HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)
This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "StructureDefinition",
"id" : "oncology-BreastTumor",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>BC BreastTumor Profile</b></p>
<p>An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm. (source: NCI)</p>
<p><b>BC Mapping Summary</b></p>
<p><pre>oncology.BreastTumor maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition:
PersonOfRecord maps to subject
FindingSiteConditionTopic.Category maps to category
FindingSiteConditionTopic.TopicCode maps to code
constrain bodySite to 0..0
FindingSiteConditionTopic.AnatomicalLocation maps to http://hl7.org/fhir/StructureDefinition/condition-targetBodySite
ConditionPresenceContext.Encounter maps to context
ConditionPresenceContext.ClinicalStatus maps to clinicalStatus
ConditionPresenceContext.VerificationStatus maps to verificationStatus
ConditionPresenceContext.Onset maps to onset[x]
ConditionPresenceContext.Abatement maps to abatement[x]
ConditionPresenceContext.Severity maps to severity
ConditionPresenceContext.Stage maps to stage
ConditionPresenceContext.Stage.CodeableConcept maps to stage.summary
ConditionPresenceContext.Stage.StageDetail maps to stage.assessment
</pre></p>
</div>"
},
"url" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastTumor",
"identifier" : [
{
"system" : "http://hl7.org/fhir/us/breastcancer",
"value" : "oncology.BreastTumor"
}
],
"version" : "0.2.0",
"name" : "BreastTumorProfile",
"title" : "BC BreastTumor Profile",
"status" : "draft",
"date" : "2018-08-17T00:00:00+10:00",
"publisher" : "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cic/index.cfm"
}
]
}
],
"description" : "An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm. (source: NCI)",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"fhirVersion" : "3.0.1",
"mapping" : [
{
"identity" : "argonaut-dq-dstu2",
"uri" : "http://unknown.org/Argonaut%20DQ%20DSTU2",
"name" : "Argonaut DQ DSTU2"
},
{
"identity" : "sct-concept",
"uri" : "http://snomed.info/conceptdomain",
"name" : "SNOMED CT Concept Domain Binding"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/w5",
"name" : "W5 Mapping"
},
{
"identity" : "sct-attr",
"uri" : "http://snomed.info/sct",
"name" : "SNOMED CT Attribute Binding"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Condition",
"baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Condition:oncology-BreastTumor",
"path" : "Condition",
"short" : "BC BreastTumor Profile",
"definition" : "An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm. (source: NCI)",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "DomainResource"
},
{
"key" : "dom-1",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression" : "contained.text.empty()",
"xpath" : "not(parent::f:contained and f:text)",
"source" : "DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source" : "DomainResource"
},
{
"key" : "con-4",
"severity" : "error",
"human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
"expression" : "abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'",
"xpath" : "not(f:abatementBoolean/@value=true() or (not(exists(f:abatementBoolean)) and exists(*[starts-with(local-name(.), 'abatement')])) or f:clinicalStatus/@value=('resolved', 'remission', 'inactive'))",
"source" : "Condition"
},
{
"key" : "con-3",
"severity" : "error",
"human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error",
"expression" : "verificationStatus='entered-in-error' or clinicalStatus.exists()",
"xpath" : "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)",
"source" : "Condition"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
}
],
"key" : "us-core-1",
"severity" : "warning",
"human" : "A code in Condition.category SHOULD be from US Core Condition Category Codes value set.",
"expression" : "where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()",
"xpath" : "(no xpath equivalent)"
}
],
"mustSupport" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "sct-concept",
"map" : "< 243796009 |Situation with explicit context|:
246090004 |Associated finding| =
((< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|) OR
< 272379006 |Event|)"
},
{
"identity" : "v2",
"map" : "PPR message"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
},
{
"identity" : "w5",
"map" : "clinical.general"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.id",
"path" : "Condition.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "id"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.meta",
"path" : "Condition.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.implicitRules",
"path" : "Condition.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.
