<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CancerDiagnosisCondition" />
  <meta>
    <versionId value="2" />
    <lastUpdated value="2016-11-27T05:16:02.527+00:00" />
  </meta>
  <url value="http://icecoldfhirga.tech/baseDstu3/StructureDefinition/CancerDiagnosisCondition" />
  <identifier>
    <system value="http://clinfhir.com" />
    <value value="author" />
  </identifier>
  <name value="CancerDiagnosisCondition" />
  <status value="active" />
  <experimental value="true" />
  <publisher value="http://icecoldfhirga.tech/baseDstu3/" />
  <kind value="resource" />
  <abstract value="false" />
  <snapshot>
    <element id="Condition">
      <path value="Condition" />
      <short value="Detailed information about conditions, problems or diagnoses" />
      <definition value="Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a diagnosis during an encounter; populating a problem list or a summary statement, such as a discharge summary." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="DomainResource" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PPR message" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value&lt;Diagnosis]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="clinical.general" />
      </mapping>
    </element>
    <element id="Condition.id">
      <path value="Condition.id" />
      <definition value="Id" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="id" />
      </type>
    </element>
    <element id="Condition.meta">
      <path value="Condition.meta" />
      <definition value="The meta element" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Resource.meta" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Meta" />
      </type>
    </element>
    <element id="Condition.text">
      <path value="Condition.text" />
      <definition value="Narrative" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="DomainResource.text" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Narrative" />
      </type>
    </element>
    <element id="Condition.identifier">
      <path value="Condition.identifier" />
      <short value="External Ids for this condition" />
      <definition value="This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)." />
      <requirements value="Need to allow connection to a wider workflow." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Identifier" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value=".id" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="id" />
      </mapping>
    </element>
    <element id="Condition.patient">
      <path value="Condition.patient" />
      <short value="Who has the condition?" />
      <definition value="Indicates the patient who the condition record is associated with." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PID-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="who.focus" />
      </mapping>
    </element>
    <element id="Condition.encounter">
      <path value="Condition.encounter" />
      <short value="Encounter when condition first asserted" />
      <definition value="Encounter during which the condition was first asserted." />
      <comment value="This record indicates the encounter this particular record is associated with.  In the case of a &quot;new&quot; diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first &quot;known&quot;." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PV1-19 (+PV1-54)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="context" />
      </mapping>
    </element>
    <element id="Condition.asserter">
      <path value="Condition.asserter" />
      <short value="Person who asserts this condition" />
      <definition value="Individual who is making the condition statement." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="REL-7.1 identifier + REL-7.12 type code" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=AUT].role" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="who.author" />
      </mapping>
    </element>
    <element id="Condition.dateRecorded">
      <path value="Condition.dateRecorded" />
      <short value="When first entered" />
      <definition value="A date, when  the Condition statement was documented." />
      <comment value="The Date Recorded represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="date" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="REL-11" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=AUT].time" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="when.recorded" />
      </mapping>
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <short value="Identification of the condition, problem or diagnosis" />
      <definition value="Identification of the condition, problem or diagnosis." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Identification of the condition or diagnosis." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-code" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PRB-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".value" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="what" />
      </mapping>
    </element>
    <element id="Condition.category">
      <path value="Condition.category" />
      <short value="complaint | symptom | finding | diagnosis" />
      <definition value="A category assigned to the condition." />
      <comment value="The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="preferred" />
        <description value="A category assigned to the condition." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-category" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="class" />
      </mapping>
    </element>
    <element id="Condition.clinicalStatus">
      <path value="Condition.clinicalStatus" />
      <short value="active | relapse | remission | resolved" />
      <definition value="The clinical status of the condition." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="preferred" />
        <description value="The clinical status of the condition or diagnosis." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-clinical" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PRB-14 / DG1-6" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="status" />
      </mapping>
    </element>
    <element id="Condition.verificationStatus">
      <path value="Condition.verificationStatus" />
      <short value="provisional | differential | confirmed | refuted | entered-in-error | unknown" />
      <definition value="The verification status to support the clinical status of the condition." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isSummary value="true" />
      <binding>
        <strength value="required" />
        <description value="The verification status to support or decline the clinical status of the condition or diagnosis." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-ver-status" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PRB-13" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".code (pre or post-coordinated in)  Can use valueNegationInd for refuted" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="status" />
      </mapping>
    </element>
    <element id="Condition.severity">
