Central Cancer Registry Reporting Content IG, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-central-cancer-registry-reporting-ig/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition | Version: 2.0.0-ballot | |||
Standards status: Trial-use | Maturity Level: 2 | Computable Name: CentralCancerRegistryReportingPrimaryCancerCondition | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.40.42.5 |
This is the Primary Cancer Condition Resource profile for the IG.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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SC | 0..* | PrimaryCancerCondition | Central Cancer Registry Reporting Primary Cancer Condition Constraints: con-3, con-4, con-5 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 1..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
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S | 1..1 | CodeableConcept | Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible) |
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S | 0..1 | CodeableConcept | Cancer Status Evidence Type Extension URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type Binding: Cancer Disease Status Evidence Type Value Set (required) |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣC | 0..1 | CodeableConcept | (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
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?!SΣC | 0..1 | CodeableConcept | (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
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S | 1..* | CodeableConcept | (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
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S | 1..* | CodeableConcept | (USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
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S | 0..* | CodeableConcept | (USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
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SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the condition, problem or diagnosis Binding: Primary Cancer Disorder Value Set (extensible) |
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SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
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S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
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S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) |
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SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0)) | (USCDI) Who has the condition? |
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SΣ | 0..1 | (USCDI) Estimated or actual date, date-time, or age | |
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dateTime S | |||
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Age | |||
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Period | |||
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Range | |||
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string | |||
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SC | 0..1 | (USCDI) When in resolution/remission | |
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dateTime S | |||
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Age | |||
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Period | |||
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Range | |||
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string | |||
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SΣ | 0..1 | dateTime | (USCDI) Date record was first recorded |
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SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SC | 0..* | Reference(Cancer Stage Profile) | Formal record of assessment |
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Path | Status | Usage | ValueSet | Version | Source |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std. |
Condition.category:us-core | Base | required | US Core Problem or Health Concern | 📦6.1.0 | US Core v6.1 |
Condition.category:screening-assessment | Base | required | US Core Screening Assessment Condition Category | 📦6.1.0 | US Core v6.1 |
Condition.code | Base | extensible | Primary Cancer Disorder Value Set | 📦4.0.0 | minimal Common Oncology Data Elements v4.0 |
Condition.bodySite | Base | extensible | Cancer Body Location Value Set | 📦4.0.0 | minimal Common Oncology Data Elements v4.0 |
Id | Grade | Path(s) | Description | Expression |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PrimaryCancerCondition
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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SC | 0..* | PrimaryCancerCondition | Central Cancer Registry Reporting Primary Cancer Condition Constraints: con-3, con-4, con-5 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 1..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
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S | 1..1 | CodeableConcept | Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible) | ||||
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S | 0..1 | CodeableConcept | Cancer Status Evidence Type Extension URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type Binding: Cancer Disease Status Evidence Type Value Set (required) | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!SΣC | 0..1 | CodeableConcept | (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
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?!SΣC | 0..1 | CodeableConcept | (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
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S | 1..* | CodeableConcept | (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 1..* | CodeableConcept | (USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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S | 0..* | CodeableConcept | (USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
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SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the condition, problem or diagnosis Binding: Primary Cancer Disorder Value Set (extensible) | ||||
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SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) | ||||
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S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | ||||
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S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0)) | (USCDI) Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | (USCDI) Estimated or actual date, date-time, or age | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SC | 0..1 | (USCDI) When in resolution/remission | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SΣ | 0..1 | dateTime | (USCDI) Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Stage at time of last staging. Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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SC | 0..* | Reference(Cancer Stage Profile) | Formal record of assessment | ||||
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0..1 | CodeableConcept | The type of stage Staging system or method used. Binding: Cancer Staging Method Value Set (extensible) | |||||
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C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required) | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Id | Grade | Path(s) | Description | Expression |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PrimaryCancerCondition
Summary
Mandatory: 3 elements
Must-Support: 7 elements
Extensions
This structure refers to these extensions:
Maturity: 2
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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SC | 0..* | PrimaryCancerCondition | Central Cancer Registry Reporting Primary Cancer Condition Constraints: con-3, con-4, con-5 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 1..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
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S | 1..1 | CodeableConcept | Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible) |
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S | 0..1 | CodeableConcept | Cancer Status Evidence Type Extension URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type Binding: Cancer Disease Status Evidence Type Value Set (required) |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣC | 0..1 | CodeableConcept | (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
