description: 'Records the the primary cancer condition, the original or first neoplasm 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:
      slices:
        histologyMorphologyBehavior:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior', index: 1}
          min: 0
          max: 1
  code:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-primary-cancer-disorder-vs'}
    index: 2
  bodySite:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs'}
    mustSupport: true
    index: 3
    extensions:
      locationQualifier: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier', min: 0, short: General location qualifier (excluding laterality) for this bodySite, type: Extension, mustSupport: true, index: 4}
      lateralityQualifier: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier', min: 0, max: 1, short: Laterality qualifier for this bodySite, type: Extension, mustSupport: true, index: 5}
    elements:
      extension:
        short: General location qualifier (excluding laterality) for this bodySite
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
        index: 4
        slicing:
          slices:
            locationQualifier:
              match: {}
              schema: {short: General location qualifier (excluding laterality) for this bodySite, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier', index: 4}
              min: 0
            lateralityQualifier:
              match: {}
              schema: {short: Laterality qualifier for this bodySite, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier', index: 5}
              min: 0
              max: 1
  stage:
    mustSupport: true
    index: 6
    elements:
      summary: {short: Stage at time of last staging., index: 7}
      assessment:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage']
        index: 8
      type:
        short: The type of stage Staging system or method used.
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs'}
        index: 9
  evidence:
    elements:
      code:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disease-status-evidence-type-vs'}
        orderMeaning: If more than one code or Reference is present, it is interpreted as the the physician's declaration of how the cancer was diagnosed, with the most invasive method first (e.g., autopsy/histopathology, cytology, radiology, physicial exam, etc.)
        index: 10
package_version: 4.0.0-ballot
extensions:
  histologyMorphologyBehavior: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
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-problems-health-concerns
version: 4.0.0-ballot