minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot 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-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

Resource Profile: TNM Stage Group Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group Version: 4.0.0-ballot
Active as of 2024-10-30 Maturity Level: 4 Computable Name: TNMStageGroup
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.59

Reporting of the stage group representing the overall extent of a cancer, based on AJCC staging guidelines.

Conformance

Observation resources associated with an in-scope patient with Observation.code of LOINC 21908-9, 21902-2, or 21914-7 SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an mCODE patient that would reasonably be expected to conform to this profile SHOULD be published in this form.

Usage:

Changes since version true:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from CancerStage

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* CancerStage assessment observation
    ... code 1..1 CodeableConcept The type of stage information reported.
    Binding: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... focus 1..1 Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... value[x] 0..1 CodeableConcept The stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... Slices for hasMember S 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory S 0..3 Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... component 0..* BackboneElement Not used in this profile

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage 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.

    .... 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: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 1..1 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 stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... method S 1..1 CodeableConcept The staging system used.
    Binding: TNM Staging Method Value Set (extensible)
    ... Slices for hasMember SΣ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory SΣ 0..3 Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... component Σ 0..* BackboneElement Not used in this profile
    .... 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)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-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
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 1..1 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 stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... 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 1..1 CodeableConcept The staging system used.
    Binding: TNM Staging Method Value Set (extensible)
    ... 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
    ... Slices for hasMember SΣ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory SΣ 0..3 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 Not used in this profile
    .... 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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    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.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component.value[x]preferredCancerStagingPrognosticFactorValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs
    from this IG
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    This structure is derived from CancerStage

    Summary

    Mandatory: 2 elements
    Must-Support: 2 elements

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.hasMember

    Maturity: 4

    Differential View

    This structure is derived from CancerStage

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* CancerStage assessment observation
    ... code 1..1 CodeableConcept The type of stage information reported.
    Binding: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... focus 1..1 Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... value[x] 0..1 CodeableConcept The stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... Slices for hasMember S 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory S 0..3 Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... component 0..* BackboneElement Not used in this profile

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage 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.

    .... 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: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 1..1 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 stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... method S 1..1 CodeableConcept The staging system used.
    Binding: TNM Staging Method Value Set (extensible)
    ... Slices for hasMember SΣ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory SΣ 0..3 Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... component Σ 0..* BackboneElement Not used in this profile
    .... 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)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    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.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-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

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... 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: TNM Stage Group Staging Type Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 1..1 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 stage group
    Binding: TNM Stage Group Value Set (preferred)
    Additional BindingsPurpose
    TNM Stage Group Maximum Value Set Max Binding
    ... 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 1..1 CodeableConcept The staging system used.
    Binding: TNM Staging Method Value Set (extensible)
    ... 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
    ... Slices for hasMember SΣ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource.
    Slice: Unordered, Open by profile:$this.resolve()
    .... hasMember:TNMCategory SΣ 0..3 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 Not used in this profile
    .... 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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Observation.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    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.codepreferredTNMStageGroupStagingTypeVS
    Additional Bindings Purpose
    TNM Stage Group Staging Type Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs
    from this IG
    Observation.value[x]preferredTNMStageGroupVS
    Additional Bindings Purpose
    TNM Stage Group Maximum Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodextensibleTNMStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component.value[x]preferredCancerStagingPrognosticFactorValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs
    from this IG
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    This structure is derived from CancerStage

    Summary

    Mandatory: 2 elements
    Must-Support: 2 elements

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.hasMember

    Maturity: 4

     

    Other representations of profile: CSV, Excel, Schematron