HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-SecondaryCancerCondition
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 (reference: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/secondary-tumor).
Conformance note: For the code attribute, to be compliant with US Core Profiles, SNOMED CT must be used unless there is no suitable code, in which case ICD-10-CM can be used.
This profile builds on USCoreCondition.
This profile was published on Thu Aug 01 00:00:00 EDT 2019 as a active by HL7 International Clinical Interoperability Council.
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Mapping Source
This structure represents the following mapping definition:
onco.core.SecondaryCancerCondition maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: Language maps to language ImplicitRules maps to implicitRules Metadata.VersionId maps to meta.versionId Metadata.SourceSystem maps to meta.source Metadata.Profile maps to meta.profile Metadata.LastUpdated maps to meta.lastUpdated Metadata.SecurityLabel maps to meta.security Metadata.Tag maps to meta.tag Narrative maps to text Identifier maps to identifier ClinicalStatus maps to clinicalStatus Status maps to verificationStatus Category maps to category Severity maps to severity Code maps to code BodyLocation.Code maps to bodySite BodyLocation.Laterality maps to bodySite.extension BodyLocation.AnatomicalOrientation maps to bodySite.extension BodyLocation.RelationToLandmark maps to bodySite.extension SubjectOfRecord maps to subject CareContext maps to encounter Onset maps to onset[x] Abatement maps to abatement[x] StatementDateTime maps to recordedDate Author maps to recorder PractitionerInformationSource maps to asserter StageInformation maps to stage StageInformation.StageSummary maps to stage.summary StageInformation.StageDetail maps to stage.assessment StageInformation.Type maps to stage.type Evidence.Manifestation maps to evidence.code Evidence.Resource maps to evidence.detail Annotation maps to note DateOfDiagnosis maps to http://hl7.org/fhir/StructureDefinition/condition-assertedDate
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | I | 0..* | onco-core-SecondaryCancerCondition us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
  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) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| condition-assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
| onco-core-HistologyMorphologyBehavior-extension | S | 0..1 | CodeableConcept | HistologyMorphologyBehavior URL: http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-HistologyMorphologyBehavior-extension Binding: HistologyMorphologyBehaviorVS (extensible) |
| onco-core-PrimaryCancerCondition-extension | 0..1 | Reference(onco-core-PrimaryCancerCondition) | PrimaryCancerCondition URL: http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus | ?!SΣI | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| category | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: US Core Condition Category Codes (extensible) |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | Disease |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 64572001 |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
 text | Σ | 0..1 | string | Plain text representation of the concept |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: SecondaryCancerDisorderVS (extensible) |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: CancerBodyLocationVS (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| obf-datatype-Laterality-extension | 0..* | CodeableConcept | Laterality URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-Laterality-extension Binding: Laterality (extensible) | |
| obf-datatype-AnatomicalOrientation-extension | 0..* | CodeableConcept | AnatomicalOrientation URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-AnatomicalOrientation-extension Binding: AnatomicalOrientationVS (extensible) | |
 obf-datatype-RelationToLandmark-extension | 0..* | (Complex) | RelationToLandmark URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-RelationToLandmark-extension | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| text | Σ | 0..1 | string | Plain text representation of the concept |
 subject | SΣ | 1..1 | Reference(obf-Patient) | Who has the condition? |
| encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of |
 onset[x] | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| abatement[x] | I | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission |
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded |
| recorder | Σ | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | obf-Patient | RelatedPerson) | Who recorded the condition |
| asserter | Σ | 0..1 | Reference(US Core Practitioner Profile) | The information comes from a practitioner who asserts the condition |
| evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or 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 | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: SNOMEDCTClinicalFindings (example) |
| detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
| note | 0..* | Annotation | Additional information about the Condition | |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 2 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Mapping Source
This structure represents the following mapping definition:
