Systemic Anti-Cancer Therapy (SACT) data standard FHIR IG - Local Development build (v0.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ACT-NOW diagnosis

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

Usages:

• Examples for this Profile: Condition/exSmallCellCancer

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. Σ This element is included in summaries. C	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.
Condition.bodySite	Σ This element is included in summaries.	1..1	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who has the condition?
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.identifier		1..*	Identifier	External Ids for this condition
Condition.bodySite		1..1	CodeableConcept	Anatomical location, if relevant
Condition.stage
Condition.stage.assessment		0..*	Reference(Pathological TNM group score | Clinical TNM group score)	Formal record of assessment
Condition.evidence
Condition.evidence.code		0..*	CodeableConcept	Manifestation/symptom Binding: Basis of diagnosis (required)
Condition.evidence.detail		0..*	Reference(Histology)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.evidence.code	Base	required	Basis of diagnosis	📦0.5.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. Σ This element is included in summaries. C	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.
Condition.category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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.
Condition.code	Σ This element is included in summaries.	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Condition.bodySite	Σ This element is included in summaries.	1..1	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of
Condition.onset[x]	Σ This element is included in summaries.	0..1		Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.onset[x].onsetString			string
Condition.abatement[x]	C	0..1		When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(Pathological TNM group score | Clinical TNM group score)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: Basis of diagnosis (required)
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Histology)	Supporting information found elsewhere
Condition.note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	required	Basis of diagnosis	📦0.5.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Pathological TNM group score (http://canshare.co.nz/fhir/StructureDefinition/an-pGroup)
• Clinical TNM group score (http://canshare.co.nz/fhir/StructureDefinition/an-cGroup)
• Histology (http://canshare.co.nz/fhir/StructureDefinition/an-histology)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1
• http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. Σ This element is included in summaries. C	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.
Condition.bodySite	Σ This element is included in summaries.	1..1	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who has the condition?
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Condition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.identifier		1..*	Identifier	External Ids for this condition
Condition.bodySite		1..1	CodeableConcept	Anatomical location, if relevant
Condition.stage
Condition.stage.assessment		0..*	Reference(Pathological TNM group score | Clinical TNM group score)	Formal record of assessment
Condition.evidence
Condition.evidence.code		0..*	CodeableConcept	Manifestation/symptom Binding: Basis of diagnosis (required)
Condition.evidence.detail		0..*	Reference(Histology)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.evidence.code	Base	required	Basis of diagnosis	📦0.5.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
Condition.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Condition.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Condition.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Condition.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Condition.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Condition.contained		0..*	Resource	Contained, inline Resources
Condition.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Condition.Slices for extension.extension:laterality		0..1	CodeableConcept	Laterality Qualifier Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Condition.Slices for extension.extension:assertedDate		0..1	dateTime	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Condition.Slices for extension.extension:recurrence-type		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type Binding: Type of recurrence (required)
Condition.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Condition.identifier	Σ This element is included in summaries.	1..*	Identifier	External Ids for this condition
Condition.clinicalStatus	?! This element is a modifier element. Σ This element is included in summaries. C	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
Condition.verificationStatus	?! This element is a modifier element. Σ This element is included in summaries. C	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.
Condition.category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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.
Condition.code	Σ This element is included in summaries.	0..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Condition.bodySite	Σ This element is included in summaries.	1..1	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Condition.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who has the condition?
Condition.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter created as part of
Condition.onset[x]	Σ This element is included in summaries.	0..1		Estimated or actual date, date-time, or age
Condition.onset[x].onsetDateTime			dateTime
Condition.onset[x].onsetAge			Age
Condition.onset[x].onsetPeriod			Period
Condition.onset[x].onsetRange			Range
Condition.onset[x].onsetString			string
Condition.abatement[x]	C	0..1		When in resolution/remission
Condition.abatement[x].abatementDateTime			dateTime
Condition.abatement[x].abatementAge			Age
Condition.abatement[x].abatementPeriod			Period
Condition.abatement[x].abatementRange			Range
Condition.abatement[x].abatementString			string
Condition.recordedDate	Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded
Condition.recorder	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
Condition.asserter	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Condition.stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
Condition.stage.id		0..1	string	Unique id for inter-element referencing
Condition.stage.extension		0..*	Extension	Additional content defined by implementations
Condition.stage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.stage.summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
Condition.stage.assessment	C	0..*	Reference(Pathological TNM group score | Clinical TNM group score)	Formal record of assessment
Condition.stage.type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
Condition.evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
Condition.evidence.id		0..1	string	Unique id for inter-element referencing
Condition.evidence.extension		0..*	Extension	Additional content defined by implementations
Condition.evidence.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Condition.evidence.code	Σ This element is included in summaries. C	0..*	CodeableConcept	Manifestation/symptom Binding: Basis of diagnosis (required)
Condition.evidence.detail	Σ This element is included in summaries. C	0..*	Reference(Histology)	Supporting information found elsewhere
Condition.note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Condition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Condition.clinicalStatus	Base	required	Condition Clinical Status Codes	📍4.0.1	FHIR Std.
Condition.verificationStatus	Base	required	ConditionVerificationStatus	📍4.0.1	FHIR Std.
Condition.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	required	Basis of diagnosis	📦0.5.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Condition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Pathological TNM group score (http://canshare.co.nz/fhir/StructureDefinition/an-pGroup)
• Clinical TNM group score (http://canshare.co.nz/fhir/StructureDefinition/an-cGroup)
• Histology (http://canshare.co.nz/fhir/StructureDefinition/an-histology)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
• http://hl7.org/fhir/StructureDefinition/condition-assertedDate|4.0.1
• http://canshare.co.nz/fhir/StructureDefinition/an-recurrence-type

Other representations of profile: CSV, Excel, Schematron