This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Active as of 2023-01-26 |
XML representation of the Diagnosis logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="Diagnosis"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis" title="Diagnosis
Maturity Level: 2 - Ready for Review">Diagnosis</a><a name="Diagnosis"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnosis</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.identifier" title="diagnosis identifier">identifier</a><a name="Diagnosis.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">ID<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.dateOfDiagnosis" title="Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge.">dateOfDiagnosis</a><a name="Diagnosis.dateOfDiagnosis"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of diagnosis<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.centerOfDiagnosis" title="Institution in which the diagnosis was made.">centerOfDiagnosis</a><a name="Diagnosis.centerOfDiagnosis"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Center of diagnosis<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.centerOfDiagnosis.identifier" title="Code of the institution in which the diagnosis was made.
IN AIEOP thus information is retrievable from the Mod.1.01 database">identifier</a><a name="Diagnosis.centerOfDiagnosis.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Center code</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.centerOfDiagnosis.name" title="Center name">name</a><a name="Diagnosis.centerOfDiagnosis.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Center name</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.centerOfDiagnosis.city" title="Center city">city</a><a name="Diagnosis.centerOfDiagnosis.city"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Center city</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.centerOfDiagnosis.country" title="Center country">country</a><a name="Diagnosis.centerOfDiagnosis.country"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Center country</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.primaryTreatmentCenter" title="Report here the institution in which most of the treatment was given">primaryTreatmentCenter</a><a name="Diagnosis.primaryTreatmentCenter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Primary treatment center</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.primaryTreatmentCenter.name" title="Primary treatment center name">name</a><a name="Diagnosis.primaryTreatmentCenter.name"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Primary treatment center name</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.primaryTreatmentCenter.city" title="Primary treatment center city">city</a><a name="Diagnosis.primaryTreatmentCenter.city"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Primary treatment center city</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.primaryTreatmentCenter.country" title="Primary treatment center country">country</a><a name="Diagnosis.primaryTreatmentCenter.country"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Primary treatment center country</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.dateOfArrivalAtCenter" title="Date of arrival to our institution">dateOfArrivalAtCenter</a><a name="Diagnosis.dateOfArrivalAtCenter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of arrival to our institution<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.diagnosticGroup" title="Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)">diagnosticGroup</a><a name="Diagnosis.diagnosticGroup"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnostic Group<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.morphologyCode" title="Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported">morphologyCode</a><a name="Diagnosis.morphologyCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnosis<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.tumorBehaviour" title="Tumour behaviour. Automatically generated by the system for benign tumors">tumorBehaviour</a><a name="Diagnosis.tumorBehaviour"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Tumour behaviour (ICD-O-3 type)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.description" title="Diagnosis description">description</a><a name="Diagnosis.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnosis description</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.site" title="Site of the tumor">site</a><a name="Diagnosis.site"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Site<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.site.code" title="Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)">code</a><a name="Diagnosis.site.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Site(ICD-O-3 topography)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.site.description" title="Site description . Free text to report the site of the tumor">description</a><a name="Diagnosis.site.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Site description<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.laterality" title="Laterality">laterality</a><a name="Diagnosis.laterality"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Laterality<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.metastasis" title="Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify.">metastasis</a><a name="Diagnosis.metastasis"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Metastatic<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.metastasis.identifier" title="Number of metastases">identifier</a><a name="Diagnosis.metastasis.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Metastasis id<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.metastasis.site" title="Please report here the site(s) of metastases detected at diagnosis.">site</a><a name="Diagnosis.metastasis.site"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Metastasis site<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.metastasis.site.code" title="Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9">code</a><a name="Diagnosis.metastasis.site.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Metastasis site code<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.metastasis.site.description" title="Additional description of sites of metastatis">description</a><a name="Diagnosis.metastasis.site.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Additional description of sites of metastatis<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.geneticMarkers" title="Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)">geneticMarkers</a><a name="Diagnosis.geneticMarkers"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Genetic markers(text)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.stage" title="Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis.
