PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 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 1.0.0 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

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis | Version: 1.0.0
Active as of 2025-10-16 | Computable Name: Diagnosis

Diagnosis

Usages:

- Use this Logical Model: Treatment Summary

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Diagnosis |  | 0..* | Base | Diagnosis
identifier |  | 1..* | Identifier | ID
dateOfDiagnosis |  | 0..* | BackboneElement | Date of diagnosis
centerOfDiagnosis |  | 0..* | BackboneElement | Center of diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..1 | Identifier | Center code
name |  | 0..1 | string | Center name
city |  | 0..1 | string | Center city
country |  | 1..1 | string | Center country
primaryTreatmentCenter |  | 0..1 | BackboneElement | Primary treatment center
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Primary treatment center name
city |  | 0..1 | string | Primary treatment center city
country |  | 0..1 | string | Primary treatment center country
dateOfArrivalAtCenter |  | 1..* | dateTime | Date of arrival to our institution
diagnosticGroup |  | 0..* | CodeableConcept | Diagnostic Group
morphologyCode |  | 0..* | CodeableConcept | Diagnosis
tumorBehaviour |  | 0..* | CodeableConcept | Tumour behaviour (ICD-O-3 type)
description |  | 0..1 | string | Diagnosis description
site |  | 0..* | BackboneElement | Site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Site(ICD-O-3 topography)
description |  | 0..* | string | Site description
laterality |  | 0..* | CodeableConcept | Laterality
metastasis |  | 0..* | BackboneElement | Metastatic
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier |  | 0..* | integer | Metastasis id
site |  | 0..* | BackboneElement | Metastasis site
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..* | CodeableConcept | Metastasis site code
description |  | 0..* | string | Additional description of sites of metastatis
geneticMarkers |  | 0..1 | string | Genetic markers(text)
stage |  | 0..1 | string | Stage/Risk
immunology |  | 0..* | CodeableConcept | Immunology
hereditaryPredisposition |  | 0..* | CodeableConcept | Hereditary Cancer Predisposition
notes |  | 0..* | string | Notes
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Other representations of profile: CSV, Excel