This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"isModifier" : true,
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.language",
"path" : "Condition.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "extensible",
"description" : "A human language.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"id" : "Condition:oncology-BreastTumor.text",
"path" : "Condition.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"condition" : [
"dom-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.contained",
"path" : "Condition.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension",
"path" : "Condition.extension",
"slicing" : {
"id" : "3",
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 2,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:breastsite",
"path" : "Condition.extension",
"sliceName" : "breastsite",
"definition" : "A body site specific to the breast structure.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/condition-targetBodySite"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode",
"path" : "Condition.extension",
"sliceName" : "topiccode",
"definition" : "The concept representing the finding or action that is the topic of the statement.
For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-TopicCode-extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.id",
"path" : "Condition.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.extension:extension",
"path" : "Condition.extension.extension",
"sliceName" : "extension",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.url",
"path" : "Condition.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-TopicCode-extension",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept",
"path" : "Condition.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.id",
"path" : "Condition.extension.valueCodeableConcept.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.extension",
"path" : "Condition.extension.valueCodeableConcept.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding",
"path" : "Condition.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "1",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Code defined by a terminology system",
"definition" : "A reference to a code defined by a terminology system.",
"comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1-8, C*E.10-22"
},
{
"identity" : "rim",
"map" : "union(., ./translation)"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000",
"path" : "Condition.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_395557000",
"short" : "Tumor finding (finding)",
"definition" : "Tumor finding (finding)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.id",
"path" : "Condition.extension.valueCodeableConcept.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.extension",
"path" : "Condition.extension.valueCodeableConcept.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.system",
"path" : "Condition.extension.valueCodeableConcept.coding.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://snomed.info/sct",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.version",
"path" : "Condition.extension.valueCodeableConcept.coding.version",
"short" : "Version of the system - if relevant",
"definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.code",
"path" : "Condition.extension.valueCodeableConcept.coding.code",
"short" : "Symbol in syntax defined by the system",
"definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "395557000",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.extension.valueCodeableConcept.coding.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.userSelected",
"path" : "Condition.extension.valueCodeableConcept.coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.extension.valueCodeableConcept.text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code="text/plain"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category",
"path" : "Condition.extension",
"sliceName" : "category",
"definition" : "A class or division of people or things having particular shared characteristics",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Category-extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.id",
"path" : "Condition.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.extension:extension",
"path" : "Condition.extension.extension",
"sliceName" : "extension",
"short" : "Extension",
"definition" : "An Extension",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.url",
"path" : "Condition.extension.url",
"representation" : [
"xmlAttr"
],
"short" : "identifies the meaning of the extension",
"definition" : "Source of the definition for the extension code - a logical name or a URL.",
"comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.url",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Category-extension",
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept",
"path" : "Condition.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.id",
"path" : "Condition.extension.valueCodeableConcept.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.extension",
"path" : "Condition.extension.valueCodeableConcept.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding",
"path" : "Condition.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "2",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Code defined by a terminology system",
"definition" : "A reference to a code defined by a terminology system.",
"comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1-8, C*E.10-22"
},
{
"identity" : "rim",
"map" : "union(., ./translation)"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam",
"path" : "Condition.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_exam",
"definition" : "A reference to a code defined by a terminology system.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.id",
"path" : "Condition.extension.valueCodeableConcept.coding.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.extension",
"path" : "Condition.extension.valueCodeableConcept.coding.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.system",
"path" : "Condition.extension.valueCodeableConcept.coding.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/observation-category",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.version",
"path" : "Condition.extension.valueCodeableConcept.coding.version",
"short" : "Version of the system - if relevant",
"definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.code",
"path" : "Condition.extension.valueCodeableConcept.coding.code",
"short" : "Symbol in syntax defined by the system",
"definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "exam",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.extension.valueCodeableConcept.coding.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.userSelected",
"path" : "Condition.extension.valueCodeableConcept.coding.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Condition.extension.valueCodeableConcept.text",
"short" : "Plain text representation of the concept",
"definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment" : "Very often the text is the same as a displayName of one of the codings.",
"requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code="text/plain"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.modifierExtension",
"path" : "Condition.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.identifier",
"path" : "Condition.identifier",
"short" : "External Ids for this condition",
"definition" : "This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
"requirements" : "Need to allow connection to a wider workflow.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".id"
},
{
"identity" : "w5",
"map" : "id"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.clinicalStatus",
"path" : "Condition.clinicalStatus",
"short" : "active | recurrence | inactive | remission | resolved",
"definition" : "The clinical status of the condition.",
"comment" : "This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.clinicalStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"con-3",
"con-4"
],
"mustSupport" : true,
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/condition-clinical"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 303105007 |Disease phases|"
},
{
"identity" : "v2",
"map" : "PRB-14 / DG1-6"
},
{
"identity" : "rim",
"map" : "Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value"
},
{
"identity" : "w5",
"map" : "status"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition.clinicalStatus"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.verificationStatus",
"path" : "Condition.verificationStatus",
"short" : "provisional | differential | confirmed | refuted | entered-in-error | unknown",
"definition" : "The verification status to support the clinical status of the condition.",
"comment" : "verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.