In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'">stage</a><a name="Diagnosis.stage"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Stage/Risk</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.immunology" title="Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'">immunology</a><a name="Diagnosis.immunology"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Immunology<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.hereditaryPredisposition" title="Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'">hereditaryPredisposition</a><a name="Diagnosis.hereditaryPredisposition"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Hereditary Cancer Predisposition<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-Diagnosis-definitions.html#Diagnosis.notes" title="Notes">notes</a><a name="Diagnosis.notes"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Notes<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis"/>
<version value="0.1.0"/>
<name value="Diagnosis"/>
<title value="Diagnosis"/>
<status value="active"/>
<date value="2023-01-26T09:50:21+01:00"/>
<publisher value="PanCareSurPass Project"/>
<contact>
<name value="PanCareSurPass Project"/>
<telecom>
<system value="url"/>
<value value="https://www.pancaresurpass.eu/"/>
</telecom>
</contact>
<contact>
<name value="PanCareSurPass Project"/>
<telecom>
<system value="url"/>
<value value="https://www.pancaresurpass.eu/"/>
</telecom>
</contact>
<description value="Diagnosis
Maturity Level: 2 - Ready for Review"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="fhir"/>
<uri value="hl7.org/fhir/r4"/>
<name value="Diagnosis model to PCSP HL7 FHIR R4 Profiles"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<element id="Diagnosis">
<path value="Diagnosis"/>
<short value="Diagnosis"/>
<definition value="Diagnosis
Maturity Level: 2 - Ready for Review"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
<mapping>
<identity value="fhir"/>
<map
value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp')"/>
</mapping>
</element>
<element id="Diagnosis.identifier">
<path value="Diagnosis.identifier"/>
<short value="ID"/>
<definition value="diagnosis identifier"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Diagnosis.identifier"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="Diagnosis.dateOfDiagnosis">
<path value="Diagnosis.dateOfDiagnosis"/>
<short value="Date of diagnosis"/>
<definition
value="Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.dateOfDiagnosis"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".extension('condition-assertedDate').valueDateTime"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis">
<path value="Diagnosis.centerOfDiagnosis"/>
<short value="Center of diagnosis"/>
<definition value="Institution in which the diagnosis was made."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.centerOfDiagnosis"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="fhir"/>
<map
value="Observation.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp').performer"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.id">
<path value="Diagnosis.centerOfDiagnosis.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.extension">
<path value="Diagnosis.centerOfDiagnosis.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.modifierExtension">
<path value="Diagnosis.centerOfDiagnosis.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.identifier">
<path value="Diagnosis.centerOfDiagnosis.identifier"/>
<short value="Center code"/>
<definition
value="Code of the institution in which the diagnosis was made.
IN AIEOP thus information is retrievable from the Mod.1.01 database"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.centerOfDiagnosis.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().identifier"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.identifier"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.name">
<path value="Diagnosis.centerOfDiagnosis.name"/>
<short value="Center name"/>
<definition value="Center name"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.centerOfDiagnosis.name"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().name"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.display"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.city">
<path value="Diagnosis.centerOfDiagnosis.city"/>
<short value="Center city"/>
<definition value="Center city"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.centerOfDiagnosis.city"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().address.city"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.country">
<path value="Diagnosis.centerOfDiagnosis.country"/>
<short value="Center country"/>
<definition value="Center country"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnosis.centerOfDiagnosis.country"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().address.country"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter">
<path value="Diagnosis.primaryTreatmentCenter"/>
<short value="Primary treatment center"/>
<definition
value="Report here the institution in which most of the treatment was given"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.primaryTreatmentCenter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.id">
<path value="Diagnosis.primaryTreatmentCenter.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.extension">
<path value="Diagnosis.primaryTreatmentCenter.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.modifierExtension">
<path value="Diagnosis.primaryTreatmentCenter.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.name">
<path value="Diagnosis.primaryTreatmentCenter.name"/>
<short value="Primary treatment center name"/>
<definition value="Primary treatment center name"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.primaryTreatmentCenter.name"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.display"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().name"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.display"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().name"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.city">
<path value="Diagnosis.primaryTreatmentCenter.city"/>
<short value="Primary treatment center city"/>
<definition value="Primary treatment center city"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.primaryTreatmentCenter.city"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().address.city"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().address.city"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.country">
<path value="Diagnosis.primaryTreatmentCenter.country"/>
<short value="Primary treatment center country"/>
