<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="itcc-core-Condition" />
  <url value="https://www.itcc-consortium.org/fhir/StructureDefinition/itcc-core-Condition" />
  <name value="itcc-core-Condition" />
  <title value="ITCC Condition (Diagnosis + Event)" />
  <status value="active" />
  <date value="2025-04-28" />
  <publisher value="ITCC Consortium" />
  <description value="Condition profile aligned to ITCC mapping for Diagnosis and Event (Relapse/Progression). Includes diagnosis code (with optional WHO coding), age in months, date of diagnosis/event, type (primary/relapse/progression/unknown), disease extent reference, and patient reference." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Condition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
  <derivation value="constraint" />
  <differential>
    <!-- FHIR id (string-like in mapping, but FHIR id datatype) -->
    <element id="Condition.id">
      <path value="Condition.id" />
      <short value="FHIR id" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <!-- Reference to patient (string in mapping, Reference in FHIR) -->
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <short value="Reference to the patient" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <!-- Diagnosis code container -->
    <element id="Condition.code">
      <path value="Condition.code" />
      <short value="Code of the diagnosis" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <!-- code.coding[1] and code.coding[2] -->
    <element id="Condition.code.coding">
      <path value="Condition.code.coding" />
      <short value="Diagnosis codings" />
      <definition value="coding[1] = ITCC diagnosis list, coding[2] = WHO list (optional)." />
      <min value="1" />
      <max value="2" />
      <mustSupport value="true" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <!-- coding[1] Diagnosis list -->
    <element id="Condition.code.coding:diagnosis">
      <path value="Condition.code.coding" />
      <sliceName value="diagnosis" />
      <short value="Diagnosis code (ITCC list)" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://www.itcc-consortium.org/fhir/ValueSet/itcc-core-clinical-diagnosis-vs" />
      </binding>
    </element>
    <!-- coding[2] WHO list -->
    <element id="Condition.code.coding:who">
      <path value="Condition.code.coding" />
      <sliceName value="who" />
      <short value="WHO list code" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="false" />
      <!-- If you already have a WHO ValueSet, bind it here. Otherwise leave unbound for now. -->
      <!--
      <binding>
        <strength value="required" />
        <valueSet value="https://www.itcc-consortium.org/fhir/ValueSet/itcc-core-who-diagnosis-vs" />
      </binding>
      -->
    </element>
    <!-- Age in months (mapping: number). FHIR: Age (Quantity). We constrain to months -->
    <element id="Condition.onsetAge">
      <path value="Condition.onsetAge" />
      <short value="Age in months" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.onsetAge.value">
      <path value="Condition.onsetAge.value" />
      <short value="Age value" />
      <min value="1" />
      <max value="1" />
    </element>
    <!-- Constrain unit to months so the 'number' is unambiguous -->
    <element id="Condition.onsetAge.system">
      <path value="Condition.onsetAge.system" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Condition.onsetAge.code">
      <path value="Condition.onsetAge.code" />
      <min value="1" />
      <max value="1" />
      <fixedCode value="mo" />
    </element>
    <element id="Condition.onsetAge.unit">
      <path value="Condition.onsetAge.unit" />
      <min value="0" />
      <max value="1" />
    </element>
    <!-- Year/date of diagnosis/event (mapping: Date). FHIR: dateTime primitive -->
    <element id="Condition.onsetDateTime">
      <path value="Condition.onsetDateTime" />
      <short value="Date of diagnosis/event" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <!-- Condition type (mapping: primary|relapse|progression|unknown) -->
    <element id="Condition.category">
      <path value="Condition.category" />
      <short value="Condition type" />
      <definition value="primary | relapse | progression | unknown" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://www.itcc-consortium.org/fhir/ValueSet/itcc-core-disease-evolution-vs" />
      </binding>
    </element>
    <!-- Disease extent reference (mapping calls it String; in FHIR it's Reference) -->
    <element id="Condition.stage">
      <path value="Condition.stage" />
      <short value="Stage container" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment" />
      <short value="Reference to Disease Extent" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>