{
  "description": "Corresponds to the primary diagnosis. Parameters for classifying the primary disease are recorded. These include ICD-10, ICD-O-3 (topography) and lateral localization. Links to histology (topography) and the TNM classifications (pathological/clinical)",
  "_filename": "StructureDefinition-cce-core-Condition-Primarydiagnosis.json",
  "package_name": "cce.fhir.full",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "Primarydiagnosis",
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.2.0",
  "status": "draft",
  "id": "17dc9eca-e117-44e8-a47d-fdaa5165650c",
  "kind": "resource",
  "url": "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Condition-Primarydiagnosis",
  "version": "0.0.1",
  "differential": {
    "element": [ {
      "id": "Condition.code",
      "min": 1,
      "path": "Condition.code",
      "short": "Code of the primary diagnosis",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding",
      "path": "Condition.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:icd10-gm",
      "max": "1",
      "path": "Condition.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingICD10GM" ]
      } ],
      "short": "Code defined by ICD- system",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/bfarm/icd-10-gm"
      },
      "sliceName": "icd10-gm",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:icd10-gm.system",
      "path": "Condition.code.coding.system",
      "short": "ICD-10-GM"
    }, {
      "id": "Condition.code.coding:icd10-gm.version",
      "path": "Condition.code.coding.version",
      "short": "Version of the ICD-10 catalog",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/ICDVersionVS",
        "description": "ICD-10-Catalog (Version)"
      },
      "mapping": [ {
        "map": "Diagnosis:Primarytumor_ICD_Version",
        "comment": "Diagnosis:Primarytumor_ICD_Version",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:3:2",
        "comment": "urn:dktk:dataelement:3:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Catalog version of the ICD",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:icd10-gm.code",
      "path": "Condition.code.coding.code",
      "short": "Primarydiagnosis",
      "mapping": [ {
        "map": "Diagnosis:Primarytumor_ICD_Code",
        "comment": "Diagnosis:Primarytumor_ICD_Code",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:29:2",
        "comment": "urn:dktk:dataelement:29:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Coding of the patient’s disease (diagnosis) based on the current ICD classification",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:alpha-id",
      "max": "1",
      "path": "Condition.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingAlphaID" ]
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/bfarm/alpha-id"
      },
      "sliceName": "alpha-id"
    }, {
      "id": "Condition.code.coding:alpha-id.system",
      "path": "Condition.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:alpha-id.code",
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:sct",
      "max": "1",
      "path": "Condition.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct"
      },
      "sliceName": "sct",
      "mustSupport": false
    }, {
      "id": "Condition.code.coding:sct.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:sct.code",
      "min": 1,
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:orphanet",
      "max": "1",
      "path": "Condition.code.coding",
      "sliceName": "orphanet",
      "mustSupport": false
    }, {
      "id": "Condition.code.coding:orphanet.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://www.orpha.net",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:orphanet.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.text",
      "path": "Condition.code.text",
      "short": "Primary tumor diagnosis text",
      "mapping": [ {
        "map": "Diagnosis:Primarytumor_Diagnostictext",
        "comment": "Diagnosis:Primarytumor_Diagnostictext",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:28:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Description of a disease as free text",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite",
      "path": "Condition.bodySite",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding",
      "min": 1,
      "path": "Condition.bodySite.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T",
      "max": "1",
      "path": "Condition.bodySite.coding",
      "short": "ICD O-3 Topography",
      "sliceName": "ICD-O-3-T",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "short": "ICD-O-3",
      "fixedUri": "urn:oid:2.16.840.1.113883.6.43.1"
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.version",
      "min": 1,
      "path": "Condition.bodySite.coding.version",
      "short": "ICD-O catalog topography (version)",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/ICDOVersionVS",
        "description": "ICD-O-3 Version"
      },
      "mapping": [ {
        "map": "Diagnosis:Primarytumor_Topography_ICD_O_Version",
        "comment": "Diagnosis:Primarytumor_Topography_ICD_O_Version",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:5:2",
        "comment": "urn:dktk:dataelement:5:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Catalogue version of ICD-O",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ICD-O-3-T.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code",
      "short": "Localization",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TopographyICDO3VS",
        "description": "ICD-O-3 Topography"
      },
      "mapping": [ {
        "map": "Diagnosis:Primarytumor_Topography_ICD_O",
        "comment": "Diagnosis:Primarytumor_Topography_ICD_O",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:4:2",
        "comment": "urn:dktk:dataelement:4:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Designation of the topography of a disease based on the current ICD-O-3 classification",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ADT-Sitelocation",
      "max": "1",
      "path": "Condition.bodySite.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/SitelocationVS"
      },
      "sliceName": "ADT-Sitelocation",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:ADT-Sitelocation.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "fixedUri": "https://www.cancercoreeurope.eu/fhir/core/CodeSystem/SitelocationCS"
    }, {
      "id": "Condition.bodySite.coding:ADT-Sitelocation.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code",
      "short": "Site location according to ADT-GEKID",
      "mapping": [ {
        "map": "Diagnosis:Sitelocation",
        "comment": "Diagnosis:Sitelocation",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:6:2",
        "comment": "urn:dktk:dataelement:6:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Organ-specific information of the affected side",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:snomed-ct",
      "max": "1",
      "path": "Condition.bodySite.coding",
      "sliceName": "snomed-ct",
      "mustSupport": false
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code"
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Patient", "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Pseudonym" ]
      } ],
      "short": "Patient who has the condition",
      "mustSupport": true
    }, {
      "id": "Condition.subject.reference",
      "min": 1,
      "path": "Condition.subject.reference",
      "mustSupport": true
    }, {
      "id": "Condition.encounter",
      "path": "Condition.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Encounter-Fall" ]
      } ]
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Tumor Diagnosisdate",
      "mapping": [ {
        "map": "Diagnosis:Diagnosisdate",
        "comment": "Diagnosis:Diagnosisdate",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:83:3",
        "comment": "urn:dktk:dataelement:83:3",
        "identity": "ISO-11179"
      } ],
      "sliceName": "onsetDateTime",
      "definition": "The date on which the reportable diagnosis was first diagnosed clinically or microscopically by a physician",
      "mustSupport": true
    }, {
      "id": "Condition.stage",
      "path": "Condition.stage",
      "mustSupport": false
    }, {
      "id": "Condition.stage.assessment",
      "path": "Condition.stage.assessment",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-TNMp", "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-TNMc" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.stage.assessment.reference",
      "min": 1,
      "path": "Condition.stage.assessment.reference"
    }, {
      "id": "Condition.evidence",
      "path": "Condition.evidence",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.code",
      "max": "1",
      "path": "Condition.evidence.code",
      "short": "Diagnostic backup",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/DiagnosticbackupVS",
        "description": "Diagnostic backup"
      },
      "definition": "Highest achieved diagnostic certainty on the date of diagnosis",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.code.coding.system",
      "path": "Condition.evidence.code.coding.system",
      "fixedUri": "https://www.cancercoreeurope.eu/fhir/core/CodeSystem/DiagnosticbackupCS",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.code.coding.code",
      "path": "Condition.evidence.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.detail",
      "path": "Condition.evidence.detail",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-Histology", "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-GeneticVariant" ]
      } ],
      "mustSupport": false
    }, {
      "id": "Condition.evidence.detail.reference",
      "min": 1,
      "path": "Condition.evidence.detail.reference"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}