Usage

• SNOMED CT coding: Use a code from the disorder hierarchy under secondary malignant neoplastic disease (SNOMED CT 128462008).
• ICD-10-CM coding: Use one of the codes given in this value set representing secondary malignant neoplasms and neoplasms of uncertain or unspecified behavior. If body site is not precoordinated (implied by the code), it should be specified separately using the body location.

Note that ICD-O-3 specifies morphology and topography, not disorder; in this case that the disorder code must be SNOMED CT 128462008 (Secondary malignant neoplastic disease). The ICD-O-3 morphology and topography codes should be entered in the HistologyMorphologyBehavior and bodySite fields, respectively.

Conformance

Condition resources associated with an in-scope patient with a Condition.code in the value set SecondaryCancerDisorderVS SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an mCODE patient that would reasonably be expected to conform to this profile SHOULD be published in this form, for example, when employing a code that extends the SecondaryCancerDisorderVS value set. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Changes since version true:

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

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
assertedDate	S	0..1	dateTime	(USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
histologyMorphologyBehavior	S	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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
value[x]		1..1	Reference(Primary Cancer Condition Profile)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	(USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	(USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:us-core	S	1..*	CodeableConcept	(USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets ele-1: All FHIR elements must have a @value or children
category:screening-assessment	S	0..*	CodeableConcept	(USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
locationQualifier	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who has the condition? ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		(USCDI) Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
abatement[x]	SC	0..1		(USCDI) When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
recordedDate	SΣ	0..1	dateTime	(USCDI) Date record was first recorded ele-1: All FHIR elements must have a @value or children
stage	C	0..*	BackboneElement	Not used in this profile con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:us-core	required	USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
Condition.category:screening-assessment	required	USCoreScreeningAssessmentConditionCategory http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
histologyMorphologyBehavior	S	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)
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
value[x]		1..1	Reference(Primary Cancer Condition Profile)	Value of extension
code		1..1	CodeableConcept	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible)
bodySite	S	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible)
Slices for extension				Content/Rules for all slices
locationQualifier	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
stage		0..*	BackboneElement	Not used in this profile
evidence
code		0..*	CodeableConcept	Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG
Condition.evidence.code	required	CancerDiseaseStatusEvidenceTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
assertedDate	S	0..1	dateTime	(USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior	S	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)
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
value[x]		1..1	Reference(Primary Cancer Condition Profile)	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	(USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	S	1..*	CodeableConcept	(USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core	S	1..*	CodeableConcept	(USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:screening-assessment	S	0..*	CodeableConcept	(USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
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	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible)
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (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	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
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(US Core Patient Profile)	(USCDI) Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		(USCDI) Estimated or actual date, date-time, or age
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	SC	0..1		(USCDI) When in resolution/remission
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	0..1	dateTime	(USCDI) 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 con-1: Stage SHALL have summary or assessment
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 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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required)
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	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:us-core	required	USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
Condition.category:screening-assessment	required	USCoreScreeningAssessmentConditionCategory http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	required	CancerDiseaseStatusEvidenceTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
assertedDate	S	0..1	dateTime	(USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
histologyMorphologyBehavior	S	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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
value[x]		1..1	Reference(Primary Cancer Condition Profile)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	(USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	(USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:us-core	S	1..*	CodeableConcept	(USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets ele-1: All FHIR elements must have a @value or children
category:screening-assessment	S	0..*	CodeableConcept	(USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
locationQualifier	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who has the condition? ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		(USCDI) Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
abatement[x]	SC	0..1		(USCDI) When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
recordedDate	SΣ	0..1	dateTime	(USCDI) Date record was first recorded ele-1: All FHIR elements must have a @value or children
stage	C	0..*	BackboneElement	Not used in this profile con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:us-core	required	USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
Condition.category:screening-assessment	required	USCoreScreeningAssessmentConditionCategory http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG

Differential View

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
histologyMorphologyBehavior	S	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)
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
value[x]		1..1	Reference(Primary Cancer Condition Profile)	Value of extension
code		1..1	CodeableConcept	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible)
bodySite	S	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible)
Slices for extension				Content/Rules for all slices
locationQualifier	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
stage		0..*	BackboneElement	Not used in this profile
evidence
code		0..*	CodeableConcept	Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG
Condition.evidence.code	required	CancerDiseaseStatusEvidenceTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	USCoreConditionProblemsHealthConcernsProfile	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
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	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
assertedDate	S	0..1	dateTime	(USCDI) Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
histologyMorphologyBehavior	S	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)
relatedPrimaryCancerCondition	S	0..1	(Complex)	Related Primary Cancer Condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-related"
value[x]		1..1	Reference(Primary Cancer Condition Profile)	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	(USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	(USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	S	1..*	CodeableConcept	(USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:us-core	S	1..*	CodeableConcept	(USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
category:screening-assessment	S	0..*	CodeableConcept	(USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
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	(USCDI) Identification of the condition, problem or diagnosis Binding: Secondary Cancer Disorder Value Set (extensible)
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: Cancer Body Location Value Set (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	S	0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier	S	0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
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(US Core Patient Profile)	(USCDI) Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		(USCDI) Estimated or actual date, date-time, or age
onsetDateTime			dateTime S
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	SC	0..1		(USCDI) When in resolution/remission
abatementDateTime			dateTime S
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	SΣ	0..1	dateTime	(USCDI) 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 con-1: Stage SHALL have summary or assessment
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 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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required)
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	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:us-core	required	USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern
Condition.category:screening-assessment	required	USCoreScreeningAssessmentConditionCategory http://hl7.org/fhir/us/core/ValueSet/us-core-screening-assessment-condition-category
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	extensible	SecondaryCancerDisorderVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-secondary-cancer-disorder-vs from this IG
Condition.bodySite	extensible	CancerBodyLocationVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs from this IG
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	required	CancerDiseaseStatusEvidenceTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs from this IG

This structure is derived from USCoreConditionProblemsHealthConcernsProfile

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Primary Cancer Condition Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
• http://hl7.org/fhir/StructureDefinition/condition-related
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier

Maturity: 4