HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)

BreastCancerPresenceStatementModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="oncology-BreastCancerPresenceStatement-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC BreastCancerPresenceStatement Logical Model</b></p>
  <p>Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastCancerPresenceStatement-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="oncology.BreastCancerPresenceStatement"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="BreastCancerPresenceStatementModel"/>
  <title value="BC BreastCancerPresenceStatement Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+00:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body."/>
  <keyword>
    <system value="http://snomed.info/sct"/>
    <code value="126926005"/>
    <display value="Neoplasm of breast (disorder)"/>
  </keyword>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="oncology-BreastCancerPresenceStatement-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="oncology-BreastCancerPresenceStatement-model">
      <path value="oncology-BreastCancerPresenceStatement-model"/>
      <definition
                  value="Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastCancerPresenceStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastCancerPresenceStatement-model.personOfRecord">
      <path value="oncology-BreastCancerPresenceStatement-model.personOfRecord"/>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.personOfRecord"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic"/>
      <short
             value="A condition, independent of context. &#39;Condition&#39; is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/>
      <definition
                  value="A condition, independent of context. &#39;Condition&#39; is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode"/>
      <short
             value="The concept representing the finding or action that is the topic of the statement."/>
      <definition
                  value="The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the &#39;question&#39; or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastCarcinomaHistologicTypeVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod"/>
      <short
             value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <definition
                  value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastCancerDetectionVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0947611"/>
      </code>
      <short
             value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media"/>
      <short
             value="A file that contains audio, video, image, or similar content."/>
      <definition
                  value="A file that contains audio, video, image, or similar content."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category"/>
      <short
             value="A class or division of people or things having particular shared characteristics"/>
      <definition
                  value="A class or division of people or things having particular shared characteristics"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite"/>
      <short value="A body site specific to the breast structure."/>
      <definition value="A body site specific to the breast structure."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause"/>
      <short
             value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/>
      <definition
                  value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that reduce the severity of the pathology"/>
      <definition value="Activities that reduce the severity of the pathology"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that increase the severity of the pathology"/>
      <definition value="Activities that increase the severity of the pathology"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext"/>
      <short
             value="The context for a condition that is known, suspected, or possibly present."/>
      <definition
                  value="The context for a condition that is known, suspected, or possibly present."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode"/>
      <short
             value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/>
      <definition
                  value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: &#39;Finding context (attribute)&#39; (SCTID: 408729009) and &#39;Procedure context (attribute)&#39; (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter"/>
      <short
             value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <definition
                  value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus"/>
      <short
             value="Whether an assessment has been confirmed by testing or observation."/>
      <definition
                  value="Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="85585-8"/>
      </code>
      <short
             value="The beginning or first appearance of a mental or physical disorder."/>
      <definition
                  value="The beginning or first appearance of a mental or physical disorder."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="88878-4"/>
      </code>
      <short value="The end, remission or resolution."/>
      <definition value="The end, remission or resolution."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty"/>
      <short value="The degree of confidence in a conclusion or assertion."/>
      <definition value="The degree of confidence in a conclusion or assertion."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus"/>
      <short
             value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <definition
                  value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-clinical"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized"/>
      <short
             value="The time at which a condition or condition was first identified in a healthcare context."/>
      <definition
                  value="The time at which a condition or condition was first identified in a healthcare context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="89251-3"/>
        <display value="Condition present on admission"/>
      </code>
      <short
             value="If the problem or condition existed before the current episode of care."/>
      <definition
                  value="If the problem or condition existed before the current episode of care."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0392364"/>
      </code>
      <short
             value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <definition
                  value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-severity"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0699749"/>
      </code>
      <short
             value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value"/>
      <short
             value="Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C2216702"/>
        <display value="Malignant Neoplasm of Breast Staging"/>
      </code>
      <short value="The full staging information"/>
      <definition value="The full staging information"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastCancerStage-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.morphologyBehavior">
      <path
            value="oncology-BreastCancerPresenceStatement-model.morphologyBehavior"/>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="246463000"/>
        <display value="Behavior of tumor (attribute)"/>
      </code>
      <short
             value="A description of the morphology and behavioral characteristics of the cancer."/>
