description: 'Records the the primary cancer condition, the original or first tumor in the body (Definition from: [NCI Dictionary of Cancer Terms](https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor)). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.'
package_name: hl7.fhir.us.mcode
derivation: constraint
name: PrimaryCancerCondition
type: Condition
elements:
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        assertedDate:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', index: 1}
          min: 0
          max: 1
        histologyMorphologyBehavior:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior', index: 2}
          min: 0
          max: 1
  code:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-or-uncertain-behavior-cancer-disorder-vs'}
    constraint:
      primary-cancer-condition-code-invariant: {human: 'If the code representing ''Other primary cancer condition, specify'' is used, a second code from outside the original value set must be present. The second code MUST NOT represent a concept in or subsumed by any concept in the original value set.', source: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition', severity: error, expression: 'coding.where(code = ''PCC-OTHER'').exists() implies coding.where(code != ''PCC-OTHER'' and $this.memberOf(''http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-or-uncertain-behavior-cancer-disorder-vs'').not()).exists()'}
    index: 3
  bodySite:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs'}
    mustSupport: true
    index: 4
    extensions:
      locationQualifier: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-location-qualifier', min: 0, type: Extension, mustSupport: true, index: 5}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-location-qualifier
        index: 5
        slicing:
          slices:
            locationQualifier:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-location-qualifier', index: 5}
              min: 0
  stage:
    mustSupport: true
    index: 6
    elements:
      summary: {short: Most recent Stage Group, index: 7}
      assessment:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group']
        index: 8
      type:
        short: Staging system used.
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-observation-codes-stage-group-vs'}
        index: 9
package_version: 1.16.0
extensions:
  assertedDate: {url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  histologyMorphologyBehavior: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition
version: 1.16.0