PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: Cancer Stage Group

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-cancer-stage-group Version: 0.2.0
Draft as of 2024-09-11 Computable Name: CancerStageGroup

The extent of the cancer in the body, according to a given cancer staging classification system, based on evidence such as physical examination, imaging, and/or biopsy or based on pathologic analysis of a specimen.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation Observation
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: Observation Codes for Stage Group Category (required)
... subject S 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
... value[x] S 0..1 CodeableConcept Actual result
Binding: Stage Group Value Set (preferred)
... method S 0..1 CodeableConcept How it was done
Binding: Cancer Staging System Value Set (extensible)
... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
... referenceRange 0..* BackboneElement Not used in this profile
... Slices for hasMember S 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory S 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory S 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory S 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... component 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs
from this IG
Observation.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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.

... subject SΣ 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus SΣ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... 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 Actual result
Binding: Stage Group Value Set (preferred)
... method S 0..1 CodeableConcept How it was done
Binding: Cancer Staging System Value Set (extensible)
... 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
... Slices for hasMember SΣ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory SΣ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory SΣ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory SΣ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... 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.


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.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs
from this IG
Observation.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation 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.

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 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 Type of observation (code / type)
Binding: Observation Codes for Stage Group Category (required)
... subject SΣ 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus SΣ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... 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 Actual result
Binding: 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 0..1 CodeableConcept How it was done
Binding: Cancer Staging System 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) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory SΣ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory SΣ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory SΣ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... 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

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.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-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.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
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

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation Observation
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: Observation Codes for Stage Group Category (required)
... subject S 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
... value[x] S 0..1 CodeableConcept Actual result
Binding: Stage Group Value Set (preferred)
... method S 0..1 CodeableConcept How it was done
Binding: Cancer Staging System Value Set (extensible)
... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
... referenceRange 0..* BackboneElement Not used in this profile
... Slices for hasMember S 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory S 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory S 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory S 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... component 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs
from this IG
Observation.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs
from this IG

Key Elements View

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

... subject SΣ 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus SΣ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... 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 Actual result
Binding: Stage Group Value Set (preferred)
... method S 0..1 CodeableConcept How it was done
Binding: Cancer Staging System Value Set (extensible)
... 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
... Slices for hasMember SΣ 0..* Reference(Observation) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory SΣ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory SΣ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory SΣ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... 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.


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.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs
from this IG
Observation.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Snapshot View

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

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 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 Type of observation (code / type)
Binding: Observation Codes for Stage Group Category (required)
... subject SΣ 0..1 Reference(Patient: PCSP) Who and/or what the observation is about
... focus SΣ 0..* Reference(Condition: Primary Cancer) What the observation is about, when it is not about the subject of record
... 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 Actual result
Binding: 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 0..1 CodeableConcept How it was done
Binding: Cancer Staging System 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) Related resource that belongs to the Observation group
Slice: Unordered, Open by pattern:$this.resolve().code
.... hasMember:tnmPrimaryTumorCategory SΣ 0..1 Reference(Observation: TNM Primary Tumor Category) TNM Primary Tumor Category
.... hasMember:tnmRegionalNodesCategory SΣ 0..1 Reference(Observation: TNM Regional Nodes Category) TNM Regional Nodes Category
.... hasMember:tnmDistantMetastasesCategory SΣ 0..1 Reference(Observation: TNM Distant Metastases Category) TNM Distant Metastases Category
... 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

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.coderequiredObservationCodesStageGroupVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs
from this IG
Observation.value[x]preferredCancerStageGroupVS (a valid code from http://cancerstaging.org)
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-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.methodextensibleCancerStagingSystemVS
http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
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

 

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