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 Profile

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

Identifies a tumor that has not been removed from the body. Whenever possible, a single resource conforming to this profile will be used to track a tumor over time (as opposed to creating new Tumor-conforming BodyStructure resources each time that tumor is measured). Use HumanSpecimen to represent the tumor after removal from the body.

Usage

Used to represent a tumor that has not been removed from the body, and track that specific tumor across encounters and procedures.

Conformance

BodyStructure resources associated with an in-scope patient with morphology of SCT 367651003 MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient used to represent a tumor that has not been removed from the body SHALL be published in this form.

A single instance of BodyStructure conforming to this profile SHOULD be used to track a specific tumor over time.

Usage:

Formal Views of Profile Content

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

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
BodyStructure.morphologyexamplePattern: SNOMED CT code 367651003("Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)")
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
BodyStructure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
BodyStructure.morphologyexamplePattern: SNOMED CT code 367651003("Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)")
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

Differential View

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
BodyStructure.morphologyexamplePattern: SNOMED CT code 367651003("Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)")
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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://snomed.info/sct
..... version1..1stringVersion of the system - if relevant
Fixed Value: http://snomed.info/sct/900000000000207008
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
BodyStructure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
BodyStructure.morphologyexamplePattern: SNOMED CT code 367651003("Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)")
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

 

Other representations of profile: CSV, Excel, Schematron