<definition value="Primary treatment center country"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.primaryTreatmentCenter.country"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().address.country"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().address.country"/>
</mapping>
</element>
<element id="Diagnosis.dateOfArrivalAtCenter">
<path value="Diagnosis.dateOfArrivalAtCenter"/>
<short value="Date of arrival to our institution"/>
<definition value="Date of arrival to our institution"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="Diagnosis.dateOfArrivalAtCenter"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Encounter.period.start"/>
</mapping>
</element>
<element id="Diagnosis.diagnosticGroup">
<path value="Diagnosis.diagnosticGroup"/>
<short value="Diagnostic Group"/>
<definition
value="Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.diagnosticGroup"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.code.coding"/>
</mapping>
</element>
<element id="Diagnosis.morphologyCode">
<path value="Diagnosis.morphologyCode"/>
<short value="Diagnosis"/>
<definition
value="Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.morphologyCode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.extension('mcode-histology-morphology-behavior').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.tumorBehaviour">
<path value="Diagnosis.tumorBehaviour"/>
<short value="Tumour behaviour (ICD-O-3 type)"/>
<definition
value="Tumour behaviour. Automatically generated by the system for benign tumors"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.tumorBehaviour"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.extension('mcode-histology-morphology-behavior').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.description">
<path value="Diagnosis.description"/>
<short value="Diagnosis description"/>
<definition value="Diagnosis description"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.description"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.text"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Condition.code.text"/>
</mapping>
</element>
<element id="Diagnosis.site">
<path value="Diagnosis.site"/>
<short value="Site"/>
<definition value="Site of the tumor"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.site"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite"/>
</mapping>
</element>
<element id="Diagnosis.site.id">
<path value="Diagnosis.site.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.site.extension">
<path value="Diagnosis.site.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.site.modifierExtension">
<path value="Diagnosis.site.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnosis.site.code">
<path value="Diagnosis.site.code"/>
<short value="Site(ICD-O-3 topography)"/>
<definition
value="Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.site.code"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite.coding"/>
</mapping>
</element>
<element id="Diagnosis.site.description">
<path value="Diagnosis.site.description"/>
<short value="Site description"/>
<definition
value="Site description . Free text to report the site of the tumor"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.site.description"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite.text"/>
</mapping>
</element>
<element id="Diagnosis.laterality">
<path value="Diagnosis.laterality"/>
<short value="Laterality"/>
<definition value="Laterality"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.laterality"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.bodySite.extension('mcode-laterality-qualifier').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.metastasis">
<path value="Diagnosis.metastasis"/>
<short value="Metastatic"/>
<definition
value="Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.metastasis"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="fhir"/>
<map
value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-secondaryCancer-eu-pcsp')"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.id">
<path value="Diagnosis.metastasis.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.extension">
<path value="Diagnosis.metastasis.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.modifierExtension">
<path value="Diagnosis.metastasis.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.identifier">
<path value="Diagnosis.metastasis.identifier"/>
<short value="Metastasis id"/>
<definition value="Number of metastases"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.metastasis.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="integer"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site">
<path value="Diagnosis.metastasis.site"/>
<short value="Metastasis site"/>
<definition
value="Please report here the site(s) of metastases detected at diagnosis."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.metastasis.site"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="fhir"/>
<map value=".bodySite"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.id">
<path value="Diagnosis.metastasis.site.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.extension">
<path value="Diagnosis.metastasis.site.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.modifierExtension">
<path value="Diagnosis.metastasis.site.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="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."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.code">
<path value="Diagnosis.metastasis.site.code"/>
<short value="Metastasis site code"/>
<definition
value="Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.metastasis.site.code"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".bodySite.coding"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.description">
<path value="Diagnosis.metastasis.site.description"/>
<short value="Additional description of sites of metastatis"/>
<definition value="Additional description of sites of metastatis"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.metastasis.site.description"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".bodySite.text"/>
</mapping>
</element>
<element id="Diagnosis.geneticMarkers">
<path value="Diagnosis.geneticMarkers"/>
<short value="Genetic markers(text)"/>
<definition
value="Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.geneticMarkers"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#106221001 'Genetic finding')"/>
</mapping>
</element>
<element id="Diagnosis.stage">
<path value="Diagnosis.stage"/>
<short value="Stage/Risk"/>
<definition
value="Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis.
