minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.1.0 - Pre-STU 3 Development United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 2.1.0). 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: mCODE Patient Bundle Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle Version: 2.1.0
Active as of 2023-01-13 Maturity Level: 1 Computable Name: MCODEPatientBundle

A collection of data for an mCODE cancer patient.

Usage

The bundle MUST contain exactly one Patient resource conforming to the CancerPatient profile (any patient conforming with US Core Patient is also conformant). The bundle MUST also contain following mCODE-conformant resources, if available to the server:

In addition, the bundle SHOULD contain the following non-mCODE resources, following appropriate US Core profiles:

  • US Core Observation resources representing vital signs, e.g., patient height, weight, blood pressure
  • Laboratory results from Comprehensive Metabolic Panels (CMP) and Complete Blood Counts (CBC)
  • Relevant resources from the Genomic Reporting IG that interpret genomic findings in terms of implications or medication recommendations, including but not limited to DiagnosticImplication resources representing evidence for or against a particular disease, condition, or cancer diagnosis.
  • Additional resources relevant to the patient but not part of mCODE, such as smoking status, family member history, and diagnostic procedures.
  • Any other resources deemed relevant to care of the cancer patient

By default, this Bundle includes all required resources described above, irrespective of care dates associated with the resources. For some types of resources, such as vital signs, a very large number of resources will therefore be included by default. To limit the number of included resources, callers MAY specify start and end parameters when requesting a patient’s mCODE bundle via the Sender’s FHIR API, which operate in the same way as for the Fetch Patient Record operation.

Conformance

The bundle itself MUST validate against the current profile.

Usage:

Formal Views of Profile Content

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

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleContains a collection of resources
... type 1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Required Pattern: collection
... timestamp S0..1instantWhen the bundle was assembled
... Slices for entry S1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by profile:resource
.... entry:All Slices Content/Rules for all slices
..... resource S1..1ResourceA resource in the bundle
.... entry:cancerPatient S1..1BackboneElementCancer Patient
..... resource 0..1CancerPatientInformation about an individual or animal receiving health care services
.... entry:cancerDiseaseStatus S0..*BackboneElementCancer Disease Status
..... resource 0..1CancerDiseaseStatusMeasurements and simple assertions
.... entry:cancerRelatedMedicationAdministration S0..*BackboneElementCancer-Related Medication Administration
..... resource 0..1CancerRelatedMedicationAdministrationAdministration of medication to a patient
.... entry:cancerRelatedMedicationRequest S0..*BackboneElementCancer-Related Medication Request
..... resource 0..1CancerRelatedMedicationRequestOrdering of medication for patient or group
.... entry:cancerRelatedSurgicalProcedure S0..*BackboneElementCancer-Related Surgical Procedure
..... resource 0..1CancerRelatedSurgicalProcedureAn action that is being or was performed on a patient
.... entry:cancerStageAssessment S0..*BackboneElementCancer Stage Group Group
..... resource 0..1CancerStageGroupMeasurements and simple assertions
.... entry:comorbidities S0..*BackboneElementCancer-Related Comorbidities
..... resource 0..1ComorbiditiesMeasurements and simple assertions
.... entry:diagnosticImplications S0..*BackboneElementGenomic Diagnostic Implications
..... resource 0..1DiagnosticImplicationDiagnostic Implication
.... entry:ecogPerformanceStatus S0..*BackboneElementECOG Performance Status
..... resource 0..1ECOGPerformanceStatusMeasurements and simple assertions
.... entry:genomicRegionStudied S0..*BackboneElementGenomic Region Studied
..... resource 0..1GenomicRegionStudiedRegion Studied
.... entry:genomicsReport S0..*BackboneElementGenomics Report
..... resource 0..1GenomicsReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:humanSpecimen S0..*BackboneElementHuman Specimen
..... resource 0..1HumanSpecimenSample for analysis
.... entry:genomicVariant S0..*BackboneElementGenomic Variant
..... resource 0..1GenomicVariantVariant
.... entry:karnofskyPerformanceStatus S0..*BackboneElementKarnofsky Performance Status
..... resource 0..1KarnofskyPerformanceStatusMeasurements and simple assertions
.... entry:radiotherapyCourseSummary S0..*BackboneElementRadiation Summary
..... resource 0..1RadiotherapyCourseSummaryAn action that is being or was performed on a patient
.... entry:radiotherapyVolume S0..*BackboneElementRadiotherapy Volume
..... resource 0..1RadiotherapyVolumeSpecific and identified anatomical structure
.... entry:primaryCancerCondition S0..*BackboneElementPrimary Cancer Condition
..... resource 0..1PrimaryCancerConditionDetailed information about conditions, problems or diagnoses
.... entry:secondaryCancerCondition S0..*BackboneElementSecondary Cancer Condition
..... resource 0..1SecondaryCancerConditionDetailed information about conditions, problems or diagnoses
.... entry:tumor S0..*BackboneElementTumor
..... resource 0..1TumorSpecific and identified anatomical structure
.... entry:tumorMarkerTest S0..*BackboneElementTumor Marker Tests
..... resource 0..1TumorMarkerTestMeasurements and simple assertions
.... entry:tumorSize S0..*BackboneElementTumor Size Measurements
..... resource 0..1TumorSizeMeasurements and simple assertions
.... entry:vitalSigns S0..*BackboneElementVital Signs
..... resource 0..1USCoreVitalSignsProfileUS Core Vital Signs Profile

