CanShare models, published by David hay. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/davidhay25/models/ and changes regularly. See the Directory of published versions
Logical Model: Microscopic findings (Colorectal histopathology report)
| Official URL: http://example.org/StructureDefinition/ColorectalHistoMicroscopic-cs | Version: 0.1.0 | |||
| Draft as of 2024-03-04 | Computable Name: ColorectalHistoMicroscopic_cs | |||
Observations on a specimen that are only visible under a microscope, as documented on a colorectal histopathology report.
Usage:
- This Logical Model Profile is not used by any profiles in this Implementation Guide
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
  HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
  Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
 Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
 MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
 Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
 Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
| HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
| MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
| Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
| HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
| MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
| Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
| HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
| MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
| Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
| Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
| HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
| MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
| Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ColorectalHistoMicroscopic-cs | 0..* | Base | Microscopic findings (Colorectal histopathology report) Instances of this logical model are not marked to be the target of a Reference | |
| HistologicType | 0..1 | BackboneElement | A categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Value | 0..1 | CodeableConcept | The histologic type of the specimen, e.g. Adenocarcinoma. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology (preferred) | |
| MorphologyQualifier | 0..* | CodeableConcept | A histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS) | |
| GradingWHOMalignantHighLow | 0..1 | BackboneElement | The grading of a malignant neoplasm using the WHO malignant high low system. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | The WHO 5th edition malignant low high grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using the WHO 5th edition malignant low/high grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| GradingWHONETs | 0..1 | BackboneElement | The grading of a neuroendocrine tumour using the WHO neuroendocrine tumour grading system. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | Whether or not the grading is able to be performed. | |
| NotGradableReason | 0..1 | CodeableConcept | The free text reason that the tumour is not gradable. | |
| System | 0..1 | CodeableConcept | WHO 5th edition neuroendocrine tumour grading system used to grade the cancer. | |
| Grade | 0..1 | CodeableConcept | The grade of the cancer using WHO (5th edition) neuroendocrine tumour grading system Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade (preferred) | |
| Comments | 0..1 | string | Free text comments about the grading. | |
| MitoticCount | 0..1 | BackboneElement | The number of mitotic figures per high-power field (HPF) found in the most mitotically active part of the tumour. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| MitoticCountStatus | 0..1 | CodeableConcept | Whether or not the mitotic count can be assessed. | |
| Value | 0..1 | Ratio | The number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour. | |
| Ki67ProliferationIndex | 0..1 | BackboneElement | The percentage of cells in a tumour sample that are actively dividing. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Ki67ProliferationIndexStatus | 0..1 | CodeableConcept | Whether or not the Ki-67 proliferation index can be assessed. | |
| Ki67ProliferationIndexPercent | 0..1 | Quantity | The percentage of actively dividing cells per 500 cell count in hotspot using the photograph and mark method. | |
| TumourDimensions | 0..1 | BackboneElement | The size of the tumour measured in one or more dimensions. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourDimensionsStatus | 0..1 | CodeableConcept | Whether or not the tumour dimensions have been measured. | |
| Dimension | 0..* | BackboneElement | A maximum measurement of one of the dimensions of the tumour. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Type | 1..1 | CodeableConcept | The type of dimension in which this measurement was taken, e.g. length, width, depth. | |
| Size | 1..1 | Quantity | The size of the lesion in the given dimension. | |
| TumourInvasion | 0..1 | BackboneElement | Information about the tumour's direct penetration into surrounding tissue. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| InvasionStatus | 0..1 | CodeableConcept | Whether or not the invasion can be assessed. | |
| TumourType | 0..1 | CodeableConcept | The type of tumour. | |
| InvasionSite | 0..1 | CodeableConcept | The body structure or organ into which the tumour has directly invaded. | |
| PolypInvasion | 0..1 | BackboneElement | Invasion details that are specific to polyps. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HaggittLevel | 0..1 | CodeableConcept | A four level system to assess depth of invasion of pedunculated polyps. | |
| KikuchiLevel | 0..1 | CodeableConcept | A three level system to describe the depth of invasion of sessile or semi-sessile polyps. | |
| TumourBudding | 0..1 | BackboneElement | A prognostic biomarker that scores the number of tumour buds (i.e. isolated single cancer cells or clusters of up to 4 cancer cells located at the invasive tumour front). | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Plain text comments about the observation. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| TumourBuddingStatus | 1..1 | CodeableConcept | A status indicating whether or not tumour buds are present. | |
| TumourBudQuantity | 0..1 | integer | The number of tumour buds present. | |
| TumourBuddingScore | 0..1 | CodeableConcept | A score to group the number of tumour buds for prognostic purposes. | |
| LymphovascularInvasion | 0..1 | BackboneElement | Whether or not lymphovascular invasion of the cancer is present. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| LVIStatus | 1..1 | CodeableConcept | Whether or not lymphovascular invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| LymphovascularInvasionType | 0..1 | CodeableConcept | The type of lymphovascular invasion, e.g. small vessel, large vessel. | |
| SmallVesselType | 0..1 | CodeableConcept | The type of small vessel, e.g. capillary. | |
| LargeVesselType | 0..1 | CodeableConcept | The type of large vessel, e.g. Extramural. | |
| PerineualInvasion | 0..1 | BackboneElement | Whether or not perineural invasion of the cancer is present. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| PerineuralInvasion | 1..1 | CodeableConcept | Whether or not perineural invasion of the cancer is present. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred) | |
| CoexistentPathologyPrecursor | 0..1 | BackboneElement | Details about the presence of coexistent precursor lesion or polyp pathology | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| CoexistentPathology | 0..1 | BackboneElement | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| CoexistentPathologyStatus | 1..1 | CodeableConcept | Whether or not coexistent pathology has been identified. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred) | |
| CoexistentPathologyType | 0..* | CodeableConcept | Other microscopically identifiable abnormalities relevant to the diagnosis. | |
| MarginStatus | 0..1 | BackboneElement | The status of the tissue on the margin of a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| ResidualCancerStatus | 0..1 | CodeableConcept | Whether or not the margin of a resected specimen is involved in the tumour. | |
| InvolvedMargins | 0..1 | string | A free text description of the margins involved with respect to the tumour. | |
| MarginDetail | 0..* | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the given margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the given margin and the tumour on the resected specimen. | |
| NatureOfTissueBetweenTumourAndMargin | 0..1 | CodeableConcept | The type of tissue found between the tumour and given margin on the specimen. | |
| MarginComments | 0..1 | string | Additional free text comments about the given margin on the resected specimen. | |
| DeepMarginStatus | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the deep margin and the tumour on the resected specimen. | |
| LateralMargin | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | The type of the lateral margin. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the lateral margin and the tumour on the resected specimen. | |
| LongitudinalMarginDetails | 0..1 | BackboneElement | Any relevant details about margins on a resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..* | CodeableConcept | An additional qualification of the margin description, e.g. Proximal, Distal. | |
| DistanceToMarginRange | 0..1 | CodeableConcept | The distance range between the closest longitudinal margin and the tumour on the resected specimen. | |
| DistanceToMarginMeasurement | 0..1 | Quantity | The measurement of the distance between the closest longitudinal margin and the tumour on the resected specimen. | |
| CircumferentialMarginDetail | 0..1 | BackboneElement | Any relevant details about the circumferential margin on the resected specimen. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Margin | 1..1 | CodeableConcept | The type of margin observed. | |
| MarginStatus | 0..1 | CodeableConcept | Whether or not this margin of the resected specimen is involved (<=1mm) in the given tumour. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour (preferred) | |
| MarginQualifier | 0..1 | CodeableConcept | An indication of whether the involvement (<=1mm) is by the primary tumour or other. | |
| MarginComments | 0..1 | string | Additional free text comments about the margin involvement (other than the tumour) in the resected specimen. | |
| LymphNodeStatusGI | 0..1 | BackboneElement | ColorectalHistoMicroscopic.LymphNodeStatusGI | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| TestStatus | 0..1 | CodeableConcept | Whether or not the lymph node status has been assessed. | |
| LymphNodesExaminedCount | 0..1 | integer | The number of lymph nodes that have been examined. | |
| LymphNodesInvolvedCount | 0..1 | integer | The number of lymph nodes involved in the cancer diagnosis. | |
| TumourDeposits | 0..1 | CodeableConcept | Whether or not tumour deposits are present in the lymphatic drainage bed of the (primary) tumour. | |
| TumourDepositQuantity | 0..1 | integer | The number of tumour deposits that are present in the lymphatic drainage bed of the (primary) tumour. | |
| NeoadjuvantTherapyResponse | 0..1 | BackboneElement | An assessment of the response to neoadjuvant therapy. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 0..1 | CodeableConcept | Whether or not there was a response to the neoadjuvant therapy. | |
| ReasonCannotBeAssessed | 0..1 | string | The reason that the response to neoadjuvant therapy cannot be assessed. | |
| ScoringSystem | 0..1 | CodeableConcept | The system (including version) used to score the patient's response to neoadjuvant therapy. | |
| Score | 0..1 | CodeableConcept | The score used to indicate the patient's response to neoadjuvant therapy, as scored using a standardised neoadjuvant response scoring system. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score (preferred) | |
| OtherScore | 0..1 | string | The score used to indicate the patient's response to neoadjuvant therapy, as scored using another neoadjuvant response scoring system that is not listed. | |
| MicroscopicFindings | 0..1 | BackboneElement | The examination of tissues and/or cells under a microscope to diagnose and study diseases of the tissues. | |
| @id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Status | 1..1 | CodeableConcept | The status of the observation | |
| Code | 1..1 | CodeableConcept | The type of observation made. Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred) | |
| Comments | 0..1 | string | Additional free text comments about the microscopic findings. | |
| SpecimenId | 0..1 | Identifier | An identifier of the specimen being observed. | |
| TumourIdentifier | 0..1 | Identifier | An identifier for the tumour about which the observation is made. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| ColorectalHistoMicroscopic-cs.HistologicType.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.HistologicType.Value | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histologyhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who-digestive-colon-rectum-histology | |
| ColorectalHistoMicroscopic-cs.GradingWHOMalignantHighLow.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-low-high-grade | |
| ColorectalHistoMicroscopic-cs.GradingWHONETs.Grade | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-gradehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-who5-neuroendocrine-grade | |
| ColorectalHistoMicroscopic-cs.MitoticCount.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.Ki67ProliferationIndex.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourDimensions.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.TumourBudding.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.LymphovascularInvasion.LVIStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.PerineualInvasion.PerineuralInvasion | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathologyPrecursor.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.CoexistentPathology.CoexistentPathologyStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-findinghttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding | |
| ColorectalHistoMicroscopic-cs.MarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.DeepMarginStatus.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LateralMargin.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.LongitudinalMarginDetails.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation | |
| ColorectalHistoMicroscopic-cs.MarginStatus.MarginDetail.CircumferentialMarginDetail.MarginStatus | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumourhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour | |
| ColorectalHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Score | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-scorehttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-modified-ryan-score | |
| ColorectalHistoMicroscopic-cs.MicroscopicFindings.Code | preferred | https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observationhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base