      <definition
                  value="A description of the morphology and behavioral characteristics of the cancer."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.morphologyBehavior"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-MorphologyBehaviorVS"/>
        </valueSetReference>
      </binding>
    </element>
  </snapshot>
  <differential>
    <element id="oncology-BreastCancerPresenceStatement-model">
      <path value="oncology-BreastCancerPresenceStatement-model"/>
      <definition
                  value="Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastCancerPresenceStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastCancerPresenceStatement-model.personOfRecord">
      <path value="oncology-BreastCancerPresenceStatement-model.personOfRecord"/>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.personOfRecord"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic"/>
      <short
             value="A condition, independent of context. &#39;Condition&#39; is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/>
      <definition
                  value="A condition, independent of context. &#39;Condition&#39; is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode"/>
      <short
             value="The concept representing the finding or action that is the topic of the statement."/>
      <definition
                  value="The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the &#39;question&#39; or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastCarcinomaHistologicTypeVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod"/>
      <short
             value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <definition
                  value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastCancerDetectionVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0947611"/>
      </code>
      <short
             value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media"/>
      <short
             value="A file that contains audio, video, image, or similar content."/>
      <definition
                  value="A file that contains audio, video, image, or similar content."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category"/>
      <short
             value="A class or division of people or things having particular shared characteristics"/>
      <definition
                  value="A class or division of people or things having particular shared characteristics"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite"/>
      <short value="A body site specific to the breast structure."/>
      <definition value="A body site specific to the breast structure."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause"/>
      <short
             value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/>
      <definition
                  value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that reduce the severity of the pathology"/>
      <definition value="Activities that reduce the severity of the pathology"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that increase the severity of the pathology"/>
      <definition value="Activities that increase the severity of the pathology"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext"/>
      <short
             value="The context for a condition that is known, suspected, or possibly present."/>
      <definition
                  value="The context for a condition that is known, suspected, or possibly present."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode"/>
      <short
             value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/>
      <definition
                  value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: &#39;Finding context (attribute)&#39; (SCTID: 408729009) and &#39;Procedure context (attribute)&#39; (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter"/>
      <short
             value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <definition
                  value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus"/>
      <short
             value="Whether an assessment has been confirmed by testing or observation."/>
      <definition
                  value="Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="85585-8"/>
      </code>
      <short
             value="The beginning or first appearance of a mental or physical disorder."/>
      <definition
                  value="The beginning or first appearance of a mental or physical disorder."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="88878-4"/>
      </code>
      <short value="The end, remission or resolution."/>
      <definition value="The end, remission or resolution."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty"/>
      <short value="The degree of confidence in a conclusion or assertion."/>
      <definition value="The degree of confidence in a conclusion or assertion."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus"/>
      <short
             value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <definition
                  value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-clinical"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized"/>
      <short
             value="The time at which a condition or condition was first identified in a healthcare context."/>
      <definition
                  value="The time at which a condition or condition was first identified in a healthcare context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="89251-3"/>
        <display value="Condition present on admission"/>
      </code>
      <short
             value="If the problem or condition existed before the current episode of care."/>
      <definition
                  value="If the problem or condition existed before the current episode of care."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0392364"/>
      </code>
      <short
             value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <definition
                  value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity"/>
        <min value="0"/>
        <max value="0"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-severity"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0699749"/>
      </code>
      <short
             value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value"/>
      <short
             value="Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail">
      <path
            value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C2216702"/>
        <display value="Malignant Neoplasm of Breast Staging"/>
      </code>
      <short value="The full staging information"/>
      <definition value="The full staging information"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastCancerStage-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="oncology-BreastCancerPresenceStatement-model.morphologyBehavior">
      <path
            value="oncology-BreastCancerPresenceStatement-model.morphologyBehavior"/>
      <code>
        <system value="http://snomed.info/sct"/>
        <code value="246463000"/>
        <display value="Behavior of tumor (attribute)"/>
      </code>
      <short
             value="A description of the morphology and behavioral characteristics of the cancer."/>
      <definition
                  value="A description of the morphology and behavioral characteristics of the cancer."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="oncology-BreastCancerPresenceStatement-model.morphologyBehavior"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-MorphologyBehaviorVS"/>
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>