This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.verificationStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"defaultValueCode" : "unknown",
"condition" : [
"con-3"
],
"mustSupport" : true,
"isModifier" : true,
"isSummary" : true,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/condition-ver-status"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 410514004 |Finding context value|"
},
{
"identity" : "v2",
"map" : "PRB-13"
},
{
"identity" : "rim",
"map" : "Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value"
},
{
"identity" : "sct-attr",
"map" : "408729009"
},
{
"identity" : "w5",
"map" : "status"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition.verificationStatus"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.category",
"path" : "Condition.category",
"short" : "problem-list-item | encounter-diagnosis",
"definition" : "A category assigned to the condition.",
"comment" : "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Condition.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"binding" : {
"strength" : "preferred",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 404684003 |Clinical finding|"
},
{
"identity" : "v2",
"map" : "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"
},
{
"identity" : "rim",
"map" : ".code"
},
{
"identity" : "w5",
"map" : "class"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition.category"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.severity",
"path" : "Condition.severity",
"short" : "Subjective severity of condition",
"definition" : "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"comment" : "Coding of the severity with a terminology is preferred, where possible.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Condition.severity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionSeverity"
}
],
"strength" : "required",
"description" : "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/condition-severity"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 272141005 |Severities|"
},
{
"identity" : "v2",
"map" : "PRB-26 / ABS-3"
},
{
"identity" : "rim",
"map" : "Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value"
},
{
"identity" : "sct-attr",
"map" : "246112005"
},
{
"identity" : "w5",
"map" : "grade"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.code",
"path" : "Condition.code",
"short" : "Identification of the condition, problem or diagnosis",
"definition" : "Identification of the condition, problem or diagnosis.",
"requirements" : "0..1 to account for primarily narrative only resources.",
"alias" : [
"type"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mustSupport" : true,
"isSummary" : true,
"binding" : {
"strength" : "extensible",
"description" : "Valueset to describe the actual problem experienced by the patient",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/core/ValueSet/us-core-problem"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|)
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event|"
},
{
"identity" : "v2",
"map" : "PRB-3"
},
{
"identity" : "rim",
"map" : ".value"
},
{
"identity" : "sct-attr",
"map" : "246090004"
},
{
"identity" : "w5",
"map" : "what"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition.code"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.bodySite",
"path" : "Condition.bodySite",
"short" : "Anatomical location, if relevant",
"definition" : "The anatomical location where this condition manifests itself.",
"comment" : "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Condition.bodySite",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}
],
"strength" : "example",
"description" : "Codes describing anatomical locations. May include laterality.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/body-site"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 442083009 |Anatomical or acquired body structure|"
},
{
"identity" : "rim",
"map" : ".targetBodySiteCode"
},
{
"identity" : "sct-attr",
"map" : "363698007"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.subject",
"path" : "Condition.subject",
"short" : "Who has the condition?",
"definition" : "Indicates the patient or group who the condition record is associated with.",
"requirements" : "Group is typically used for veterinary or public health use cases.",
"alias" : [
"patient"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Condition.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
}
],
"mustSupport" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
},
{
"identity" : "w5",
"map" : "who.focus"
},
{
"identity" : "argonaut-dq-dstu2",
"map" : "Condition.patient"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.context",
"path" : "Condition.context",
"short" : "Encounter or episode when condition first asserted",
"definition" : "Encounter during which the condition was first asserted.",
"comment" : "This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known".",
"alias" : [
"encounter"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.context",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "PV1-19 (+PV1-54)"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
},
{
"identity" : "w5",
"map" : "context"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.onset[x]",
"path" : "Condition.onset[x]",
"short" : "Estimated or actual date, date-time, or age",
"definition" : "Estimated or actual date or date-time the condition began, in the opinion of the clinician.",
