HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "StructureDefinition",
"id" : "obf-EncounterDiagnosis-extension",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><b>EncounterDiagnosis Extension</b></p>\n <p>A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data. This element is not a stand-alone representation of the condition that was diagnosed, but is meant to be used as an sub-structure in a resource, such as Encounter.</p>\n</div>"
},
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-EncounterDiagnosis-extension",
"version" : "0.9.1",
"name" : "EncounterDiagnosis",
"title" : "obf-EncounterDiagnosis",
"status" : "draft",
"date" : "2019-08-01T00:00:00-04:00",
"publisher" : "HL7 International Clinical Interoperability Council",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cic"
}
]
}
],
"description" : "A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data. This element is not a stand-alone representation of the condition that was diagnosed, but is meant to be used as an sub-structure in a resource, such as Encounter.",
"fhirVersion" : "4.0.0",
"kind" : "complex-type",
"abstract" : false,
"context" : [
{
"type" : "element",
"expression" : "*"
}
],
"type" : "Extension",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Extension",
"path" : "Extension",
"short" : "EncounterDiagnosis",
"definition" : "A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data. This element is not a stand-alone representation of the condition that was diagnosed, but is meant to be used as an sub-structure in a resource, such as Encounter.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Extension",
"min" : 0,
"max" : "*"
},
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
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{
"identity" : "rim",
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]
},
{
"id" : "Extension.id",
"path" : "Extension.id",
"representation" : [
"xmlAttr"
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"short" : "Unique id for inter-element referencing",
"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"
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"type" : [
{
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"mapping" : [
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},
{
"id" : "Extension.extension",
"path" : "Extension.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. 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 can 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" : 1,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
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],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
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]
},
{
"id" : "Extension.extension:diagnosiscode",
"path" : "Extension.extension",
"sliceName" : "diagnosiscode",
"definition" : "Codes for a diagnosis.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
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},
"type" : [
{
"code" : "Extension",
"profile" : [
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}
],
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"isSummary" : false,
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{
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]
},
{
"id" : "Extension.extension:condition",
"path" : "Extension.extension",
"sliceName" : "condition",
"definition" : "A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\nThe Observation-based class, ConditionAbsent, should be used to describe conditions that are not present or negative findings.\nThis profiled Condition uses the BodyLocation structure that includes not only a code, but optional laterality, direction, and relation to landmark(s).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Condition-extension"
]
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
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"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:priorityrank",
"path" : "Extension.extension",
"sliceName" : "priorityrank",
"definition" : "The priority of the procedure, as a number (1 being the highest priority)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-PriorityRank-extension"
]
}
],
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"isSummary" : false,
"mapping" : [
{
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"map" : "n/a"
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]
},
{
"id" : "Extension.extension:type",
"path" : "Extension.extension",
"sliceName" : "type",
"definition" : "A code describing the item at a greater level of detail.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
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"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-Type-extension"
]
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:type.id",
"path" : "Extension.extension.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"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"
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"type" : [
{
"code" : "string"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:type.extension",
"path" : "Extension.extension.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. 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 can 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" : "0",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:type.url",
"path" : "Extension.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/mcode/StructureDefinition/obf-datatype-Type-extension",
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Extension.extension:type.valueCodeableConcept",
"path" : "Extension.extension.valueCodeableConcept",
"short" : "Value of extension",
"definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "preferred",
"valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
},
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Extension.url",
"path" : "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/mcode/StructureDefinition/obf-EncounterDiagnosis-extension",
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Extension.value[x]",
"path" : "Extension.value[x]",
"short" : "Value of extension",
"definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Extension.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "base64Binary"
},
{
"code" : "boolean"
},
{
"code" : "canonical"
},
{
"code" : "code"
},
{
"code" : "date"
},
{
"code" : "dateTime"
},
{
"code" : "decimal"
},
{
"code" : "id"
},
{
"code" : "instant"
},
{
"code" : "integer"
},
{
"code" : "markdown"
},
{
"code" : "oid"
},
{
"code" : "positiveInt"
},
{
"code" : "string"
},
{
"code" : "time"
},
{
"code" : "unsignedInt"
},
{
"code" : "uri"
},
{
"code" : "url"
},
{
"code" : "uuid"
},
{
"code" : "Address"
},
{
"code" : "Age"
},
{
"code" : "Annotation"
},
{
"code" : "Attachment"
},
{
"code" : "CodeableConcept"
},
{
"code" : "Coding"
},
{
"code" : "ContactPoint"
},
{
"code" : "Count"
},
{
"code" : "Distance"
},
{
"code" : "Duration"
},
{
"code" : "HumanName"
},
{
"code" : "Identifier"
},
{
"code" : "Money"
},
{
"code" : "Period"
},
{
"code" : "Quantity"
},
{
"code" : "Range"
},
{
"code" : "Ratio"
},
{
"code" : "Reference"
},
{
"code" : "SampledData"
},
{
"code" : "Signature"
},
{
"code" : "Timing"
},
{
"code" : "ContactDetail"
},
{
"code" : "Contributor"
},
{
"code" : "DataRequirement"
},
{
"code" : "Expression"
},
{
"code" : "ParameterDefinition"
},
{
"code" : "RelatedArtifact"
},
{
"code" : "TriggerDefinition"
},
{
"code" : "UsageContext"
},
{
"code" : "Dosage"
}
],
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]
}
]
},
"differential" : {
"element" : [
{
"id" : "Extension",
"path" : "Extension",
"short" : "EncounterDiagnosis",
"definition" : "A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data. This element is not a stand-alone representation of the condition that was diagnosed, but is meant to be used as an sub-structure in a resource, such as Encounter.",
"min" : 0,
"max" : "*"
},
{
"id" : "Extension.extension",
"path" : "Extension.extension",
"min" : 1,
"max" : "*"
},
{
"id" : "Extension.extension:diagnosiscode",
"path" : "Extension.extension",
"sliceName" : "diagnosiscode",
"definition" : "Codes for a diagnosis.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
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"max" : "*"
},
"type" : [
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"profile" : [
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]
}
],
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"isSummary" : false,
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"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:condition",
"path" : "Extension.extension",
"sliceName" : "condition",
"definition" : "A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\nThe Observation-based class, ConditionAbsent, should be used to describe conditions that are not present or negative findings.\nThis profiled Condition uses the BodyLocation structure that includes not only a code, but optional laterality, direction, and relation to landmark(s).",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Condition-extension"
]
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
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"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:priorityrank",
"path" : "Extension.extension",
"sliceName" : "priorityrank",
"definition" : "The priority of the procedure, as a number (1 being the highest priority)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-PriorityRank-extension"
]
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
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]
},
{
"id" : "Extension.extension:type",
"path" : "Extension.extension",
"sliceName" : "type",
"definition" : "A code describing the item at a greater level of detail.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension",
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-Type-extension"
]
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
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"map" : "n/a"
}
]
},
{
"id" : "Extension.extension:type.valueCodeableConcept",
"path" : "Extension.extension.valueCodeableConcept",
"binding" : {
"strength" : "preferred",
"valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
}
},
{
"id" : "Extension.url",
"path" : "Extension.url",
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-EncounterDiagnosis-extension"
},
{
"id" : "Extension.value[x]",
"path" : "Extension.value[x]",
"min" : 0,
"max" : "0"
}
]
}
}
©2019+
HL7 International Clinical Interoperability Council.
Package hl7.fhir.us.mcode#0.9.1 based on FHIR 4.0.0.
Generated 2019-08-02.
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