In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnosis.stage"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.stage"/>
</mapping>
</element>
<element id="Diagnosis.immunology">
<path value="Diagnosis.immunology"/>
<short value="Immunology"/>
<definition
value="Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.immunology"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#365861007 'Finding of immune status')"/>
</mapping>
</element>
<element id="Diagnosis.hereditaryPredisposition">
<path value="Diagnosis.hereditaryPredisposition"/>
<short value="Hereditary Cancer Predisposition"/>
<definition
value="Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.hereditaryPredisposition"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#32895009 'Hereditary disease')"/>
</mapping>
</element>
<element id="Diagnosis.notes">
<path value="Diagnosis.notes"/>
<short value="Notes"/>
<definition value="Notes"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnosis.notes"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.note"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="Diagnosis">
<path value="Diagnosis"/>
<short value="Diagnosis"/>
<definition value="Diagnosis
Maturity Level: 2 - Ready for Review"/>
<mapping>
<identity value="fhir"/>
<map
value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp')"/>
</mapping>
</element>
<element id="Diagnosis.identifier">
<path value="Diagnosis.identifier"/>
<short value="ID"/>
<definition value="diagnosis identifier"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="Diagnosis.dateOfDiagnosis">
<path value="Diagnosis.dateOfDiagnosis"/>
<short value="Date of diagnosis"/>
<definition
value="Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".extension('condition-assertedDate').valueDateTime"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis">
<path value="Diagnosis.centerOfDiagnosis"/>
<short value="Center of diagnosis"/>
<definition value="Institution in which the diagnosis was made."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Observation.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-diagnosis-eu-pcsp').performer"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.identifier">
<path value="Diagnosis.centerOfDiagnosis.identifier"/>
<short value="Center code"/>
<definition
value="Code of the institution in which the diagnosis was made.
IN AIEOP thus information is retrievable from the Mod.1.01 database"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().identifier"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.identifier"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.name">
<path value="Diagnosis.centerOfDiagnosis.name"/>
<short value="Center name"/>
<definition value="Center name"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().name"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.display"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.city">
<path value="Diagnosis.centerOfDiagnosis.city"/>
<short value="Center city"/>
<definition value="Center city"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().address.city"/>
</mapping>
</element>
<element id="Diagnosis.centerOfDiagnosis.country">
<path value="Diagnosis.centerOfDiagnosis.country"/>
<short value="Center country"/>
<definition value="Center country"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Observation.performer.resolve().address.country"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter">
<path value="Diagnosis.primaryTreatmentCenter"/>
<short value="Primary treatment center"/>
<definition
value="Report here the institution in which most of the treatment was given"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.name">
<path value="Diagnosis.primaryTreatmentCenter.name"/>
<short value="Primary treatment center name"/>
<definition value="Primary treatment center name"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.display"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().name"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.display"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().name"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.city">
<path value="Diagnosis.primaryTreatmentCenter.city"/>
<short value="Primary treatment center city"/>
<definition value="Primary treatment center city"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().address.city"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().address.city"/>
</mapping>
</element>
<element id="Diagnosis.primaryTreatmentCenter.country">
<path value="Diagnosis.primaryTreatmentCenter.country"/>
<short value="Primary treatment center country"/>
<definition value="Primary treatment center country"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Patient.generalPractitioner.resolve().address.country"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceProvider.resolve().address.country"/>
</mapping>
</element>
<element id="Diagnosis.dateOfArrivalAtCenter">
<path value="Diagnosis.dateOfArrivalAtCenter"/>
<short value="Date of arrival to our institution"/>
<definition value="Date of arrival to our institution"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Encounter.period.start"/>
