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 histopathology)

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

Observations on a specimen that are only visible under a microscope, as documented on a soft tissue 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
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... Status 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... 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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... 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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... 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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-cs.Comments.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... 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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... 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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... 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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-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
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... @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 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... @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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... @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
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... @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
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... @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
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... @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
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... @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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... @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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... @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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... @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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... @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
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-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 (48 nested mandatory elements)

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... Status 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... 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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... 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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... 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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-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
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Status 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... 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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... 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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... 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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... 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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... 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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-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
.. SoftTissueHistoMicroscopic-cs 0..*BaseMicroscopic (soft tissue 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.
... NeoadjuvantTherapyResponse 0..1BackboneElementAn assessment of the response to neoadjuvant therapy for a soft tissue tumour.
.... @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 0..1CodeableConceptWhether or not there was a response to the neoadjuvant therapy.
.... ReasonCannotBeAssessed 0..1stringThe reason that the response to neoadjuvant therapy cannot be assessed.
.... Component 0..*BackboneElementA histopathology observation used to describe the neoadjuvant response.
..... @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)
..... Method 0..1CodeableConceptThe technique, procedure, or system used to perform the observation.
..... Date 0..1dateTimeThe date and/or time that the observation was performed.
..... PerformedBy 0..*BackboneElementA person responsible for performing the observation.
...... @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
...... Id 0..1IdentifierHPI Common Person Number (HPI CPN) is the primary identifier for an individual health worker
...... PersonName 0..1BackboneElementPerson name is the name of a natural person. Person name generally consists of a family name or surname, and one or more given names.
....... @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
....... Title 0..1CodeableConceptThe ‘Title (prefix)’ is an honorific form of address preceding a name, used when addressing a person
....... GivenName 0..1stringThe person’s forename or given name at birth
....... FamilyName 0..1stringThe family name (surname) of a person as distinct from their given, second and subsequent name(s)
....... NameProtectionFlag 0..1booleanThis indicator denotes that the person’s name information is to be held ‘in confidence’
....... age 0..1stringSoftTissueHistoMicroscopic.NeoadjuvantTherapyResponse.Component.PerformedBy.PersonName.age
...... ProfessionalRegistration 0..*BackboneElementthe authority responsible for the registration of practitioners of the profession that the person concerned practices or seeks to practice or has practiced
....... @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
....... AssigningOrganisationIdentifier 0..1CodeableConceptThe HPI generated organisation identifier of the organisation that has allocated the health worker’s identifier number
...... HealthWorkerRole 0..1BackboneElementThe employment of a health worker in a specific role
....... @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
....... PRI 1..1IdentifierA unique ten-character identifier assigned by the HPI system to an individual role
....... RoleCode 1..1CodeableConceptThe designated the role of a health worker
....... RoleConfidential 0..1booleanWhether or not the role of health care practitioner is confidential
....... FacilityId 0..1IdentifierThe identifier of the healthcare facility at which the practitioner works in this role.
..... Comments 0..1stringPlain text comments about the observation.
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... SpecimenSentForObservation 0..1booleanWhether or not the specimen has been sent for observation.
..... ViableTumourPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... ViableTumourPercentage 0..1QuantityThe percentage of residual viable tumour after neoadjuvant therapy.
..... NecrosisPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... NecrosisPercentage 0..1QuantityThe percentage of tumour volume with necrosis
..... TherapyInducedTissueChangesPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... TherapyInducedTissueChangesPercentage 0..1QuantityThe percentage of histologic tissue changes following therapy.
..... CellDifferentiationPercent 0..1BackboneElementA histopathology observation used to describe the neoadjuvant response.
...... @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.
...... DifferentiationScore 0..1CodeableConceptAn evaluation of the degree of differentiation of the tumour.
... MarginStatus 0..1BackboneElementThe status of the tissue on the margin of a resected specimen.
.... @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.
.... ResidualCancerStatus 0..1CodeableConceptWhether or not the margin of a resected specimen is involved in the tumour.
.... InvolvedMargins 0..1stringA free text description of the margins involved with respect to the tumour.
.... MarginDetail 0..*BackboneElementAny relevant details about margins on a resected specimen.
..... @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)
..... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
..... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
..... Margin 1..1CodeableConceptThe type of margin observed.
..... MarginStatus 0..1CodeableConceptWhether 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..*CodeableConceptAn additional qualification of the margin description, e.g. Proximal, Distal.
..... DistanceToMarginRange 0..1CodeableConceptThe distance range between the given margin and the tumour on the resected specimen.
..... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
..... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
..... MarginComments 0..1stringAdditional free text comments about the given margin on the resected specimen.
..... ClosestMarginDetails 0..1BackboneElementDetails about the margin on a resected specimen that is closest to the tumour.
...... @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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe margin on a resected specimen that is closest to the tumour.
...... DistanceToMarginMeasurement 0..1QuantityThe distance (in mm) of the tumour to the closest margin.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and the closest margin on the specimen.
..... OtherMarginDetails 0..1BackboneElementAny relevant details about other margins on a resected specimen.
...... @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)
...... SpecimenId 0..1IdentifierAn identifier of the specimen being observed.
...... TumourIdentifier 0..1IdentifierAn identifier for the tumour about which the observation is made.
...... Margin 1..1CodeableConceptThe type of margin observed.
...... DistanceToMarginMeasurement 0..1QuantityThe measurement of the distance between the given margin and the tumour on the resected specimen.
...... NatureOfTissueBetweenTumourAndMargin 0..1CodeableConceptThe type of tissue found between the tumour and given margin on the specimen.
... LymphNodeStatus 0..1BackboneElementWhether or not lymph nodes are involved in a cancer diagnosis, and if so relevant information about their involvement.
.... @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
.... TestStatus 0..1CodeableConceptWhether or not the lymph node status has been assessed.
.... LymphNodesExaminedCount 0..1integerThe number of lymph nodes that have been examined.
.... LymphNodeInvolvementStatus 0..1CodeableConceptWhether or not lymph nodes are involved in a cancer diagnosis.
.... LymphNodesInvolvedCountableStatus 0..1CodeableConceptWhether or not the involved lymph nodes are countable.
.... LymphNodesInvolvedCount 0..1integerThe number of lymph nodes involved in the cancer diagnosis.
... 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
SoftTissueHistoMicroscopic-cs.TumourDepth.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.HistologicType.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Differentiation.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.MitoticCount.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.Grading.Component.Necrosis.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.LymphovascularInvasion.LVIStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-presence-tumour-finding
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.ViableTumourPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.NecrosisPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.TherapyInducedTissueChangesPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.NeoadjuvantTherapyResponse.Component.CellDifferentiationPercent.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.MarginStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-AJCC-residual-tumour
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.ClosestMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.MarginStatus.MarginDetail.OtherMarginDetails.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.Codepreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-observation
SoftTissueHistoMicroscopic-cs.CoexistingPathology.CoexistentPathologyStatuspreferredhttps://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
https://nzhts.digital.health.nz/fhir/ValueSet/canshare-present-tumour-finding
SoftTissueHistoMicroscopic-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 (48 nested mandatory elements)

 

Other representations of profile: CSV, Excel