description: 'This profile defines how to represent Primary Cancer Condition in HL7 FHIR for the purpose of the PanCareSurPass project. \r\nThis profile is inspired from the [mCode IG](http://build.fhir.org/ig/HL7/fhir-mCODE-ig). \r\nA 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.\r\nThis profile should be also used for documenting primary cancer relapses during or after FLT.'
package_name: hl7.eu.fhir.pcsp
derivation: constraint
name: ConditionPrimaryCancerPcsp
type: Condition
elements:
  onset:
    mustSupport: true
    choices: []
    index: 24
  clinicalStatus: {index: 12}
  stage:
    mustSupport: true
    index: 25
    elements:
      summary: {short: Most recent Stage Group, index: 26}
      assessment:
        type: Reference
        refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-cancer-stage-group']
        index: 27
      type: {short: Staging system used., index: 28}
  encounter:
    type: Reference
    refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Encounter-eu-pcsp', 'http://hl7.org/fhir/StructureDefinition/Encounter']
    index: 22
  evidence:
    index: 29
    slicing:
      rules: open
      description: Slice based on the coding.code pattern
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        diagnosisDetails:
          match: {code: null}
          schema:
            short: Diagnosis details
            index: 30
            elements:
              code:
                binding: {strength: required, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp'}
                index: 31
              detail:
                type: Reference
                refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp']
                index: 32
        geneticMarker:
          match:
            code:
              coding:
              - {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding}
          schema:
            short: Genetic Marker
            index: 33
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '106221001', system: 'http://snomed.info/sct', display: Genetic finding}
                index: 34
              detail:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 35
                elements:
                  display: {short: Text alternative for the resource (Genetic finding), index: 36}
            required: [code]
        immunology:
          match:
            code:
              coding:
              - {code: '365861007', system: 'http://snomed.info/sct', display: Finding of immune status}
          schema:
            short: Immunology
            index: 37
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '365861007', system: 'http://snomed.info/sct', display: Finding of immune status}
                index: 38
              detail:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 39
                elements:
                  display: {short: Text alternative for the resource (immunology), index: 40}
            required: [code]
        predisposition:
          match: {code: null}
          schema:
            short: Predisposition
            index: 41
            elements:
              code:
                binding: {strength: required, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-hereditary-eu-pcsp'}
                index: 42
              detail:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory', 'http://hl7.org/fhir/StructureDefinition/Observation']
                index: 43
                elements:
                  display: {short: Text alternative for the resource (predisposition), index: 44}
                slicing:
                  rules: open
                  description: Slice based on the reference type
                  discriminator:
                  - {path: $this.resolve(), type: type}
                  min: null
                  slices:
                    observation:
                      match: {}
                      schema:
                        type: Reference
                        mustSupport: true
                        refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-predisposition-eu-pcsp']
                        index: 45
                      min: 0
                      max: 1
  note: {short: Additional information about the Cancer Condition, index: 46}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        condition-occurredFollowing:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
            index: 1
            elements:
              valueCodeableConcept: {type: CodeableConcept, index: 2}
              valueReference:
                type: Reference
                short: For relapses, reference to the first occurance of this tumor.
                refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp']
                index: 3
        assertedDate:
          match: {url: null}
          schema: {type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', index: 4}
          min: 0
          max: 1
        histologyMorphologyBehavior:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
            index: 5
            elements:
              value:
                choices: []
                index: 7
        previousStatus:
          match: {url: null}
          schema: {type: Extension, url: 'http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus', index: 8}
          min: 0
          max: 1
        relapseType:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
            index: 9
            elements:
              value:
                choices: []
                index: 11
  code:
    mustSupport: true
    index: 13
    elements:
      coding:
        mustSupport: true
        index: 14
        slicing:
          rules: open
          description: Slice based on the coding.code pattern
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            iccc3-classification:
              match: {}
              schema:
                binding: {strength: required, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-iccc3-eu-pcsp'}
                mustSupport: true
                index: 15
              min: 0
              max: 1
            exceptions:
              match: {}
              schema:
                binding: {strength: required, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ClassNullFlavor'}
                index: 16
              min: 0
              max: 1
  bodySite:
    binding: {strength: extensible, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-icdo3-topography-eu-pcsp'}
    index: 17
    extensions:
      locationQualifier: {url: 'http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier', min: 0, type: Extension, index: 18}
      lateralityQualifier:
        url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
        type: Extension
        index: 19
        elements:
          valueCodeableConcept:
            binding: {strength: preferred, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs'}
            index: 20
        required: [valueCodeableConcept]
    elements:
      extension:
        type: Extension
        url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
        index: 18
        slicing:
          slices:
            locationQualifier:
              match: {}
              schema: {type: Extension, url: 'http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier', index: 18}
              min: 0
            lateralityQualifier:
              match: {}
              schema:
                type: Extension
                url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
                index: 19
                elements:
                  valueCodeableConcept:
                    binding: {strength: preferred, valueSet: 'http://hl7.eu/fhir/ig/pcsp/ValueSet/laterality-qualifier-lrub-vs'}
                    index: 20
                required: [valueCodeableConcept]
  subject:
    type: Reference
    refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp']
    index: 21
package_version: 0.1.0
extensions:
  condition-occurredFollowing:
    url: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
    type: Extension
    index: 1
    elements:
      valueCodeableConcept: {type: CodeableConcept, index: 2}
      valueReference:
        type: Reference
        short: For relapses, reference to the first occurance of this tumor.
        refers: ['http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp']
        index: 3
  assertedDate: {url: 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate', min: 0, max: 1, type: Extension, index: 4}
  histologyMorphologyBehavior:
    url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
    type: Extension
    index: 5
    elements:
      value:
        choices: []
        index: 7
  previousStatus: {url: 'http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus', min: 0, max: 1, type: Extension, index: 8}
  relapseType:
    url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType
    type: Extension
    index: 9
    elements:
      value:
        choices: []
        index: 11
class: profile
kind: resource
url: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp
base: http://hl7.org/fhir/StructureDefinition/Condition
version: 0.1.0
required: [code]