</mapping>
</element>
<element id="Diagnosis.diagnosticGroup">
<path value="Diagnosis.diagnosticGroup"/>
<short value="Diagnostic Group"/>
<definition
value="Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.code.coding"/>
</mapping>
</element>
<element id="Diagnosis.morphologyCode">
<path value="Diagnosis.morphologyCode"/>
<short value="Diagnosis"/>
<definition
value="Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.extension('mcode-histology-morphology-behavior').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.tumorBehaviour">
<path value="Diagnosis.tumorBehaviour"/>
<short value="Tumour behaviour (ICD-O-3 type)"/>
<definition
value="Tumour behaviour. Automatically generated by the system for benign tumors"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.extension('mcode-histology-morphology-behavior').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.description">
<path value="Diagnosis.description"/>
<short value="Diagnosis description"/>
<definition value="Diagnosis description"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.text"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Condition.code.text"/>
</mapping>
</element>
<element id="Diagnosis.site">
<path value="Diagnosis.site"/>
<short value="Site"/>
<definition value="Site of the tumor"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite"/>
</mapping>
</element>
<element id="Diagnosis.site.code">
<path value="Diagnosis.site.code"/>
<short value="Site(ICD-O-3 topography)"/>
<definition
value="Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite.coding"/>
</mapping>
</element>
<element id="Diagnosis.site.description">
<path value="Diagnosis.site.description"/>
<short value="Site description"/>
<definition
value="Site description . Free text to report the site of the tumor"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.bodySite.text"/>
</mapping>
</element>
<element id="Diagnosis.laterality">
<path value="Diagnosis.laterality"/>
<short value="Laterality"/>
<definition value="Laterality"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.bodySite.extension('mcode-laterality-qualifier').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnosis.metastasis">
<path value="Diagnosis.metastasis"/>
<short value="Metastatic"/>
<definition
value="Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-secondaryCancer-eu-pcsp')"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.identifier">
<path value="Diagnosis.metastasis.identifier"/>
<short value="Metastasis id"/>
<definition value="Number of metastases"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="integer"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".identifier"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site">
<path value="Diagnosis.metastasis.site"/>
<short value="Metastasis site"/>
<definition
value="Please report here the site(s) of metastases detected at diagnosis."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".bodySite"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.code">
<path value="Diagnosis.metastasis.site.code"/>
<short value="Metastasis site code"/>
<definition
value="Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".bodySite.coding"/>
</mapping>
</element>
<element id="Diagnosis.metastasis.site.description">
<path value="Diagnosis.metastasis.site.description"/>
<short value="Additional description of sites of metastatis"/>
<definition value="Additional description of sites of metastatis"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value=".bodySite.text"/>
</mapping>
</element>
<element id="Diagnosis.geneticMarkers">
<path value="Diagnosis.geneticMarkers"/>
<short value="Genetic markers(text)"/>
<definition
value="Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#106221001 'Genetic finding')"/>
</mapping>
</element>
<element id="Diagnosis.stage">
<path value="Diagnosis.stage"/>
<short value="Stage/Risk"/>
<definition
value="Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis.
In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.stage"/>
</mapping>
</element>
<element id="Diagnosis.immunology">
<path value="Diagnosis.immunology"/>
<short value="Immunology"/>
<definition
value="Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#365861007 'Finding of immune status')"/>
</mapping>
</element>
<element id="Diagnosis.hereditaryPredisposition">
<path value="Diagnosis.hereditaryPredisposition"/>
<short value="Hereditary Cancer Predisposition"/>
<definition
value="Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<mapping>
<identity value="fhir"/>
<map
value="Condition.evidence.where(code = http://snomed.info/sct#32895009 'Hereditary disease')"/>
</mapping>
</element>
<element id="Diagnosis.notes">
<path value="Diagnosis.notes"/>
<short value="Notes"/>
<definition value="Notes"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="fhir"/>
<map value="Condition.note"/>
</mapping>
</element>
</differential>
</StructureDefinition>
IG © 2021+ PanCareSurPass Project. Package hl7.eu.fhir.pcsp#0.1.0 based on FHIR 4.0.1. Generated 2023-01-26
research and innovation programme under grant agreement No. 899999.