"comment" : "Age is generally used when the patient reports an age at which the Condition began to occur.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.onset[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Age"
},
{
"code" : "Period"
},
{
"code" : "Range"
},
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "PRB-16"
},
{
"identity" : "rim",
"map" : ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value"
},
{
"identity" : "w5",
"map" : "when.init"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.abatement[x]",
"path" : "Condition.abatement[x]",
"short" : "If/when in resolution/remission",
"definition" : "The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate.",
"comment" : "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.abatement[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Age"
},
{
"code" : "boolean"
},
{
"code" : "Period"
},
{
"code" : "Range"
},
{
"code" : "string"
}
],
"condition" : [
"con-4"
],
"mapping" : [
{
"identity" : "rim",
"map" : ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"
},
{
"identity" : "w5",
"map" : "when.done"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.assertedDate",
"path" : "Condition.assertedDate",
"short" : "Date record was believed accurate",
"definition" : "The date on which the existance of the Condition was first asserted or acknowledged.",
"comment" : "The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. Â The date of the last record modification can be retrieved from the resource metadata.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.assertedDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "REL-11"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].time"
},
{
"identity" : "w5",
"map" : "when.recorded"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.asserter",
"path" : "Condition.asserter",
"short" : "Person who asserts this condition",
"definition" : "Individual who is making the condition statement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.asserter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "REL-7.1 identifier + REL-7.12 type code"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].role"
},
{
"identity" : "w5",
"map" : "who.author"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage",
"path" : "Condition.stage",
"short" : "Stage/grade, usually assessed formally",
"definition" : "Clinical stage or grade of a condition. May include formal severity assessments.",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Condition.stage",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "con-1",
"severity" : "error",
"human" : "Stage SHALL have summary or assessment",
"expression" : "summary.exists() or assessment.exists()",
"xpath" : "exists(f:summary) or exists(f:assessment)"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage.id",
"path" : "Condition.stage.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage.extension",
"path" : "Condition.stage.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage.modifierExtension",
"path" : "Condition.stage.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage.summary",
"path" : "Condition.stage.summary",
"short" : "Simple summary (disease specific)",
"definition" : "A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Condition.stage.summary",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"con-1"
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionStage"
}
],
"strength" : "example",
"description" : "Codes describing condition stages (e.g. Cancer stages).",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/condition-stage"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 254291000 |Staging and scales|"
},
{
"identity" : "v2",
"map" : "PRB-14"
},
{
"identity" : "rim",
"map" : ".value"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage.assessment",
"path" : "Condition.stage.assessment",
"short" : "Formal record of assessment",
"definition" : "Reference to a formal record of the evidence on which the staging assessment is based.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.stage.assessment",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Observation"
}
],
"condition" : [
"con-1"
],
"mapping" : [
{
"identity" : "rim",
"map" : ".self"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence",
"path" : "Condition.evidence",
"short" : "Supporting evidence",
"definition" : "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.",
"comment" : "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() | (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "con-2",
"severity" : "error",
"human" : "evidence SHALL have code or details",
"expression" : "code.exists() or detail.exists()",
"xpath" : "exists(f:code) or exists(f:detail)"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence.id",
"path" : "Condition.evidence.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence.extension",
"path" : "Condition.evidence.extension",
"short" : "Additional Content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence.modifierExtension",
"path" : "Condition.evidence.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : true,
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence.code",
"path" : "Condition.evidence.code",
"short" : "Manifestation/symptom",
"definition" : "A manifestation or symptom that led to the recording of this condition.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence.code",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"con-2"
],
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ManifestationOrSymptom"
}
],