      <path value="Condition.severity" />
      <short value="Subjective severity of condition" />
      <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician." />
      <comment value="Coding of the severity with a terminology is preferred, where possible." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="preferred" />
        <description value="A subjective assessment of the severity of the condition as evaluated by the clinician." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-severity" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PRB-26 / ABS-3" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;severity&quot;].value" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="grade" />
      </mapping>
    </element>
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]" />
      <short value="Estimated or actual date,  date-time, or age" />
      <definition value="Estimated or actual date or date-time  the condition began, in the opinion of the clinician." />
      <comment value="Age is generally used when the patient reports an age at which the Condition began to occur." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Age" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="PRB-16" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;age at onset&quot;].value" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="when.init" />
      </mapping>
    </element>
    <element id="Condition.abatement[x]">
      <path value="Condition.abatement[x]" />
      <short value="If/when in resolution/remission" />
      <definition value="The date or estimated date that the condition resolved or went into remission. This is called &quot;abatement&quot; because of the many overloaded connotations associated with &quot;remission&quot; or &quot;resolution&quot; - Conditions are never really resolved, but they can abate." />
      <comment value="There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Age" />
      </type>
      <type>
        <code value="boolean" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <type>
        <code value="Range" />
      </type>
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;age at remission&quot;].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="when.done" />
      </mapping>
    </element>
    <element id="Condition.stage">
      <path value="Condition.stage" />
      <short value="Stage/grade, usually assessed formally" />
      <definition value="Clinical stage or grade of a condition. May include formal severity assessments." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="summary or assessment" />
        </extension>
        <key value="con-1" />
        <severity value="error" />
        <human value="Stage SHALL have summary or assessment" />
        <xpath value="exists(f:summary) or exists(f:assessment)" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;stage/grade&quot;]" />
      </mapping>
    </element>
    <element id="Condition.stage.summary">
      <path value="Condition.stage.summary" />
      <short value="Simple summary (disease specific)" />
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot;. The determination of the stage is disease-specific." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="con-1" />
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Codes describing condition stages (e.g. Cancer stages)." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-stage" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="PRB-14" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".value" />
      </mapping>
    </element>
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment" />
      <short value="Formal record of assessment" />
      <definition value="Reference to a formal record of the evidence on which the staging assessment is based." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </type>
      <condition value="con-1" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value=".self" />
      </mapping>
    </element>
    <element id="Condition.evidence">
      <path value="Condition.evidence" />
      <short value="Supporting evidence" />
      <definition value="Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed." />
      <comment value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="code or detail" />
        </extension>
        <key value="con-2" />
        <severity value="error" />
        <human value="evidence SHALL have code or details" />
        <xpath value="exists(f:code) or exists(f:detail)" />
      </constraint>
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="Condition.evidence.code">
      <path value="Condition.evidence.code" />
      <short value="Manifestation/symptom" />
      <definition value="A manifestation or symptom that led to the recording of this condition." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="con-2" />
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Codes that describe the manifestation or symptoms of a condition." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/manifestation-or-symptom" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="[code=&quot;diagnosis&quot;].value" />
      </mapping>
    </element>
    <element id="Condition.evidence.detail">
      <path value="Condition.evidence.detail" />
      <short value="Supporting information found elsewhere" />
      <definition value="Links to other relevant information, including pathology reports." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource" />
      </type>
      <condition value="con-2" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value=".self" />
      </mapping>
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <short value="Anatomical location, if relevant" />
      <definition value="The anatomical location where this condition manifests itself." />
      <comment value="May be a summary code, or a reference to a very precise definition of the location, or both." />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <isSummary value="true" />
      <binding>
        <strength value="example" />
        <description value="Codes describing anatomical locations. May include laterality." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/body-site" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim" />
        <map value=".targetBodySiteCode" />
      </mapping>
    </element>
    <element id="Condition.notes">
      <path value="Condition.notes" />
      <short value="Additional information about the Condition" />
      <definition value="Additional information about the Condition. This is a general notes/comments entry  for description of the Condition, its diagnosis and prognosis." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="v2" />
        <map value="NTE child of PRB" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value" />
      </mapping>
    </element>
    <element id="Condition.extension">
      <path value="Condition.extension" />
      <sliceName value="grade" />
      <definition value="an extension" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://icecoldfhirga.tech/baseDstu3/grade" />
      </type>
    </element>
  </snapshot>
</StructureDefinition>