<status value="draft" /> <date value="2020-06-25T14:08:40.6771846+00:00" /> <publisher value="Roche Navify" /> <description value="This extension is being defined as an element to be used in the Roche Navify Profile for the Condition Resource as a means of capturing the NAACCR coded behavior for a Tumor / Cancer" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="Condition" /> </context> <context> <type value="element" /> <expression value="BodyStructure" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <snapshot> <element id="Extension"> <path value="Extension" /> <short value="Behavior Code" /> <definition value="an extension to capture the behavior associated with a condition using NAACCR Behavior codes" /> <min value="0" /> <max value="1" /> <base> <path value="Extension" /> <min value="0" /> <max value="*" /> </base> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.id"> <path value="Extension.id" /> <representation value="xmlAttr" /> <short value="Unique id for inter-element referencing" /> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional content defined by implementations" /> <definition value="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." /> <comment value="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." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.url"> <path value="Extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri" /> </extension> <code value="http://hl7.org/fhirpath/System.String" /> </type> <fixedUri value="https://dip.roche.com/context-extension/impacted-condition/StructureDefinition/BehaviorCode" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="NAACCR behavior code" /> <definition value="Value Set: NAACCR Behavior Code urn:oid:2.16.840.1.113883.3.520.4.14. Indication whether the tumor is benign, in situ, malignant or metastatic Value Set Source: http://phinvads.cdc.gov/vads/ViewValueSet.action?id=533DA165-1730-E211-8ECF-001A4BE7FA90" /> <comment value="Concept Code Concept Name 0 Benign 2 Carcinoma in situ 6 Malignant, metastatic site 3 Malignant, primary site 9 Malignant, uncertain whether primary or metastatic site 1 Uncertain whether benign or malignant" /> <min value="1" /> <max value="1" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="code" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() or (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <isModifier value="false" /> <binding> <strength value="required" /> <description value="NAACCR Behavior Codes" /> <valueSet value="http://phinvads.cdc.gov/vads/ViewValueSet.action?id=533DA165-1730-E211-8ECF-001A4BE7FA90" /> </binding> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension" /> <short value="Behavior Code" /> <definition value="an extension to capture the behavior associated with a condition using NAACCR Behavior codes" /> <max value="1" /> <isModifier value="false" /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://dip.roche.com/context-extension/impacted-condition/StructureDefinition/BehaviorCode" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="NAACCR behavior code" /> <definition value="Value Set: NAACCR Behavior Code urn:oid:2.16.840.1.113883.3.520.4.14. Indication whether the tumor is benign, in situ, malignant or metastatic Value Set Source: http://phinvads.cdc.gov/vads/ViewValueSet.action?id=533DA165-1730-E211-8ECF-001A4BE7FA90" /> <comment value="Concept Code Concept Name 0 Benign 2 Carcinoma in situ 6 Malignant, metastatic site 3 Malignant, primary site 9 Malignant, uncertain whether primary or metastatic site 1 Uncertain whether benign or malignant" /> <min value="1" /> <type> <code value="code" /> </type> <isModifier value="false" /> <binding> <strength value="required" /> <description value="NAACCR Behavior Codes" /> <valueSet value="http://phinvads.cdc.gov/vads/ViewValueSet.action?id=533DA165-1730-E211-8ECF-001A4BE7FA90" /> </binding> </element> </differential> </StructureDefinition>