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Required Pattern: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource SΣ1..1ResourceA resource in the bundle
.... entry:cancerPatient SΣC1..1BackboneElementCancer Patient
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource SC0..1CancerPatientInformation about an individual or animal receiving health care services
.... entry:cancerDiseaseStatus SΣC0..*BackboneElementCancer Disease Status
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1CancerDiseaseStatusMeasurements and simple assertions
.... entry:cancerRelatedMedicationAdministration SΣC0..*BackboneElementCancer-Related Medication Administration
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1CancerRelatedMedicationAdministrationAdministration of medication to a patient
.... entry:cancerRelatedMedicationRequest SΣC0..*BackboneElementCancer-Related Medication Request
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1CancerRelatedMedicationRequestOrdering of medication for patient or group
.... entry:cancerRelatedSurgicalProcedure SΣC0..*BackboneElementCancer-Related Surgical Procedure
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1CancerRelatedSurgicalProcedureAn action that is being or was performed on a patient
.... entry:cancerStageAssessment SΣC0..*BackboneElementCancer Stage Group Group
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1CancerStageGroupMeasurements and simple assertions
.... entry:comorbidities SΣC0..*BackboneElementCancer-Related Comorbidities
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1ComorbiditiesMeasurements and simple assertions
.... entry:diagnosticImplications SΣC0..*BackboneElementGenomic Diagnostic Implications
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1DiagnosticImplicationDiagnostic Implication
.... entry:ecogPerformanceStatus SΣC0..*BackboneElementECOG Performance Status
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1ECOGPerformanceStatusMeasurements and simple assertions
.... entry:genomicRegionStudied SΣC0..*BackboneElementGenomic Region Studied
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1GenomicRegionStudiedRegion Studied
.... entry:genomicsReport SΣC0..*BackboneElementGenomics Report
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 0..1GenomicsReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:humanSpecimen SΣC0..*BackboneElementHuman Specimen
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 0..1HumanSpecimenSample for analysis
.... entry:genomicVariant SΣC0..*BackboneElementGenomic Variant
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1GenomicVariantVariant
.... entry:karnofskyPerformanceStatus SΣC0..*BackboneElementKarnofsky Performance Status
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1KarnofskyPerformanceStatusMeasurements and simple assertions
.... entry:radiotherapyCourseSummary SΣC0..*BackboneElementRadiation Summary
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1RadiotherapyCourseSummaryAn action that is being or was performed on a patient
.... entry:radiotherapyVolume SΣC0..*BackboneElementRadiotherapy Volume
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1RadiotherapyVolumeSpecific and identified anatomical structure
.... entry:primaryCancerCondition SΣC0..*BackboneElementPrimary Cancer Condition
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1PrimaryCancerConditionDetailed information about conditions, problems or diagnoses
.... entry:secondaryCancerCondition SΣC0..*BackboneElementSecondary Cancer Condition
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1SecondaryCancerConditionDetailed information about conditions, problems or diagnoses
.... entry:tumor SΣC0..*BackboneElementTumor
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 0..1TumorSpecific and identified anatomical structure
.... entry:tumorMarkerTest SΣC0..*BackboneElementTumor Marker Tests
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1TumorMarkerTestMeasurements and simple assertions
.... entry:tumorSize SΣC0..*BackboneElementTumor Size Measurements
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1TumorSizeMeasurements and simple assertions
.... entry:vitalSigns SΣC0..*BackboneElementVital Signs
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource C0..1USCoreVitalSignsProfileUS Core Vital Signs Profile

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Bundle.typerequiredPattern: collection
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ0..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Required Pattern: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
... total ΣC0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... Slices for entry SΣC1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by profile:resource
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource SΣ1..1ResourceA resource in the bundle
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerPatient SΣC1..1BackboneElementCancer Patient
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource SC0..1CancerPatientInformation about an individual or animal receiving health care services
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerDiseaseStatus SΣC0..*BackboneElementCancer Disease Status
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1CancerDiseaseStatusMeasurements and simple assertions
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerRelatedMedicationAdministration SΣC0..*BackboneElementCancer-Related Medication Administration
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1CancerRelatedMedicationAdministrationAdministration of medication to a patient
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerRelatedMedicationRequest SΣC0..*BackboneElementCancer-Related Medication Request
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1CancerRelatedMedicationRequestOrdering of medication for patient or group
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerRelatedSurgicalProcedure SΣC0..*BackboneElementCancer-Related Surgical Procedure
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1CancerRelatedSurgicalProcedureAn action that is being or was performed on a patient
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:cancerStageAssessment SΣC0..*BackboneElementCancer Stage Group Group
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1CancerStageGroupMeasurements and simple assertions
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:comorbidities SΣC0..*BackboneElementCancer-Related Comorbidities
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1ComorbiditiesMeasurements and simple assertions
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:diagnosticImplications SΣC0..*BackboneElementGenomic Diagnostic Implications
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1DiagnosticImplicationDiagnostic Implication
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:ecogPerformanceStatus SΣC0..*BackboneElementECOG Performance Status
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource C0..1ECOGPerformanceStatusMeasurements and simple assertions
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation retur