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NPCR_Prostate_Cancer_Condition
Profile for prostate cancer diagnosis as recorded in NPCR. This Condition represents the prostate cancer diagnosis itself (the inclusion criterion for NPCR registration), coded with ICD-10-SE for prostate cancer (C61, OID 1.2.752.116.1.1.1.1.3, maintained by Socialstyrelsen).
INCLUSION CRITERION (NPCR informationsspecifikation diagnostik v1.6, Section 5.1): "Inklusionskriterie för registret är att patienten har diagnostiserats med ICD-10 kod för Prostatacancer." NPCR registers only patients with a confirmed prostate cancer diagnosis coded in ICD-10. Hence verificationStatus is fixed to "confirmed".
ONSET DATE — D_DiaDat (provtagningsdatum): The Condition.onsetDateTime corresponds to NPCR variable D_DiaDat (provtagningsdatum), which is the anchor date for most NKRR extraction rules across NPCR data classes. Per NPCR informationsspecifikation diagnostik v1.6 Section 5.1, provtagningsdatum is determined in the following priority:
- The date of TRUS and biopsy (first morphological examination — histopathological or cytological diagnostic confirming invasive prostate cancer)
- If provtagningsdatum is missing, the date of PAD-svar (pathology report)
- If only clinical diagnosis is available (no morphological examination planned), the date when the clinical diagnosis was established
CODE SYSTEM: ICD-10-SE OID 1.2.752.116.1.1.1.1.3 is documented in NPCR informationsspecifikation strålbehandling v0.81 (Section 10) and used in NPCR informationsspecifikation utredning och behandling v1.31 (Section 8.1.3 Urval_NPCR_diagnos). Although the diagnostik (Anmälan) info spec Section 10 does not list ICD-10-SE, Section 5.1 explicitly states that ICD-10 prostate cancer codes constitute the registration inclusion criterion.
CLINICAL STATUS: At time of NPCR Anmälan registration, clinicalStatus is typically "active". It may be updated to "remission" or "resolved" in subsequent reporting forms (U&B, RP, RT, KUB).
Mapping from Anmälan:
- D_DiaDat → Condition.onsetDateTime
- D_DiaAge (age at diagnosis) is a derived variable from Patient.birthDate and Condition.onsetDateTime
- type Profile on Condition
- FHIR R4
- status Draft
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