"strength" : "example",
"description" : "Codes that describe the manifestation or symptoms of a condition.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
}
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 404684003 |Clinical finding|"
},
{
"identity" : "rim",
"map" : "[code="diagnosis"].value"
},
{
"identity" : "w5",
"map" : "why"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.evidence.detail",
"path" : "Condition.evidence.detail",
"short" : "Supporting information found elsewhere",
"definition" : "Links to other relevant information, including pathology reports.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.evidence.detail",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"condition" : [
"con-2"
],
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : ".self"
},
{
"identity" : "w5",
"map" : "why"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.note",
"path" : "Condition.note",
"short" : "Additional information about the Condition",
"definition" : "Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Condition.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"mapping" : [
{
"identity" : "v2",
"map" : "NTE child of PRB"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Condition:oncology-BreastTumor",
"path" : "Condition",
"short" : "BC BreastTumor Profile",
"definition" : "An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm. (source: NCI)",
"mustSupport" : false
},
{
"id" : "Condition:oncology-BreastTumor.extension",
"path" : "Condition.extension",
"min" : 2,
"max" : "*"
},
{
"id" : "Condition:oncology-BreastTumor.extension:breastsite",
"path" : "Condition.extension",
"sliceName" : "breastsite",
"definition" : "A body site specific to the breast structure.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/StructureDefinition/condition-targetBodySite"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode",
"path" : "Condition.extension",
"sliceName" : "topiccode",
"definition" : "The concept representing the finding or action that is the topic of the statement.
For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-TopicCode-extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept",
"path" : "Condition.extension.valueCodeableConcept"
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding",
"path" : "Condition.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "1",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"min" : 1,
"max" : "*"
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000",
"path" : "Condition.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_395557000",
"short" : "Tumor finding (finding)",
"definition" : "Tumor finding (finding)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.system",
"path" : "Condition.extension.valueCodeableConcept.coding.system",
"fixedUri" : "http://snomed.info/sct"
},
{
"id" : "Condition:oncology-BreastTumor.extension:topiccode.valueCodeableConcept.coding:Fixed_395557000.code",
"path" : "Condition.extension.valueCodeableConcept.coding.code",
"fixedCode" : "395557000"
},
{
"id" : "Condition:oncology-BreastTumor.extension:category",
"path" : "Condition.extension",
"sliceName" : "category",
"definition" : "A class or division of people or things having particular shared characteristics",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Extension",
"profile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Category-extension"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept",
"path" : "Condition.extension.valueCodeableConcept"
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding",
"path" : "Condition.extension.valueCodeableConcept.coding",
"slicing" : {
"id" : "2",
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"ordered" : false,
"rules" : "open"
},
"min" : 1,
"max" : "*"
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam",
"path" : "Condition.extension.valueCodeableConcept.coding",
"sliceName" : "Fixed_exam",
"definition" : "A reference to a code defined by a terminology system.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Coding"
}
],
"isSummary" : true
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.system",
"path" : "Condition.extension.valueCodeableConcept.coding.system",
"fixedUri" : "http://hl7.org/fhir/observation-category"
},
{
"id" : "Condition:oncology-BreastTumor.extension:category.valueCodeableConcept.coding:Fixed_exam.code",
"path" : "Condition.extension.valueCodeableConcept.coding.code",
"fixedCode" : "exam"
},
{
"id" : "Condition:oncology-BreastTumor.clinicalStatus",
"path" : "Condition.clinicalStatus",
"min" : 1,
"max" : "1"
},
{
"id" : "Condition:oncology-BreastTumor.severity",
"path" : "Condition.severity",
"min" : 0,
"max" : "0",
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConditionSeverity"
}
],
"strength" : "required",
"description" : "A subjective assessment of the severity of the condition as evaluated by the clinician.",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/condition-severity"
}
}
},
{
"id" : "Condition:oncology-BreastTumor.bodySite",
"path" : "Condition.bodySite",
"min" : 0,
"max" : "0"
},
{
"id" : "Condition:oncology-BreastTumor.context",
"path" : "Condition.context",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter"
}
]
},
{
"id" : "Condition:oncology-BreastTumor.stage",
"path" : "Condition.stage",
"min" : 0,
"max" : "0"
},
{
"id" : "Condition:oncology-BreastTumor.stage.assessment",
"path" : "Condition.stage.assessment",
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Observation"
}
]
}
]
}
}