onco.core.SecondaryCancerCondition maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: Language maps to language ImplicitRules maps to implicitRules Metadata.VersionId maps to meta.versionId Metadata.SourceSystem maps to meta.source Metadata.Profile maps to meta.profile Metadata.LastUpdated maps to meta.lastUpdated Metadata.SecurityLabel maps to meta.security Metadata.Tag maps to meta.tag Narrative maps to text Identifier maps to identifier ClinicalStatus maps to clinicalStatus Status maps to verificationStatus Category maps to category Severity maps to severity Code maps to code BodyLocation.Code maps to bodySite BodyLocation.Laterality maps to bodySite.extension BodyLocation.AnatomicalOrientation maps to bodySite.extension BodyLocation.RelationToLandmark maps to bodySite.extension SubjectOfRecord maps to subject CareContext maps to encounter Onset maps to onset[x] Abatement maps to abatement[x] StatementDateTime maps to recordedDate Author maps to recorder PractitionerInformationSource maps to asserter StageInformation maps to stage StageInformation.StageSummary maps to stage.summary StageInformation.StageDetail maps to stage.assessment StageInformation.Type maps to stage.type Evidence.Manifestation maps to evidence.code Evidence.Resource maps to evidence.detail Annotation maps to note DateOfDiagnosis maps to http://hl7.org/fhir/StructureDefinition/condition-assertedDate
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | I | 0..* | onco-core-SecondaryCancerCondition us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
| 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) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| condition-assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
| onco-core-HistologyMorphologyBehavior-extension | S | 0..1 | CodeableConcept | HistologyMorphologyBehavior URL: http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-HistologyMorphologyBehavior-extension Binding: HistologyMorphologyBehaviorVS (extensible) |
| onco-core-PrimaryCancerCondition-extension | 0..1 | Reference(onco-core-PrimaryCancerCondition) | PrimaryCancerCondition URL: http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Ids for this condition |
| clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
| verificationStatus | ?!SΣI | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
| category | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: US Core Condition Category Codes (extensible) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | Disease |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 64572001 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: SecondaryCancerDisorderVS (extensible) |
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: CancerBodyLocationVS (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| obf-datatype-Laterality-extension | 0..* | CodeableConcept | Laterality URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-Laterality-extension Binding: Laterality (extensible) | |
| obf-datatype-AnatomicalOrientation-extension | 0..* | CodeableConcept | AnatomicalOrientation URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-AnatomicalOrientation-extension Binding: AnatomicalOrientationVS (extensible) | |
| obf-datatype-RelationToLandmark-extension | 0..* | (Complex) | RelationToLandmark URL: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-RelationToLandmark-extension | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(obf-Patient) | Who has the condition? |
| encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of |
| onset[x] | Σ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age |
| abatement[x] | I | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission |
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded |
| recorder | Σ | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | obf-Patient | RelatedPerson) | Who recorded the condition |
| asserter | Σ | 0..1 | Reference(US Core Practitioner Profile) | The information comes from a practitioner who asserts the condition |
| evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or 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 | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: SNOMEDCTClinicalFindings (example) |
| detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
| note | 0..* | Annotation | Additional information about the Condition | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Conformance | ValueSet |
| Condition.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.code | extensible | SecondaryCancerDisorderVS |
| Condition.bodySite | preferred | CancerBodyLocationVS |
| Condition.stage.summary | example | ConditionStage |
| Condition.stage.type | example | ConditionStageType |
| Condition.evidence.code | example | SNOMEDCTClinicalFindings |
| Id | Path | Details | Requirements |
| dom-2 | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-4 | 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-3 | 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-6 | Condition | A resource should have narrative for robust management : text.div.exists() | |
| dom-5 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| con-5 | 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() | |
| con-4 | 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-3 | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty() | |
| us-core-1 | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists() | |
| ele-1 | Condition.evidence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| con-2 | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
©2019+
HL7 International Clinical Interoperability Council.
Package hl7.fhir.us.mcode#0.9.1 based on FHIR 4.0.0.
Generated 2019-08-02.
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