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?!SΣC | 0..1 | CodeableConcept | (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) |
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S | 1..* | CodeableConcept | (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
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S | 1..* | CodeableConcept | (USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
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S | 0..* | CodeableConcept | (USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the condition, problem or diagnosis Binding: Primary Cancer Disorder Value Set (extensible) |
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SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
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S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
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S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0)) | (USCDI) Who has the condition? |
![]() ![]() ![]() |
SΣ | 0..1 | (USCDI) Estimated or actual date, date-time, or age | |
![]() ![]() ![]() ![]() |
dateTime S | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
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string | |||
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SC | 0..1 | (USCDI) When in resolution/remission | |
![]() ![]() ![]() ![]() |
dateTime S | |||
![]() ![]() ![]() ![]() |
Age | |||
![]() ![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() ![]() |
Range | |||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() |
SΣ | 0..1 | dateTime | (USCDI) Date record was first recorded |
![]() ![]() ![]() |
SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Cancer Stage Profile) | Formal record of assessment |
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Path | Status | Usage | ValueSet | Version | Source |
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📦4.0.1 | FHIR Std. |
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📦4.0.1 | FHIR Std. |
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std. |
Condition.category:us-core | Base | required | US Core Problem or Health Concern | 📦6.1.0 | US Core v6.1 |
Condition.category:screening-assessment | Base | required | US Core Screening Assessment Condition Category | 📦6.1.0 | US Core v6.1 |
Condition.code | Base | extensible | Primary Cancer Disorder Value Set | 📦4.0.0 | minimal Common Oncology Data Elements v4.0 |
Condition.bodySite | Base | extensible | Cancer Body Location Value Set | 📦4.0.0 | minimal Common Oncology Data Elements v4.0 |
Id | Grade | Path(s) | Description | Expression |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from PrimaryCancerCondition
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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SC | 0..* | PrimaryCancerCondition | Central Cancer Registry Reporting Primary Cancer Condition Constraints: con-3, con-4, con-5 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 1..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
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S | 1..1 | CodeableConcept | Histology-Morphology-Behavior Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior Binding: Histology Morphology Behavior Value Set (extensible) | ||||
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S | 0..1 | CodeableConcept | Cancer Status Evidence Type Extension URL: http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type Binding: Cancer Disease Status Evidence Type Value Set (required) | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||
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?!SΣC | 0..1 | CodeableConcept | (USCDI) active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
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?!SΣC | 0..1 | CodeableConcept | (USCDI) unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
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S | 1..* | CodeableConcept | (USCDI) category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
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S | 1..* | CodeableConcept | (USCDI) problem-list-item | health-concern Binding: US Core Problem or Health Concern (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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S | 0..* | CodeableConcept | (USCDI) USCDI Health Status/Assessments Data Class Binding: US Core Screening Assessment Condition Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
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0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
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SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the condition, problem or diagnosis Binding: Primary Cancer Disorder Value Set (extensible) | ||||
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SΣ | 1..1 | CodeableConcept | Anatomical location, if relevant Binding: Cancer Body Location Value Set (extensible) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) | ||||
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S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | ||||
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S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | ||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0)) | (USCDI) Who has the condition? | ||||
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Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
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SΣ | 0..1 | (USCDI) Estimated or actual date, date-time, or age | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SC | 0..1 | (USCDI) When in resolution/remission | |||||
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dateTime S | |||||||
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Age | |||||||
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Period | |||||||
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Range | |||||||
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string | |||||||
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SΣ | 0..1 | dateTime | (USCDI) Date record was first recorded | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
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Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
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SC | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | CodeableConcept | Stage at time of last staging. Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
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SC | 0..* | Reference(Cancer Stage Profile) | Formal record of assessment | ||||
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0..1 | CodeableConcept | The type of stage Staging system or method used. Binding: Cancer Staging Method Value Set (extensible) | |||||
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C | 0..* | BackboneElement | Supporting evidence Constraints: con-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: Cancer Disease Status Evidence Type Value Set (required) | ||||
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ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
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0..* | Annotation | Additional information about the Condition | |||||
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Id | Grade | Path(s) | Description | Expression |
con-1 | error | Condition.stage | Stage SHALL have summary or assessment |
summary.exists() or assessment.exists()
|
con-2 | error | Condition.evidence | evidence SHALL have code or details |
code.exists() or detail.exists()
|
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item |
clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
|
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission |
abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
|
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
|
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
dom-6 | best practice | Condition | A resource should have narrative for robust management |
text.`div`.exists()
|
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from PrimaryCancerCondition
Summary
Mandatory: 3 elements
Must-Support: 7 elements
Extensions
This structure refers to these extensions:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron