Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
code		0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
text	S	1..1	string	Descripción Textual del Tumor
bodySite		0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
subject		1..1	Reference(Paciente)	Who has the condition?
encounter		0..1	Reference(Historia Clínica)	Encounter created as part of
onset[x]	S	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetAge	S	1..1	Age	Estimated or actual date, date-time, or age
asserter		0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage		0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:estadioDiagnostico		0..1	BackboneElement	Stage/grade, usually assessed formally
assessment
display		1..1	string	Resumen del Estadío TNM al Diagnóstico
type		0..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
stage:estadioClinico		0..1	BackboneElement	Stage/grade, usually assessed formally
summary		0..1	CodeableConcept	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
type		0..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
evidence	S	1..1	BackboneElement	Detalles de Diagnostico
code	S	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	S	0..1	Reference(Estudio)	Estudio Diagnóstico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
text	SΣ	1..1	string	Descripción Textual del Tumor
bodySite	Σ	0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
subject	Σ	1..1	Reference(Paciente)	Who has the condition?
encounter	Σ	0..1	Reference(Historia Clínica)	Encounter created as part of
Slices for onset[x]	SΣ	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetAge	SΣ	1..1	Age	Estimated or actual date, date-time, or age
asserter	Σ	0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stage:estadioDiagnostico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
stage:estadioClinico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
evidence	SC	1..1	BackboneElement	Detalles de Diagnostico
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	SΣC	0..1	Reference(Estudio)	Estudio Diagnóstico
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage:estadioDiagnostico.type	example	Pattern: LOINC code 21902-2("Stage group.pathology Cancer")
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.stage:estadioClinico.type	example	Pattern: LOINC code 21908-9("Stage group.clinical Cancer")
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:estadioDiagnostico, Condition.stage:estadioClinico	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	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-5	error	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()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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-4	error	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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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	Σ	0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
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	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Descripción Textual del Tumor
bodySite	Σ	0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
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
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Paciente)	Who has the condition?
encounter	Σ	0..1	Reference(Historia Clínica)	Encounter created as part of
Slices for onset[x]	SΣ	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetAge	SΣ	1..1	Age	Estimated or actual date, date-time, or age
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:All Slices				Content/Rules for all slices
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).
stage:estadioDiagnostico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	1..1	string	Resumen del Estadío TNM al Diagnóstico
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
stage:estadioClinico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
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	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
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). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
evidence	SC	1..1	BackboneElement	Detalles de Diagnostico
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	SΣC	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	SΣC	0..1	Reference(Estudio)	Estudio Diagnóstico
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.stage:estadioDiagnostico.summary	example	ConditionStage
Condition.stage:estadioDiagnostico.assessment.type	extensible	ResourceType
Condition.stage:estadioDiagnostico.type	example	Pattern: LOINC code 21902-2("Stage group.pathology Cancer")
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.stage:estadioClinico.type	example	Pattern: LOINC code 21908-9("Stage group.clinical Cancer")
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:estadioDiagnostico, Condition.stage:estadioClinico	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Paciente (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY)
• Historia Clínica (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY)
• Profesional (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY)
• Estudio (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstudioPY)

Extensions

This structure refers to these extensions:

• http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
• http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia
• http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad

Slices

This structure defines the following Slices:

• The element Condition.onset[x] is sliced based on the value of type:$this
• The element Condition.stage is sliced based on the value of pattern:$this.type

