minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot
minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot
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-tnm-stage-group | Version: 4.0.0-ballot | |||
| Active as of 2024-04-03 | 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.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CancerStage
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
  Observation | 0..* | CancerStage | Measurements and simple assertions | |||||
  code | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| |||||
| 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)
| |||||
| method | 1..1 | CodeableConcept | The staging system used. Binding: TNM Staging Method Value Set (extensible) | |||||
  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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CancerStage | Measurements and simple assertions 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
 code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| ||||
 subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| value[x] | SΣC | 0..1 | CodeableConcept | The stage group Binding: TNM Stage Group Value Set (preferred)
| ||||
| 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 component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CancerStage | Measurements and simple assertions 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| ||||
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| value[x] | SΣC | 0..1 | CodeableConcept | The stage group Binding: TNM Stage Group 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 | 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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements 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 component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| 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/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from CancerStage
Differential View
This structure is derived from CancerStage
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | 0..* | CancerStage | Measurements and simple assertions | |||||
| code | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| |||||
| 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)
| |||||
| method | 1..1 | CodeableConcept | The staging system used. Binding: TNM Staging Method Value Set (extensible) | |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CancerStage | Measurements and simple assertions 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| ||||
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| value[x] | SΣC | 0..1 | CodeableConcept | The stage group Binding: TNM Stage Group Value Set (preferred)
| ||||
| 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 component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | CancerStage | Measurements and simple assertions 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| code | SΣ | 1..1 | CodeableConcept | The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred)
| ||||
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| value[x] | SΣC | 0..1 | CodeableConcept | The stage group Binding: TNM Stage Group 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 | 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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements 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 component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| 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/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | preferred | TNMStageGroupStagingTypeVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vsfrom this IG | ||||
| Observation.value[x] | preferred | TNMStageGroupVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vsfrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | TNMStagingMethodVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vsfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from CancerStage
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.us.mcode#4.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-03
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