CanShare models
0.1.0 - ci-build

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 (soft tissue biopsy histopathology)

Official URL: http://example.org/StructureDefinition/SoftTissueBiopsyHistoMicroscopic-cs Version: 0.1.0
Draft as of 2024-03-04 Computable Name: SoftTissueBiopsyHistoMicroscopic_cs

Observations on a specimen that are only visible under a microscope, as documented on a soft tissue biopsy 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... @id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Base

Summary

Mandatory: 0 element (25 nested mandatory elements)

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueBiopsyHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue biopsy histopathology)
Instances of this logical model are not marked to be the target of a Reference
... TumourDepth 0..1BackboneElementThe deepest layer in which the tumour is present.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... TumourDepthStatus 1..1CodeableConceptWhether or not the tumour depth (tumour plane) is able to be assessed.
.... TumourDepth 0..*CodeableConceptThe deepest layer in which the tumour is present.
... HistologicType 0..1BackboneElementA categorisation of the physical features of the cells and their surrounding tissue as seen under a microscope.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... Value 0..1CodeableConceptThe histologic type of the specimen, e.g. Adenocarcinoma.
.... MorphologyQualifier 0..*CodeableConceptA histologic type that qualifies the main morphology, e.g. Hormone-producing tumour (for a NET), Molecularly defined gene alteration (for CNS)
... Grading 0..1BackboneElementThe grading of a sarcoma using the French Federation of Cancer Center's grading system (FNCLCC = Fédération Nationale des Centres de Lutte contre le Cancer).
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptWhether or not the grading is able to be performed.
.... NotGradableReason 0..1CodeableConceptThe free text reason that the tumour is not gradable.
.... System 1..1CodeableConceptThe system (including version) used to grade the cancer.
.... Component 0..*BackboneElementA component, factor or criteria that is used to determine the grade .
..... @id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Status 1..1CodeableConceptThe status of the observation
..... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Differentiation 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... DifferentiationStatus 1..1CodeableConceptWhether or not the differentiation of the tumour can be assessed.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
..... MitoticCount 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... MitoticCountStatus 0..1CodeableConceptWhether or not the mitotic count can be assessed.
...... Value 0..1RatioThe number of mitotic figures found in a high power field (HPF) in the most mitotically active part of the tumour.
...... MitoticScore 0..1CodeableConceptA score that provides an interpretation of the mitotic count value.
..... Necrosis 0..1BackboneElementA component, factor or criteria that is used to determine the grade .
...... @id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Status 1..1CodeableConceptThe status of the observation
...... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... NecrosisStatus 1..1CodeableConceptWhether or not the necrosis percentage can be assessed.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
...... NecrosisScore 0..1CodeableConceptA score that provides an interpretation of the necrosis percentage.
.... Grade 0..1CodeableConceptThe grade of the cancer using the given grading system.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... LVIStatus 1..1CodeableConceptWhether or not lymphovascular invasion of the cancer is present.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding (preferred)
.... LymphovascularInvasionType 0..1CodeableConceptThe type of lymphovascular invasion, e.g. small vessel, large vessel.
.... SmallVesselType 0..1CodeableConceptThe type of small vessel, e.g. capillary.
.... LargeVesselType 0..1CodeableConceptThe type of large vessel, e.g. Extramural.
... CoexistingPathology 0..1BackboneElementOther microscopically identifiable abnormalities relevant to the diagnosis.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
.... CoexistentPathologyStatus 1..1CodeableConceptWhether or not coexistent pathology has been identified.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding (preferred)
.... NeoplasticPathologyComments 0..1stringFree text comments about any neoplastic coexistent pathology identified.
.... OtherPathologyComments 0..1stringFree text comments about any non-neoplastic coexistent pathology identified.
.... CoexistentPathologyType 0..*CodeableConceptOther microscopically identifiable abnormalities relevant to the diagnosis.
... Comments 0..1BackboneElementAdditional free text to describe any other microscopic findings.
.... @id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 1..1CodeableConceptThe status of the observation
.... Code 1..1CodeableConceptThe type of observation made.
Binding: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation (preferred)
.... Comments 0..1stringPlain text comments about the observation.
.... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
SoftTissueBiopsyHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueBiopsyHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueBiopsyHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Base

Summary

Mandatory: 0 element (25 nested mandatory elements)

 

Other representations of profile: CSV, Excel