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

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Resource Profile: Condition: Metastatic Cancer

​This profile defines how to represent metastatic cancer in FHIR for the purpose of the PanCareSurPass project. This profile is inspired from the mCode IG. Records the history of secondary neoplasms, including location(s) 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).

Usage:

• Use this Resource Profile: Bundle: Survivor Passport
• Refer to this Resource Profile: Bundle: Survivor Passport
• Examples for this Resource Profile: Condition/ConditionSecCancerMainzZeisig

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
clinicalStatus	S	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
code	S	0..1	CodeableConcept	Identification of the condition, problem or diagnosis
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?
stage		0..*	BackboneElement	Not used in this profile
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.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.

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
Slices for value[x]		1..1	Reference(Condition)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$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?
stage	C	0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
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.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.

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
Slices for value[x]		1..1	Reference(Condition)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	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	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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 created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Not used in this profile
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	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	Supporting evidence
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
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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.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

This structure is derived from Condition

Summary

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

Structures

This structure refers to these other structures:

• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)

Extensions

This structure refers to these extensions:

• 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.org/fhir/StructureDefinition/condition-related
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
clinicalStatus	S	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
code	S	0..1	CodeableConcept	Identification of the condition, problem or diagnosis
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?
stage		0..*	BackboneElement	Not used in this profile
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.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.

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
Slices for value[x]		1..1	Reference(Condition)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: ICD-O-3 Topography (extensible)
locationQualifier		0..*	CodeableConcept	Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred)
lateralityQualifier		0..1	CodeableConcept	Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
extension		0..0
url		1..1	uri	"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$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?
stage	C	0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
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.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.

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		1..*	Extension	Extension Slice: Unordered, Open by value:url
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)
relatedPrimaryCancerCondition		1..1	Reference(Condition)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
Slices for value[x]		1..1	Reference(Condition)	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueReference		1..1	Reference(Condition: Primary Cancer)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	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	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
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 created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Not used in this profile
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	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	Supporting evidence
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
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
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.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

This structure is derived from Condition

Summary

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

Structures

This structure refers to these other structures:

• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)

Extensions

This structure refers to these extensions:

• 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.org/fhir/StructureDefinition/condition-related
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

Other representations of profile: CSV, Excel, Schematron