PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Logical Model: Diagnosis - Detailed Descriptions

Draft as of 2024-12-11

Definitions for the Diagnosis logical model.

Guidance on how to interpret the contents of this table can be found here

0. Diagnosis
Definition

Diagnosis Maturity Level: 2 - Ready for Review

ShortDiagnosis
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Diagnosis.identifier
Definition

diagnosis identifier

ShortID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. Diagnosis.dateOfDiagnosis
Definition

Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortDate of diagnosis
Control0..*
TypeBackboneElement
6. Diagnosis.centerOfDiagnosis
Definition

Institution in which the diagnosis was made.

ShortCenter of diagnosis
Control0..*
TypeBackboneElement
8. Diagnosis.centerOfDiagnosis.identifier
Definition

Code of the institution in which the diagnosis was made. IN AIEOP thus information is retrievable from the Mod.1.01 database

ShortCenter code
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
10. Diagnosis.centerOfDiagnosis.name
Definition

Center name

ShortCenter name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Diagnosis.centerOfDiagnosis.city
Definition

Center city

ShortCenter city
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. Diagnosis.centerOfDiagnosis.country
Definition

Center country

ShortCenter country
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. Diagnosis.primaryTreatmentCenter
Definition

Report here the institution in which most of the treatment was given

ShortPrimary treatment center
Control0..1
TypeBackboneElement
18. Diagnosis.primaryTreatmentCenter.name
Definition

Primary treatment center name

ShortPrimary treatment center name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. Diagnosis.primaryTreatmentCenter.city
Definition

Primary treatment center city

ShortPrimary treatment center city
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. Diagnosis.primaryTreatmentCenter.country
Definition

Primary treatment center country

ShortPrimary treatment center country
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. Diagnosis.dateOfArrivalAtCenter
Definition

Date of arrival to our institution

ShortDate of arrival to our institution
Control1..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. Diagnosis.diagnosticGroup
Definition

Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)

ShortDiagnostic Group
Control0..*
TypeCodeableConcept
28. Diagnosis.morphologyCode
Definition

Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported

ShortDiagnosis
Control0..*
TypeCodeableConcept
30. Diagnosis.tumorBehaviour
Definition

Tumour behaviour. Automatically generated by the system for benign tumors

ShortTumour behaviour (ICD-O-3 type)
Control0..*
TypeCodeableConcept
32. Diagnosis.description
Definition

Diagnosis description

ShortDiagnosis description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. Diagnosis.site
Definition

Site of the tumor

ShortSite
Control0..*
TypeBackboneElement
36. Diagnosis.site.code
Definition

Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)

ShortSite(ICD-O-3 topography)
Control0..*
TypeCodeableConcept
38. Diagnosis.site.description
Definition

Site description . Free text to report the site of the tumor

ShortSite description
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. Diagnosis.laterality
Definition

Laterality

ShortLaterality
Control0..*
TypeCodeableConcept
42. Diagnosis.metastasis
Definition

Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify.

ShortMetastatic
Control0..*
TypeBackboneElement
44. Diagnosis.metastasis.identifier
Definition

Number of metastases

ShortMetastasis id
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. Diagnosis.metastasis.site
Definition

Please report here the site(s) of metastases detected at diagnosis.

ShortMetastasis site
Control0..*
TypeBackboneElement
48. Diagnosis.metastasis.site.code
Definition

Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9

ShortMetastasis site code
Control0..*
TypeCodeableConcept
50. Diagnosis.metastasis.site.description
Definition

Additional description of sites of metastatis

ShortAdditional description of sites of metastatis
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. Diagnosis.geneticMarkers
Definition

Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)

ShortGenetic markers(text)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. Diagnosis.stage
Definition

Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis. In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'

ShortStage/Risk
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. Diagnosis.immunology
Definition

Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'

ShortImmunology
Control0..*
TypeCodeableConcept
58. Diagnosis.hereditaryPredisposition
Definition

Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'

ShortHereditary Cancer Predisposition
Control0..*
TypeCodeableConcept
60. Diagnosis.notes
Definition

Notes

ShortNotes
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. Diagnosis
Definition

Diagnosis Maturity Level: 2 - Ready for Review

ShortDiagnosis
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Diagnosis.identifier
Definition

diagnosis identifier

ShortID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
4. Diagnosis.dateOfDiagnosis
Definition

Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortDate of diagnosis
Control0..*
TypeBackboneElement
6. Diagnosis.centerOfDiagnosis
Definition

Institution in which the diagnosis was made.

