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-ballot 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
Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage | Version: 4.0.0-ballot | |||
Active as of 2024-10-30 | Computable Name: CancerStage | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.12 |
Profile for observations regarding cancer stage, grade, or classification. The stage is an assessment of the extent of the cancer in the body, according to a given cancer staging classification system. The key elements are the code, method, value, and optionally, prognostic factors referenced in the hasMember (if the prognostic factor is captured in a different profile) or component (if the prognostic factor is not captured in a different profile) element.
Rather than offer a separate staging profiles for each type of cancer staging (also called domain – e.g., gynecologic FIGO stage, leukemia Binet stage, Melanoma Breslow stage, etc.), this profile can support many different staging categories. The Staging Domain can be specified in a CodeableConcept in the CancerStage.category slice. Based on the code selected for CancerStage.code slice, the Table below provides the valuesets to use for CancerStage.method and CancerStage.value[x] along with their bindings (e.g., required or extensible). If the value for CancerStage.method is "N/A", it means no specific method values have been identified.
Lymphoma and TNM staging are handled separately in Lymphoma Stage Profile and TNM Stage Group Profile, respectively.
Cancer stage definitions are disease specific. Specific guidance is provided below on each stage type to provide development teams an understanding of what to look for in source systems, how to setup tests, etc.
Usage:
Changes since version true:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreSimpleObservationProfile
Path | Conformance | ValueSet | URI |
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | |
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | |
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | |
Observation.component.code | preferred | CancerStagingPrognosticFactorTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG | |
Observation.component.value[x] | preferred | CancerStagingPrognosticFactorValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | USCoreSimpleObservationProfile | assessment observation 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 |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
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 |
code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: Cancer Stage Type Value Set (preferred) |
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who and/or what the observation is about |
focus | SΣ | 0..* | Reference(Primary Cancer Condition Profile) | The cancer condition associated with staging assessment. |
effective[x] | SΣ | 0..1 | (USCDI) Clinically relevant time/time-period for observation | |
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 |
value[x] | SΣC | 0..1 | CodeableConcept | The value of the stage Binding: Cancer Stage Value Set (preferred) |
method | S | 0..1 | CodeableConcept | The staging system used. Binding: Cancer Staging Method Value Set (preferred) |
device | 0..1 | Reference(Device | DeviceMetric) | Not used in this profile | |
referenceRange | C | 0..* | BackboneElement | Not used in this profile obs-3: Must have at least a low or a high or text |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Prognostic factors contributing to stage determination. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:us-core | required | USCoreSimpleObservationCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category | |
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | |
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | |
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | USCoreSimpleObservationProfile | assessment observation 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 | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!SΣ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | ||||
code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: Cancer Stage Type Value Set (preferred) | ||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who and/or what the observation is about | ||||
focus | SΣ | 0..* | Reference(Primary Cancer Condition Profile) | The cancer condition associated with staging assessment. | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | SΣ | 0..1 | (USCDI) Clinically relevant time/time-period for observation | |||||
effectiveDateTime | dateTime S | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
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 | ||||
value[x] | SΣC | 0..1 | CodeableConcept S | The value of the stage Binding: Cancer Stage Value Set (preferred) | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | S | 0..1 | CodeableConcept | The staging system used. Binding: Cancer Staging Method Value Set (preferred) | ||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | Not used in this profile | |||||
referenceRange | C | 0..* | BackboneElement | Not used in this profile obs-3: Must have at least a low or a high or text | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Prognostic factors contributing to stage determination. | ||||
derivedFrom | Σ | 0..* | Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) | (USCDI) US Core Profiles or other resource the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of prognostic factor Binding: Cancer Staging Prognostic Factors Types (preferred) | ||||
value[x] | Σ | 0..1 | CodeableConcept | Prognostic factor value Binding: Cancer Staging Prognostic Factors Value (preferred) | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:us-core | required | USCoreSimpleObservationCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category | ||||
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | ||||
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | preferred | CancerStagingPrognosticFactorTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG | ||||
