minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Cancer Stage Profile ( Abstract )

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage Version: 4.0.0-ballot
Active as of 2024-04-09 Computable Name: CancerStage
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.12

Parent profile for observations regarding cancer stage, grade, or classification. The stage is an assessment of the extent of the cancer in the body, according to a given cancer staging classification system. Profiles for different staging systems (e.g., TNM stage group, Rai stage, FIGO stage, etc.) must derive from this profile.

Despite its name, the CancerStage profile can also be used as a parent for cancer grade or classification. This is because the structure of the profiles are the same or very similar. The key elements are the code, method, value, and optionally, prognostic factors referenced in the hasMember element.

Usage:

Changes since version true:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    ... status S 1..1 code registered | preliminary | final | amended +
    ... code S 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ... subject S 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
    ... value[x] S 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange 0..* BackboneElement Not used in this profile
    ... hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    Measurements and simple assertions
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    Measurements and simple assertions
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... category 0..* CodeableConcept Classification of type of observation
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ... subject SΣ 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    ... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... component Σ 0..* BackboneElement Component results
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.

    .... value[x] Σ 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    .... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    ... status S 1..1 code registered | preliminary | final | amended +
    ... code S 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ... subject S 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
    ... value[x] S 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange 0..* BackboneElement Not used in this profile
    ... hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    Measurements and simple assertions
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* Observation This is an abstract profile. Child profiles: CLLBinetStage, CLLRaiStage, GynecologicTumorFIGOStage, LymphomaStage, MelanomaBreslowDepthStage, MelanomaClarkLevel, MyelomaISSStage, MyelomaRISSStage, NeuroblastomaINRGSSStage, NeuroblastomaINSSStage, ProstateGleasonGradeGroup, RhabdomyosarcomaClinicalGroupStage, TNMStageGroup, WilmsTumorStage
    Measurements and simple assertions
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... category 0..* CodeableConcept Classification of type of observation
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ... subject SΣ 0..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Cancer Stage Value Set (example)
    ... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    ... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


    ... note 0..* Annotation Comments about the observation
    ... bodySite 0..1 CodeableConcept Observed body part
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

    ... method S 0..1 CodeableConcept The staging system used.
    Binding: Cancer Staging Method Value Set (extensible)
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... low C 0..1 SimpleQuantity Low Range, if relevant
    .... high C 0..1 SimpleQuantity High Range, if relevant
    .... type 0..1 CodeableConcept Reference range qualifier
    Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

    .... appliesTo 0..* CodeableConcept Reference range population
    Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


    .... age 0..1 Range Applicable age range, if relevant
    .... text 0..1 string Text based reference range in an observation
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
    ... component Σ 0..* BackboneElement Component results
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... code Σ 1..1 CodeableConcept Type of component observation (code / type)
    Binding: LOINCCodes (example): Codes identifying names of simple observations.

    .... value[x] Σ 0..1 Actual component result
    ..... valueQuantity Quantity
    ..... valueCodeableConcept CodeableConcept
    ..... valueString string
    ..... valueBoolean boolean
    ..... valueInteger integer
    ..... valueRange Range
    ..... valueRatio Ratio
    ..... valueSampledData SampledData
    ..... valueTime time
    ..... valueDateTime dateTime
    ..... valuePeriod Period
    .... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    .... interpretation 0..* CodeableConcept High, low, normal, etc.
    Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


    .... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.codepreferredCancerStageTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]exampleCancerStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodextensibleCancerStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    from the FHIR Standard
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

     

    Other representations of profile: CSV, Excel, Schematron