ShortCenter of diagnosis
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Diagnosis.centerOfDiagnosis.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
10. Diagnosis.centerOfDiagnosis.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Diagnosis.centerOfDiagnosis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 12. Diagnosis.centerOfDiagnosis.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Diagnosis.centerOfDiagnosis.identifier
    Definition

    Code of the institution in which the diagnosis was made. IN AIEOP thus information is retrievable from the Mod.1.01 database

    ShortCenter code
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier
    16. Diagnosis.centerOfDiagnosis.name
    Definition

    Center name

    ShortCenter name
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. Diagnosis.centerOfDiagnosis.city
    Definition

    Center city

    ShortCenter city
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    20. Diagnosis.centerOfDiagnosis.country
    Definition

    Center country

    ShortCenter country
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    22. Diagnosis.primaryTreatmentCenter
    Definition

    Report here the institution in which most of the treatment was given

    ShortPrimary treatment center
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Diagnosis.primaryTreatmentCenter.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    26. Diagnosis.primaryTreatmentCenter.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Diagnosis.primaryTreatmentCenter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. Diagnosis.primaryTreatmentCenter.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      30. Diagnosis.primaryTreatmentCenter.name
      Definition

      Primary treatment center name

      ShortPrimary treatment center name
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. Diagnosis.primaryTreatmentCenter.city
      Definition

      Primary treatment center city

      ShortPrimary treatment center city
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      34. Diagnosis.primaryTreatmentCenter.country
      Definition

      Primary treatment center country

      ShortPrimary treatment center country
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      36. Diagnosis.dateOfArrivalAtCenter
      Definition

      Date of arrival to our institution

      ShortDate of arrival to our institution
      Control1..*
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      38. Diagnosis.diagnosticGroup
      Definition

      Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)

      ShortDiagnostic Group
      Control0..*
      TypeCodeableConcept
      40. Diagnosis.morphologyCode
      Definition

      Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported

      ShortDiagnosis
      Control0..*
      TypeCodeableConcept
      42. Diagnosis.tumorBehaviour
      Definition

      Tumour behaviour. Automatically generated by the system for benign tumors

      ShortTumour behaviour (ICD-O-3 type)
      Control0..*
      TypeCodeableConcept
      44. Diagnosis.description
      Definition

      Diagnosis description

      ShortDiagnosis description
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      46. Diagnosis.site
      Definition

      Site of the tumor

      ShortSite
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Diagnosis.site.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      50. Diagnosis.site.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Diagnosis.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 52. Diagnosis.site.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        54. Diagnosis.site.code
        Definition

        Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)

        ShortSite(ICD-O-3 topography)
        Control0..*
        TypeCodeableConcept
        56. Diagnosis.site.description
        Definition

        Site description . Free text to report the site of the tumor

        ShortSite description
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        58. Diagnosis.laterality
        Definition

        Laterality

        ShortLaterality
        Control0..*
        TypeCodeableConcept
        60. Diagnosis.metastasis
        Definition

        Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify.

        ShortMetastatic
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Diagnosis.metastasis.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        64. Diagnosis.metastasis.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Diagnosis.metastasis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 66. Diagnosis.metastasis.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          68. Diagnosis.metastasis.identifier
          Definition

          Number of metastases

          ShortMetastasis id
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          70. Diagnosis.metastasis.site
          Definition

          Please report here the site(s) of metastases detected at diagnosis.

          ShortMetastasis site
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. Diagnosis.metastasis.site.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          74. Diagnosis.metastasis.site.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Diagnosis.metastasis.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 76. Diagnosis.metastasis.site.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            78. Diagnosis.metastasis.site.code
            Definition

            Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9

            ShortMetastasis site code
            Control0..*
            TypeCodeableConcept
            80. Diagnosis.metastasis.site.description
            Definition

            Additional description of sites of metastatis

            ShortAdditional description of sites of metastatis
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            82. Diagnosis.geneticMarkers
            Definition

            Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)

            ShortGenetic markers(text)
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            84. Diagnosis.stage
            Definition

            Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis. In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'

            ShortStage/Risk
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            86. Diagnosis.immunology
            Definition

            Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'

            ShortImmunology
            Control0..*
            TypeCodeableConcept
            88. Diagnosis.hereditaryPredisposition
            Definition

            Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'

            ShortHereditary Cancer Predisposition
            Control0..*
            TypeCodeableConcept
            90. Diagnosis.notes
            Definition

            Notes

            ShortNotes
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

            Guidance on how to interpret the contents of this table can be found here

            0. Diagnosis
            Definition

            Diagnosis Maturity Level: 2 - Ready for Review

            ShortDiagnosis
            Control0..*
            Is Modifierfalse
            Logical ModelInstances of this logical model are not marked to be the target of a Reference
            2. Diagnosis.identifier
            Definition

            diagnosis identifier

            ShortID
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..*
            TypeIdentifier
            4. Diagnosis.dateOfDiagnosis
            Definition

            Official date of diagnosis. Please report the date as documented in the clinical record. Differences across institutions may occur in defining this date (either the date of the final test (laboratory, imaging, surgery or pathology report) based on which therapeutic decision was taken. In other cases the date of the pathology report is used to define the date of diagnosis. The system will send an 'error' message if the date of diagnosis is more recent hat the date of start of treatment. If the date is unkown or partially missed insert the year at the best of your knowledge.

            ShortDate of diagnosis
            Control0..*
            TypeBackboneElement
            6. Diagnosis.centerOfDiagnosis
            Definition

            Institution in which the diagnosis was made.

            ShortCenter of diagnosis
            Control0..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            8. Diagnosis.centerOfDiagnosis.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            10. Diagnosis.centerOfDiagnosis.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Diagnosis.centerOfDiagnosis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 12. Diagnosis.centerOfDiagnosis.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              14. Diagnosis.centerOfDiagnosis.identifier
              Definition

              Code of the institution in which the diagnosis was made. IN AIEOP thus information is retrievable from the Mod.1.01 database

              ShortCenter code
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1
              TypeIdentifier
              16. Diagnosis.centerOfDiagnosis.name
              Definition

              Center name

              ShortCenter name
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              18. Diagnosis.centerOfDiagnosis.city
              Definition

              Center city

              ShortCenter city
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              20. Diagnosis.centerOfDiagnosis.country
              Definition

              Center country

              ShortCenter country
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              22. Diagnosis.primaryTreatmentCenter
              Definition

              Report here the institution in which most of the treatment was given

              ShortPrimary treatment center
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              24. Diagnosis.primaryTreatmentCenter.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              26. Diagnosis.primaryTreatmentCenter.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Diagnosis.primaryTreatmentCenter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 28. Diagnosis.primaryTreatmentCenter.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                30. Diagnosis.primaryTreatmentCenter.name
                Definition

                Primary treatment center name

                ShortPrimary treatment center name
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                32. Diagnosis.primaryTreatmentCenter.city
                Definition

                Primary treatment center city

                ShortPrimary treatment center city
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                34. Diagnosis.primaryTreatmentCenter.country
                Definition

                Primary treatment center country

                ShortPrimary treatment center country
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                36. Diagnosis.dateOfArrivalAtCenter
                Definition

                Date of arrival to our institution

                ShortDate of arrival to our institution
                Control1..*
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                38. Diagnosis.diagnosticGroup
                Definition

                Diagnostic Group. ICCC-3 Classification (Main and Extended classification tables)

                ShortDiagnostic Group
                Control0..*
                TypeCodeableConcept
                40. Diagnosis.morphologyCode
                Definition

                Report the diagnosis using the ICD-O-3 Morphology coding system (an help tool is built into the system). If also the site of the tumor will be reported (see 'site') using the ICD-O-3 Topography codes, the system will automatically define the tumor according to ICCC-3 classic pediatric classification (see: Cancer category). This field is automatically generated if both ICD-O-3 Morphology and Topography data have been reported

                ShortDiagnosis
                Control0..*
                TypeCodeableConcept
                42. Diagnosis.tumorBehaviour
                Definition

                Tumour behaviour. Automatically generated by the system for benign tumors

                ShortTumour behaviour (ICD-O-3 type)
                Control0..*
                TypeCodeableConcept
                44. Diagnosis.description
                Definition

                Diagnosis description

                ShortDiagnosis description
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                46. Diagnosis.site
                Definition

                Site of the tumor

                ShortSite
                Control0..*
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. Diagnosis.site.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                50. Diagnosis.site.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Diagnosis.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 52. Diagnosis.site.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  54. Diagnosis.site.code
                  Definition

                  Site . Report the site of the tumor using the ICD-O-3 Topography (an help tool is built into the system). If also ICD-O-3 Morphology data have been reported, the system will automatically define the tumor also according to ICCC-3 classic pediatric classification (see: Cancer category)

                  ShortSite(ICD-O-3 topography)
                  Control0..*
                  TypeCodeableConcept
                  56. Diagnosis.site.description
                  Definition

                  Site description . Free text to report the site of the tumor

                  ShortSite description
                  Control0..*
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  58. Diagnosis.laterality
                  Definition

                  Laterality

                  ShortLaterality
                  Control0..*
                  TypeCodeableConcept
                  60. Diagnosis.metastasis
                  Definition

                  Some tumors may be either localized (e.g. stage III neuroblastoma) or metastatic. Please specify.

                  ShortMetastatic
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  62. Diagnosis.metastasis.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  64. Diagnosis.metastasis.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Diagnosis.metastasis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 66. Diagnosis.metastasis.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    68. Diagnosis.metastasis.identifier
                    Definition

                    Number of metastases

                    ShortMetastasis id
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    70. Diagnosis.metastasis.site
                    Definition

                    Please report here the site(s) of metastases detected at diagnosis.

                    ShortMetastasis site
                    Control0..*
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. Diagnosis.metastasis.site.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    74. Diagnosis.metastasis.site.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Diagnosis.metastasis.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 76. Diagnosis.metastasis.site.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      78. Diagnosis.metastasis.site.code
                      Definition

                      Metastases detected at diagnosis (using ICD-O-3 Topography). If site(s) is unknown, code C80.9

                      ShortMetastasis site code
                      Control0..*
                      TypeCodeableConcept
                      80. Diagnosis.metastasis.site.description
                      Definition

                      Additional description of sites of metastatis

                      ShortAdditional description of sites of metastatis
                      Control0..*
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      82. Diagnosis.geneticMarkers
                      Definition

                      Please report here any genetic marker: chromosomal alterations (e.g. translocation, deletions, duplications); or other types of genetic alterations (amplification, deletion, mutation)

                      ShortGenetic markers(text)
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      84. Diagnosis.stage
                      Definition

                      Stage/Risk. Free trext to specify the stage, if applicable, of the tumor at diagnosis. Staging codes may be different across tumor types and eras of treatment. Please report the one used to define the survivors' tumor at the moment of diagnosis. In case of leukemia the 'risk' (e.g. high, standard) could be reported. If the stage is unknown, specifie 'NK'

                      ShortStage/Risk
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      86. Diagnosis.immunology
                      Definition

                      Immunology . This is a free text field. Report here, if applicable (e.g. leukemias) the immunophenotype of the disease (sometimes already reported in the ICD-O-3 Morphology coding). If immunology is unknown, specify 'NK'

                      ShortImmunology
                      Control0..*
                      TypeCodeableConcept
                      88. Diagnosis.hereditaryPredisposition
                      Definition

                      Hereditary Cancer Predisposition Syndromeor medical condition cancer associated. Report here if the survivor has some Hereditary Cancer Predisposition Syndrome or a medical conditions, cancer associated. The SurPass system provides a list of the most common Hereditary Cancer Predisposition Syndromes or other medical conditions reported to be cancer associated (an help tool is build into the system: when you start writing the computer proposes the syndromes/conditions with similar spelling). If the syndrome is not listed, please mark other and then 'Specify'

                      ShortHereditary Cancer Predisposition
                      Control0..*
                      TypeCodeableConcept
                      90. Diagnosis.notes
                      Definition

                      Notes

                      ShortNotes
                      Control0..*
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension