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

PrimaryCancerCondition

 

The official URL for this extension is: 

http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension

Records the history of the primary cancer condition, the original or first tumor in the body (reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.

Cancer staging information summarized in this profile should reflect the most recent staging assessment on the patient, and should be updated if and when there is a new staging assessment. Past staging assessments will be preserved in instances of the TNMClinicalStageGroup and/or TNMPathologicalStageGroup, which refer back to PrimaryCancerCondition.

Conformance note: For the code attribute, to be compliant with US Core Profiles, SNOMED CT must be used unless there is no suitable code, in which case ICD-10-CM can be used.

This extension was published on Thu Aug 01 00:00:00 EDT 2019 as a draft by HL7 International Clinical Interoperability Council.

Summary

Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*PrimaryCancerCondition
... extension 0..0
... url uri"http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension"
... valueReference 1..Reference(onco-core-PrimaryCancerCondition)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension I0..*PrimaryCancerCondition
ext-1: Must have either extensions or value[x], not both
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension"
... valueReference 1..1Reference(onco-core-PrimaryCancerCondition)Value of extension

doco Documentation for this format

Summary

Mandatory: 0 element (1 nested mandatory element)
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*PrimaryCancerCondition
... extension 0..0
... url uri"http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension"
... valueReference 1..Reference(onco-core-PrimaryCancerCondition)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension I0..*PrimaryCancerCondition
ext-1: Must have either extensions or value[x], not both
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition-extension"
... valueReference 1..1Reference(onco-core-PrimaryCancerCondition)Value of extension

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

 

Constraints

IdPathDetailsRequirements
ele-1ExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Usage

This extension is used in the following profiles: