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: Tumor Size Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size Version: 2.1.0
Active as of 2023-01-13 Maturity Level: 3 Computable Name: TumorSize

Records the dimensions of a tumor

Usage

Tumor size is modeled as an Observation with components for one required primary dimension (for example, length) and up to two additional optional dimensions (for example, width and depth). Note that the Observation.value[x] is not used for the primary dimension, because secondary dimensions cannot be considered components of the length measurement. Instead, primary and secondary (e.g., length, width and depth) are all components of one tumor size measurement.

For staging and prognostic purposes, it is assumed that reported tumor measurements will include the longest dimension of the tumor. Therefore, this profile requires the longest dimension to be reported in Observation.component.value with Observation.component.code set to LOINC 33728-7 (“Size.maximum dimension in Tumor). To avoid confusion, it is not possible to represent tumor size with this profile without including a measurement of the tumor’s longest dimension.

Conformance

Observation resources associated with an in-scope patient with an Observation.code of LOINC 21889-1 (“Size Tumor”) MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreLaboratoryResultObservationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... code 1..1CodeableConceptLaboratory Test Name
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
... subject 1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus S0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... Slices for component S1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:tumorLongestDimension S1..1BackboneElementLongest tumor dimension (cm or mm)
..... code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
..... value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
..... valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
.... component:tumorOtherDimension S0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
..... value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
..... valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.methodextensibleTumorSizeMethodVS
Observation.component:tumorLongestDimension.valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.valueQuantityrequiredTumorSizeUnitsVS

Constraints

IdGradePath(s)DetailsRequirements
must-have-focus-or-specimen-invarianterrorObservationEither `focus` OR `specimen` MUST be populated
: (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
... code SΣ1..1CodeableConceptLaboratory Test Name
Binding: LOINCCodes (extensible): LOINC codes


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
... subject SΣ1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus SΣ0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
... value[x] SΣC0..1Not used in this profile
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... Slices for component SΣ1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:tumorLongestDimension SΣ1..1BackboneElementLongest tumor dimension (cm or mm)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
.... component:tumorOtherDimension SΣ0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:LaboratorypreferredPattern: laboratory
Observation.codeextensiblePattern: LOINC code 21889-1
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.methodextensibleTumorSizeMethodVS
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component:tumorLongestDimension.codeexamplePattern: LOINC code 33728-7
Observation.component:tumorLongestDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.codeexamplePattern: LOINC code 33729-5
Observation.component:tumorOtherDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS

Constraints

IdGradePath(s)DetailsRequirements
must-have-focus-or-specimen-invarianterrorObservationEither `focus` OR `specimen` MUST be populated
: (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... 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
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptLaboratory Test Name
Binding: LOINCCodes (extensible): LOINC codes


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus SΣ0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣC0..1Not used in this profile
.... valueQuantityQuantity S
.... valueCodeableConceptCodeableConcept S
.... valueStringstring S
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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

... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... 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
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component: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
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:tumorLongestDimension SΣ1..1BackboneElementLongest tumor dimension (cm or mm)
..... 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
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:tumorOtherDimension SΣ0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... 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
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:LaboratorypreferredPattern: laboratory
Observation.codeextensiblePattern: LOINC code 21889-1
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodextensibleTumorSizeMethodVS
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:tumorLongestDimension.codeexamplePattern: LOINC code 33728-7
Observation.component:tumorLongestDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorLongestDimension.dataAbsentReasonextensibleDataAbsentReason
Observation.component:tumorLongestDimension.interpretationextensibleObservationInterpretationCodes
Observation.component:tumorOtherDimension.codeexamplePattern: LOINC code 33729-5
Observation.component:tumorOtherDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.dataAbsentReasonextensibleDataAbsentReason
Observation.component:tumorOtherDimension.interpretationextensibleObservationInterpretationCodes

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Mandatory: 2 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this

Maturity: 3

Differential View

This structure is derived from USCoreLaboratoryResultObservationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... code 1..1CodeableConceptLaboratory Test Name
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
... subject 1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus S0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... Slices for component S1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:tumorLongestDimension S1..1BackboneElementLongest tumor dimension (cm or mm)
..... code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
..... value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
..... valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
.... component:tumorOtherDimension S0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
..... value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
..... valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.methodextensibleTumorSizeMethodVS
Observation.component:tumorLongestDimension.valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.valueQuantityrequiredTumorSizeUnitsVS

Constraints

IdGradePath(s)DetailsRequirements
must-have-focus-or-specimen-invarianterrorObservationEither `focus` OR `specimen` MUST be populated
: (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
... code SΣ1..1CodeableConceptLaboratory Test Name
Binding: LOINCCodes (extensible): LOINC codes


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
... subject SΣ1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus SΣ0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
... value[x] SΣC0..1Not used in this profile
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... Slices for component SΣ1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:tumorLongestDimension SΣ1..1BackboneElementLongest tumor dimension (cm or mm)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
.... component:tumorOtherDimension SΣ0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:LaboratorypreferredPattern: laboratory
Observation.codeextensiblePattern: LOINC code 21889-1
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.methodextensibleTumorSizeMethodVS
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component:tumorLongestDimension.codeexamplePattern: LOINC code 33728-7
Observation.component:tumorLongestDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.codeexamplePattern: LOINC code 33729-5
Observation.component:tumorOtherDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS

Constraints

IdGradePath(s)DetailsRequirements
must-have-focus-or-specimen-invarianterrorObservationEither `focus` OR `specimen` MUST be populated
: (focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
... 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
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptLaboratory Test Name
Binding: LOINCCodes (extensible): LOINC codes


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
... focus SΣ0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣC0..1Not used in this profile
.... valueQuantityQuantity S
.... valueCodeableConceptCodeableConcept S
.... valueStringstring S
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


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

... method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
... specimen S0..1Reference(Human Specimen Profile)Identifies a tumor that has been removed from the body
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... 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
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component SΣ1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component: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
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:tumorLongestDimension SΣ1..1BackboneElementLongest tumor dimension (cm or mm)
..... 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
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:tumorOtherDimension SΣ0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
..... 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
..... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣ0..1QuantityActual component result
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity Σ0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:LaboratorypreferredPattern: laboratory
Observation.codeextensiblePattern: LOINC code 21889-1
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodextensibleTumorSizeMethodVS
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:tumorLongestDimension.codeexamplePattern: LOINC code 33728-7
Observation.component:tumorLongestDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorLongestDimension.dataAbsentReasonextensibleDataAbsentReason
Observation.component:tumorLongestDimension.interpretationextensibleObservationInterpretationCodes
Observation.component:tumorOtherDimension.codeexamplePattern: LOINC code 33729-5
Observation.component:tumorOtherDimension.value[x]:valueQuantityrequiredTumorSizeUnitsVS
Observation.component:tumorOtherDimension.dataAbsentReasonextensibleDataAbsentReason
Observation.component:tumorOtherDimension.interpretationextensibleObservationInterpretationCodes

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Mandatory: 2 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron