<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Condition-PrimaryDiagnosis" />
  <version value="0.0.1" />
  <name value="PrimaryDiagnosis" />
  <title value="Primary Diagnosis" />
  <status value="draft" />
  <description value="Corresponds to the primary diagnosis. Parameters for classifying the primary disease are recorded. These include ICD-10, ICD-O-3 (topography) and lateral localization. Links to histology (topography) and the TNM classifications (pathological/clinical)" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Condition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
  <derivation value="constraint" />
  <differential>
    <element id="Condition.extension:specimen">
      <path value="Condition.extension" />
      <sliceName value="specimen" />
      <alias value="Biosample" />
      <type>
        <code value="Extension" />
        <profile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Extension-Specimen" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <short value="Code of the primary diagnosis" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding">
      <path value="Condition.code.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Condition.code.coding:icd10-gm">
      <path value="Condition.code.coding" />
      <sliceName value="icd10-gm" />
      <short value="Code defined by ICD- system" />
      <max value="1" />
      <type>
        <code value="Coding" />
        <profile value="http://fhir.de/StructureDefinition/CodingICD10GM" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://fhir.de/ValueSet/bfarm/icd-10-gm" />
      </binding>
    </element>
    <element id="Condition.code.coding:icd10-gm.system">
      <path value="Condition.code.coding.system" />
      <short value="ICD-10-GM" />
    </element>
    <element id="Condition.code.coding:icd10-gm.version">
      <path value="Condition.code.coding.version" />
      <short value="Version of the ICD-10 catalog" />
      <definition value="Catalog version of the ICD" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="ICD-10-Catalog (Version)" />
        <valueSet value="https://www.cancercoreeurope.eu/fhir/core/ValueSet/ICDVersionVS" />
      </binding>
    </element>
    <element id="Condition.code.coding:icd10-gm.code">
      <path value="Condition.code.coding.code" />
      <short value="PrimaryDiagnosis" />
      <definition value="Coding of the patient’s disease (diagnosis) based on the current ICD classification" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:alpha-id">
      <path value="Condition.code.coding" />
      <sliceName value="alpha-id" />
      <max value="1" />
      <type>
        <code value="Coding" />
        <profile value="http://fhir.de/StructureDefinition/CodingAlphaID" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://fhir.de/ValueSet/bfarm/alpha-id" />
      </binding>
    </element>
    <element id="Condition.code.coding:alpha-id.system">
      <path value="Condition.code.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:alpha-id.code">
      <path value="Condition.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:sct">
      <path value="Condition.code.coding" />
      <sliceName value="sct" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct" />
      </binding>
    </element>
    <element id="Condition.code.coding:sct.system">
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:sct.code">
      <path value="Condition.code.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:orphanet">
      <path value="Condition.code.coding" />
      <sliceName value="orphanet" />
      <max value="1" />
    </element>
    <element id="Condition.code.coding:orphanet.system">
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://www.orpha.net" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.code.coding:orphanet.code">
      <path value="Condition.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Condition.code.text">
      <path value="Condition.code.text" />
      <short value="Primary tumor diagnosis text" />
      <definition value="Description of a disease as free text" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding">
      <path value="Condition.bodySite.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T">
      <path value="Condition.bodySite.coding" />
      <sliceName value="ICD-O-3-T" />
      <short value="ICD O-3 Topography" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.system">
      <path value="Condition.bodySite.coding.system" />
      <short value="ICD-O-3" />
      <min value="1" />
      <fixedUri value="urn:oid:2.16.840.1.113883.6.43.1" />
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.version">
      <path value="Condition.bodySite.coding.version" />
      <short value="ICD-O catalog topography (version)" />
      <definition value="Catalogue version of ICD-O" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="ICD-O-3 Version" />
        <valueSet value="https://www.cancercoreeurope.eu/fhir/core/ValueSet/ICDOVersionVS" />
      </binding>
    </element>
    <element id="Condition.bodySite.coding:ICD-O-3-T.code">
      <path value="Condition.bodySite.coding.code" />
      <short value="Localization" />
      <definition value="Designation of the topography of a disease based on the current ICD-O-3 classification" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="ICD-O-3 Topography" />
        <valueSet value="https://www.cancercoreeurope.eu/fhir/core/ValueSet/TopographyICDO3VS" />
      </binding>
    </element>
    <element id="Condition.bodySite.coding:TumorSiteLocation">
      <path value="Condition.bodySite.coding" />
      <sliceName value="TumorSiteLocation" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://www.cancercoreeurope.eu/fhir/core/ValueSet/TumorSiteLocationVS" />
      </binding>
    </element>
    <element id="Condition.bodySite.coding:TumorSiteLocation.system">
      <path value="Condition.bodySite.coding.system" />
      <min value="1" />
      <fixedUri value="https://www.cancercoreeurope.eu/fhir/core/CodeSystem/TumorSiteLocationCS" />
    </element>
    <element id="Condition.bodySite.coding:TumorSiteLocation.code">
      <path value="Condition.bodySite.coding.code" />
      <short value="Site location" />
      <definition value="Organ-specific information of the affected side" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <short value="Patient who has the condition" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Patient" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Pseudonym" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.subject.reference">
      <path value="Condition.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Condition.onset[x]:onsetDateTime">
      <path value="Condition.onset[x]" />
      <sliceName value="onsetDateTime" />
      <short value="Tumor Diagnosisdate" />
      <definition value="The date on which the reportable diagnosis was first diagnosed clinically or microscopically by a physician" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-TNMp" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-TNMc" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Condition.stage.assessment.reference">
      <path value="Condition.stage.assessment.reference" />
      <min value="1" />
    </element>
    <element id="Condition.evidence">
      <path value="Condition.evidence" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.code">
      <path value="Condition.evidence.code" />
      <short value="Diagnostic backup" />
      <definition value="Highest achieved diagnostic certainty on the date of diagnosis" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Diagnostic backup" />
        <valueSet value="https://www.cancercoreeurope.eu/fhir/core/ValueSet/DiagnosticConfirmationVS" />
      </binding>
    </element>
    <element id="Condition.evidence.code.coding.system">
      <path value="Condition.evidence.code.coding.system" />
      <fixedUri value="https://www.cancercoreeurope.eu/fhir/core/CodeSystem/DiagnosticConfirmationCS" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.code.coding.code">
      <path value="Condition.evidence.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Condition.evidence.detail">
      <path value="Condition.evidence.detail" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-Histology" />
        <targetProfile value="https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-GeneticVariant" />
      </type>
    </element>
    <element id="Condition.evidence.detail.reference">
      <path value="Condition.evidence.detail.reference" />
      <min value="1" />
    </element>
  </differential>
</StructureDefinition>