisDetails		0..1	BackboneElement	Diagnosis details
code		0..*	CodeableConcept	Manifestation/symptom Binding: ICCC-3 (required)
detail		0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker		0..1	BackboneElement	Genetic Marker
code		1..*	CodeableConcept	Manifestation/symptom 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: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
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		1..*	CodeableConcept	Manifestation/symptom 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: 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
display		0..1	string	Text alternative for the resource (immunology)
evidence:predisposition		0..1	BackboneElement	Predisposition
code		0..*	CodeableConcept	Manifestation/symptom Binding: Hereditary Predispositions or Disease (required)
Slices for detail		0..*	Reference(Condition | Observation | FamilyMemberHistory | DocumentReference)	Supporting information found elsewhere Slice: Unordered, Open by type:$this.resolve()
detail:All Slices				Content/Rules for all slices
display		0..1	string	Text alternative for the resource (predisposition)
detail:observation	S	0..1	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS
Condition.code.coding:iccc3-classification	required	ICCC3Vs
Condition.code.coding:exceptions	required	ClassNullFlavor
Condition.bodySite	extensible	ICDO3TopographyVs
Condition.bodySite.extension:lateralityQualifier.valueCodeableConcept	preferred	LeftRightBiUnilateralVS Additional Bindings Purpose Documentation Laterality Qualifier Value Set Candidate Validation Binding Qualifiers to specify laterality.
Condition.evidence:diagnosisDetails.code	required	ICCC3Vs
Condition.evidence:predisposition.code	required	HereditaryPredispositionDisease

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept			CodeableConcept
valueReference			Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
value[x]:valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Example Relapse: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/condition-clinical","code":"relapse"}]}
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:iccc3-classification	SΣ	0..1	Coding	Code defined by a terminology system Binding: ICCC-3 (required)
coding:exceptions	Σ	0..1	Coding	Code defined by a terminology system Binding: ClassNullFlavor (required)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
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)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: Laterality Qualifier Value Set (preferred): Qualifiers to specify laterality. Additional Bindings Purpose Laterality Qualifier Value Set Candidate Validation Binding
subject	Σ	1..1	Reference(Patient: PCSP)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter | Encounter: Treatment Center)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
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
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ICCC-3 (required)
detail	ΣC	0..*	Reference(Observation: Diagnosis details)	Supporting information found elsewhere
evidence:geneticMarker	C	0..1	BackboneElement	Genetic Marker
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (Genetic finding)
evidence:immunology	C	0..1	BackboneElement	Immunology
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	1..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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: 365861007
display		1..1	string	Representation defined by the system Fixed Value: Finding of immune status
detail	ΣC	0..*	Reference(Observation | DocumentReference | DiagnosticReport)	Supporting information found elsewhere
display	Σ	0..1	string	Text alternative for the resource (immunology)
evidence:predisposition	C	0..1	BackboneElement	Predisposition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Hereditary Predispositions or Disease (required)
Slices for detail	ΣC	0..*	Reference(Condition | Observation | FamilyMemberHistory | DocumentReference)	Supporting information found elsewhere Slice: Unordered, Open by type:$this.resolve()
detail:All Slices				Content/Rules for all slices
display	Σ	0..1	string	Text alternative for the resource (predisposition)
detail:observation	SΣC	0..1	Reference(Observation: Hereditary Predisposition)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Cancer Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.extension:condition-occurredFollowing.value[x]	example	ConditionPredecessorCodes (a valid code from SNOMED CT)
Condition.extension:histologyMorphologyBehavior.value[x]	required	ICDO3MorphologyVs
Condition.extension:relapseType.value[x]	preferred	RelapseTypeVS
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:iccc3-classification	required	ICCC3Vs
Condition.code.coding:exceptions	required	ClassNullFlavor
Condition.bodySite	extensible	ICDO3TopographyVs
Condition.bodySite.extension:lateralityQualifier.value[x]:valueCodeableConcept	preferred	LeftRightBiUnilateralVS Additional Bindings Purpose Documentation Laterality Qualifier Value Set Candidate Validation Binding Qualifiers to specify laterality.
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence:diagnosisDetails.code	required	ICCC3Vs
Condition.evidence:geneticMarker.code	example	Pattern: SNOMED CT code 106221001("Genetic finding")
Condition.evidence:immunology.code	example	Pattern: SNOMED CT code 365861007("Finding of immune status")
Condition.evidence:predisposition.code	required	HereditaryPredispositionDisease

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
condition-occurredFollowing		0..*	CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)	Precedent for this Condition URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing"
Slices for value[x]		1..1		Value of extension Slice: Unordered, Closed by type:$this Binding: ConditionPredecessorCodes (example): Codes that describe activities or observations that occurred prior to the condition.
valueCodeableConcept			CodeableConcept
valueReference			Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)
value[x]:valueReference		0..1	Reference(Condition: Primary Cancer)	For relapses, reference to the first occurance of this tumor.
assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior		0..1	CodeableConcept	Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
value[x]		1..1	CodeableConcept	Value of extension Binding: ICD-O-3 Morphology (required)
previousStatus		0..1	CodeableConcept	Previous Status URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus Binding: ConditionClinicalStatusCodes (required)
relapseType		0..1	CodeableConcept	Relapse Type URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType"
value[x]		0..1	CodeableConcept	Value of extension Binding: Relapse type (Local/Distant/Combined) (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (