minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4 United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Lymphoma Stage Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-lymphoma-stage Version: 4.0.0
Active as of 2025-01-07 Maturity Level: 0 Computable Name: LymphomaStage
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.30

Staging of lymphoma (both Hodgkins and Non-Hodgkins) by Ann Arbor, Cotswold, or Lugano staging systems. The method (required) indicates which of these related staging systems was used.

Usage:

Changes since version true:

  • New Content
  • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage assessment observation
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 385388004
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ele-1: All FHIR elements must have a @value or children
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ele-1: All FHIR elements must have a @value or children
    ... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
    ele-1: All FHIR elements must have a @value or children
    .... effectiveDateTime dateTime
    ... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) (USCDI) Who is responsible for the observation
    ele-1: All FHIR elements must have a @value or children
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Lymphoma Stage Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... method S 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    ele-1: All FHIR elements must have a @value or children
    .... component:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    .... component:stage-modifier Σ 0..* BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (tumor staging)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Clinical or Pathologic Modifier (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:bulky-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://snomed.info/sct
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:us-corerequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    Observation.codepreferredPattern: SNOMED-CT Code 385388004
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.codepreferredPattern: SNOMED-CT Code 106252000("Staging classification for lymphoma (tumor staging)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.codepreferredPattern: SNOMED-CT Code 277366005("Nature of staging values (qualifier value)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:bulky-modifier.codepreferredPattern: SNOMED-CT Code 260873006("Bulky disease status (attribute)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG

     

    Other representations of profile: CSV, Excel, Schematron