Observation.component.value[x] | preferred | CancerStagingPrognosticFactorValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
This structure is derived from USCoreSimpleObservationProfile
Differential View
This structure is derived from USCoreSimpleObservationProfile
Path | Conformance | ValueSet | URI |
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | |
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | |
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | |
Observation.component.code | preferred | CancerStagingPrognosticFactorTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG | |
Observation.component.value[x] | preferred | CancerStagingPrognosticFactorValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 0..* | USCoreSimpleObservationProfile | assessment observation 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 |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
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 |
code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: Cancer Stage Type Value Set (preferred) |
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who and/or what the observation is about |
focus | SΣ | 0..* | Reference(Primary Cancer Condition Profile) | The cancer condition associated with staging assessment. |
effective[x] | SΣ | 0..1 | (USCDI) Clinically relevant time/time-period for observation | |
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 |
value[x] | SΣC | 0..1 | CodeableConcept | The value of the stage Binding: Cancer Stage Value Set (preferred) |
method | S | 0..1 | CodeableConcept | The staging system used. Binding: Cancer Staging Method Value Set (preferred) |
device | 0..1 | Reference(Device | DeviceMetric) | Not used in this profile | |
referenceRange | C | 0..* | BackboneElement | Not used in this profile obs-3: Must have at least a low or a high or text |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Prognostic factors contributing to stage determination. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | |
Observation.category:us-core | required | USCoreSimpleObservationCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category | |
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | |
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | |
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Observation | C | 0..* | USCoreSimpleObservationProfile | assessment observation 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 | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
status | ?!SΣ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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 | ||||
code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: Cancer Stage Type Value Set (preferred) | ||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who and/or what the observation is about | ||||
focus | SΣ | 0..* | Reference(Primary Cancer Condition Profile) | The cancer condition associated with staging assessment. | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
effective[x] | SΣ | 0..1 | (USCDI) Clinically relevant time/time-period for observation | |||||
effectiveDateTime | dateTime S | |||||||
effectivePeriod | Period | |||||||
effectiveTiming | Timing | |||||||
effectiveInstant | instant | |||||||
issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
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 | ||||
value[x] | SΣC | 0..1 | CodeableConcept S | The value of the stage Binding: Cancer Stage Value Set (preferred) | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
note | 0..* | Annotation | Comments about the observation | |||||
bodySite | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
method | S | 0..1 | CodeableConcept | The staging system used. Binding: Cancer Staging Method Value Set (preferred) | ||||
specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
device | 0..1 | Reference(Device | DeviceMetric) | Not used in this profile | |||||
referenceRange | C | 0..* | BackboneElement | Not used in this profile obs-3: Must have at least a low or a high or text | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
age | 0..1 | Range | Applicable age range, if relevant | |||||
text | 0..1 | string | Text based reference range in an observation | |||||
hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Prognostic factors contributing to stage determination. | ||||
derivedFrom | Σ | 0..* | Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) | (USCDI) US Core Profiles or other resource the observation is made from | ||||
component | Σ | 0..* | BackboneElement | Component results | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 1..1 | CodeableConcept | Type of prognostic factor Binding: Cancer Staging Prognostic Factors Types (preferred) | ||||
value[x] | Σ | 0..1 | CodeableConcept | Prognostic factor value Binding: Cancer Staging Prognostic Factors Value (preferred) | ||||
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard | ||||
Observation.category:us-core | required | USCoreSimpleObservationCategoryhttp://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category | ||||
Observation.code | preferred | CancerStageTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs from this IG | ||||
Observation.value[x] | preferred | CancerStageValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-value-vs from this IG | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard | ||||
Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Observation.method | preferred | CancerStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-method-vs from this IG | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard | ||||
Observation.component.code | preferred | CancerStagingPrognosticFactorTypeVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG | ||||
Observation.component.value[x] | preferred | CancerStagingPrognosticFactorValueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard |
This structure is derived from USCoreSimpleObservationProfile
Other representations of profile: CSV, Excel, Schematron