{
  "resourceType": "StructureDefinition",
  "id": "c305e32c-61ce-4fde-937e-65fc92100976",
  "meta": {
    "lastUpdated": "2017-11-02T18:25:37.491+00:00"
  },
  "url": "http://ots.nccn.org/fhir/StructureDefinition/febrileNeutropeniaRisk",
  "name": "febrileNeutropeniaRisk",
  "title": "febrileNeutropeniaRisk",
  "status": "active",
  "experimental": false,
  "date": "2017-11-02T17:04:59.072+00:00",
  "publisher": "National Comprehensive Cancer Network, Inc.",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nccn.org/about/contact.aspx",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Neutropenia with fever (febrile neutropenia [FN]) is a serious consequence of myelosuppressive chemotherapy that can result in hospitalization and the need for IV antibiotics. FN can also result in dose reductions, delays, or even discontinuation of chemotherapy, which, in turn, may compromise patient outcomes. It is thus important to identify the risk for developing FN so that patients can receive optimal chemotherapy while their risk for FN is appropriately managed.",
  "copyright": "National Comprehensive Cancer Network, Inc. (c) 2017. All right reserved.",
  "fhirVersion": "3.0.1",
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "PlanDefinition.action"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Febrile neutropenia risk.",
        "definition": "Neutropenia with fever (febrile neutropenia [FN]) is a serious consequence of myelosuppressive chemotherapy that can result in hospitalization and the need for IV antibiotics. FN can also result in dose reductions, delays, or even discontinuation of chemotherapy, which, in turn, may compromise patient outcomes. It is thus important to identify the risk for developing FN so that patients can receive optimal chemotherapy while their risk for FN is appropriately managed.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "comment": "Note that FHIR strings may not exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "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": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://ots.nccn.org/fhir/StructureDefinition/febrileNeutropeniaRisk",
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]:valueCode",
        "path": "Extension.valueCode",
        "sliceName": "valueCode",
        "short": "FN risk.",
        "definition": "The level of FN risk associated with this regimen.",
        "comment": "n/a",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "FN risk",
            "valueCode": "high"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "FN risk value set.",
          "valueSetUri": "http://ots.nccn.org/fhir/ValueSet/febrileNeutropeniaRisk-ValueSet"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Febrile neutropenia risk.",
        "definition": "Neutropenia with fever (febrile neutropenia [FN]) is a serious consequence of myelosuppressive chemotherapy that can result in hospitalization and the need for IV antibiotics. FN can also result in dose reductions, delays, or even discontinuation of chemotherapy, which, in turn, may compromise patient outcomes. It is thus important to identify the risk for developing FN so that patients can receive optimal chemotherapy while their risk for FN is appropriately managed."
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://ots.nccn.org/fhir/StructureDefinition/febrileNeutropeniaRisk"
      },
      {
        "id": "Extension.value[x]:valueCode",
        "path": "Extension.valueCode",
        "sliceName": "valueCode",
        "short": "FN risk.",
        "definition": "The level of FN risk associated with this regimen.",
        "comment": "n/a",
        "min": 1,
        "type": [
          {
            "code": "code"
          }
        ],
        "example": [
          {
            "label": "FN risk",
            "valueCode": "high"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "FN risk value set.",
          "valueSetUri": "http://ots.nccn.org/fhir/ValueSet/febrileNeutropeniaRisk-ValueSet"
        }
      }
    ]
  }
}