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
code		0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
text	S	1..1	string	Descripción Textual del Tumor
bodySite		0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
subject		1..1	Reference(Paciente)	Who has the condition?
encounter		0..1	Reference(Historia Clínica)	Encounter created as part of
onset[x]	S	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetAge	S	1..1	Age	Estimated or actual date, date-time, or age
asserter		0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage		0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:estadioDiagnostico		0..1	BackboneElement	Stage/grade, usually assessed formally
assessment
display		1..1	string	Resumen del Estadío TNM al Diagnóstico
type		0..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
stage:estadioClinico		0..1	BackboneElement	Stage/grade, usually assessed formally
summary		0..1	CodeableConcept	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
type		0..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
evidence	S	1..1	BackboneElement	Detalles de Diagnostico
code	S	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	S	0..1	Reference(Estudio)	Estudio Diagnóstico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	Σ	0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
text	SΣ	1..1	string	Descripción Textual del Tumor
bodySite	Σ	0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
subject	Σ	1..1	Reference(Paciente)	Who has the condition?
encounter	Σ	0..1	Reference(Historia Clínica)	Encounter created as part of
Slices for onset[x]	SΣ	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetAge	SΣ	1..1	Age	Estimated or actual date, date-time, or age
asserter	Σ	0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
stage:estadioDiagnostico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
stage:estadioClinico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
evidence	SC	1..1	BackboneElement	Detalles de Diagnostico
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	SΣC	0..1	Reference(Estudio)	Estudio Diagnóstico
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage:estadioDiagnostico.type	example	Pattern: LOINC code 21902-2("Stage group.pathology Cancer")
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.stage:estadioClinico.type	example	Pattern: LOINC code 21908-9("Stage group.clinical Cancer")
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:estadioDiagnostico, Condition.stage:estadioClinico	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	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-5	error	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()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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-4	error	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-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses
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		0..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostico		0..1	date	Fecha Diagnostico URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
GradoDiferenciacionHistologica		0..1	Coding	Grado Diferenciación Histologica URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica Binding: Grado de Diferenciacion Histologica (set) (required)
ComportamientoTumor		0..1	Coding	Comportamiento Tumor URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor Binding: Comportamiento de Tumor (set) (required)
MorfologiaTumor		0..1	Coding	Clasificación CIE-O Morfología URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia Binding: Morfologia de Tumor (set) (required)
TopografiaTumor		0..1	Coding	Clasificación Topografía URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia Binding: Topografia de Tumor (set) (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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	Σ	0..1	CodeableConcept	Código Diagnóstico Binding: Diagnóstico (set) (required)
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	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Descripción Textual del Tumor
bodySite	Σ	0..*	CodeableConcept	Localizacion Primaria Binding: Localizacion Primaria de Tumor (set) (required)
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
Lateralidad		0..1	Coding	Codigo de Lateralidad URL: http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad Binding: Lateralidad (set) (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Paciente)	Who has the condition?
encounter	Σ	0..1	Reference(Historia Clínica)	Encounter created as part of
Slices for onset[x]	SΣ	1..1	Age	Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetAge	SΣ	1..1	Age	Estimated or actual date, date-time, or age
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Profesional)	Person who asserts this condition
Slices for stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:$this.type
stage:All Slices				Content/Rules for all slices
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).
stage:estadioDiagnostico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	1..1	string	Resumen del Estadío TNM al Diagnóstico
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21902-2
display		1..1	string	Representation defined by the system Fixed Value: Stage group.pathology Cancer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
stage:estadioClinico	C	0..1	BackboneElement	Stage/grade, usually assessed formally
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	Codigo de Estadío Clínico Binding: Estadio Clinico (set) (required)
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). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21908-9
display		1..1	string	Representation defined by the system Fixed Value: Stage group.clinical Cancer
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
evidence	SC	1..1	BackboneElement	Detalles de Diagnostico
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	SΣC	1..1	CodeableConcept	Base de Diagnóstico Binding: Base Diagnostica de Tumor (set) (required)
detail	SΣC	0..1	Reference(Estudio)	Estudio Diagnóstico
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	required	ClinDiagnosticoVS
Condition.bodySite	required	ClinLocalizacionPrimariaVS
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.stage:estadioDiagnostico.summary	example	ConditionStage
Condition.stage:estadioDiagnostico.assessment.type	extensible	ResourceType
Condition.stage:estadioDiagnostico.type	example	Pattern: LOINC code 21902-2("Stage group.pathology Cancer")
Condition.stage:estadioClinico.summary	required	ClinEstadioClinicoVS (a valid code from Estadio Clinico (codes))
Condition.stage:estadioClinico.type	example	Pattern: LOINC code 21908-9("Stage group.clinical Cancer")
Condition.evidence.code	required	ClinBaseDiagnosticoVS (a valid code from Base de Diagnóstico (codes))

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:estadioDiagnostico, Condition.stage:estadioClinico	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Paciente (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY)
• Historia Clínica (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY)
• Profesional (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY)
• Estudio (http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstudioPY)

Extensions

This structure refers to these extensions:

• http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico
• http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia
• http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia
• http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad

Slices

This structure defines the following Slices:

• The element Condition.onset[x] is sliced based on the value of type:$this
• The element Condition.stage is sliced based on the value of pattern:$this.type