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: Tumor Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor Version: 4.0.0-ballot
Active as of 2024-04-03 Maturity Level: 3 Computable Name: Tumor
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.64

Identifies a tumor that has not been removed from the body. Whenever possible, a single resource conforming to this profile will be used to track a tumor over time (as opposed to creating new Tumor-conforming BodyStructure resources each time that tumor is measured). Use HumanSpecimen to represent the tumor after removal from the body. Note that the required code for morphology used in STU2 is now inactive. A new code has been specified and SHOULD be used, but the old code remains conformant.

Usage

Used to represent a tumor that has not been removed from the body, and track that specific tumor across encounters and procedures.

Conformance

BodyStructure resources associated with an in-scope patient with morphology of SCT 367651003 SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient used to represent a tumor that has not been removed from the body SHALL be published in this form.

A single instance of BodyStructure conforming to this profile SHOULD be used to track a specific tumor over time.

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 BodyStructure

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure BodyStructure
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... location S1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... patient S1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... active ?!Σ0..1booleanWhether this record is in active use
    ... morphology SΣ0..1CodeableConceptKind of Structure
    Binding: Tumor Morphology Code Value Set (extensible)
    Additional BindingsPurpose
    Tumor Morphology Code Max Value SetMax Binding
    ... location SΣ1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
    ... id Σ0..1idLogical id of this artifact
    ... meta Σ0..1MetaMetadata about the resource
    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created
    ... text 0..1NarrativeText summary of the resource, for human interpretation
    ... contained 0..*ResourceContained, inline Resources
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... id 0..1stringUnique id for inter-element referencing
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
    ... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... active ?!Σ0..1booleanWhether this record is in active use
    ... morphology SΣ0..1CodeableConceptKind of Structure
    Binding: Tumor Morphology Code Value Set (extensible)
    Additional BindingsPurpose
    Tumor Morphology Code Max Value SetMax Binding
    ... location SΣ1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... description Σ0..1stringText description
    ... image 0..*AttachmentAttached images
    ... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    BodyStructure.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG

    This structure is derived from BodyStructure

    Summary

    Mandatory: 3 elements
    Must-Support: 8 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element BodyStructure.identifier is sliced based on the value of pattern:type

    Maturity: 3

    Differential View

    This structure is derived from BodyStructure

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure BodyStructure
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... location S1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... patient S1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... active ?!Σ0..1booleanWhether this record is in active use
    ... morphology SΣ0..1CodeableConceptKind of Structure
    Binding: Tumor Morphology Code Value Set (extensible)
    Additional BindingsPurpose
    Tumor Morphology Code Max Value SetMax Binding
    ... location SΣ1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
    ... id Σ0..1idLogical id of this artifact
    ... meta Σ0..1MetaMetadata about the resource
    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created
    ... text 0..1NarrativeText summary of the resource, for human interpretation
    ... contained 0..*ResourceContained, inline Resources
    ... Slices for extension S0..*ExtensionExtension
    Slice: Unordered, Open by value:url
    ... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
    .... id 0..1stringUnique id for inter-element referencing
    .... extension 0..0
    .... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
    .... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
    ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
    ... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
    Slice: Unordered, Open by pattern:type
    .... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
    ... active ?!Σ0..1booleanWhether this record is in active use
    ... morphology SΣ0..1CodeableConceptKind of Structure
    Binding: Tumor Morphology Code Value Set (extensible)
    Additional BindingsPurpose
    Tumor Morphology Code Max Value SetMax Binding
    ... location SΣ1..1CodeableConceptBody site
    Binding: Cancer Body Location Value Set (extensible)
    ... locationQualifier S0..*CodeableConceptBody site modifier
    Binding: Body Location and Laterality Qualifier Value Set (required)
    ... description Σ0..1stringText description
    ... image 0..*AttachmentAttached images
    ... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    BodyStructure.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    BodyStructure.morphologyextensibleTumorMorphologyCodeVS
    Additional Bindings Purpose
    Tumor Morphology Code Max Value Set Max Binding
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-morphology-code-vs
    from this IG
    BodyStructure.locationextensibleCancerBodyLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-body-location-vs
    from this IG
    BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-body-location-and-laterality-qualifier-vs
    from this IG

    This structure is derived from BodyStructure

    Summary

    Mandatory: 3 elements
    Must-Support: 8 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Slices

    This structure defines the following Slices:

    • The element BodyStructure.identifier is sliced based on the value of pattern:type

    Maturity: 3

     

    Other representations of profile: CSV, Excel, Schematron