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

• Content
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Resource Profile: Observation: Cancer Stage Group

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:

• Use this Resource Profile: Bundle: Survivor Passport
• Refer to this Resource Profile: Condition: Primary Cancer

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
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
focus	S	0..*	Reference(Condition: Primary Cancer)	What the observation is about, when it is not about the subject of record
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Observation Codes for Stage Group Category (required) ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient: PCSP)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
focus	SΣ	0..*	Reference(Condition: Primary Cancer)	What the observation is about, when it is not about the subject of record ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: Stage Group Value Set (preferred) ele-1: All FHIR elements must have a @value or children
method	S	0..1	CodeableConcept	How it was done Binding: Cancer Staging System Value Set (extensible) ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	Not used in this profile ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Not used in this profile ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for hasMember	SΣ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code ele-1: All FHIR elements must have a @value or children
hasMember:tnmPrimaryTumorCategory	SΣ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category ele-1: All FHIR elements must have a @value or children
hasMember:tnmRegionalNodesCategory	SΣ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category ele-1: All FHIR elements must have a @value or children
hasMember:tnmDistantMetastasesCategory	SΣ	0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category ele-1: All FHIR elements must have a @value or children
component	Σ	0..*	BackboneElement	Not used in this profile ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from Observation

Summary

Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Observation: TNM Primary Tumor Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-primary-tumor-category)
• Observation: TNM Regional Nodes Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-regional-nodes-category)
• Observation: TNM Distant Metastases Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-distant-metastases-category)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
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
focus	S	0..*	Reference(Condition: Primary Cancer)	What the observation is about, when it is not about the subject of record
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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Observation Codes for Stage Group Category (required) ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient: PCSP)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
focus	SΣ	0..*	Reference(Condition: Primary Cancer)	What the observation is about, when it is not about the subject of record ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1	CodeableConcept	Actual result Binding: Stage Group Value Set (preferred) ele-1: All FHIR elements must have a @value or children
method	S	0..1	CodeableConcept	How it was done Binding: Cancer Staging System Value Set (extensible) ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	Not used in this profile ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Not used in this profile ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for hasMember	SΣ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:$this.resolve().code ele-1: All FHIR elements must have a @value or children
hasMember:tnmPrimaryTumorCategory	SΣ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category ele-1: All FHIR elements must have a @value or children
hasMember:tnmRegionalNodesCategory	SΣ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category ele-1: All FHIR elements must have a @value or children
hasMember:tnmDistantMetastasesCategory	SΣ	0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category ele-1: All FHIR elements must have a @value or children
component	Σ	0..*	BackboneElement	Not used in this profile ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	ObservationCodesStageGroupVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-observation-codes-stage-group-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS (a valid code from http://cancerstaging.org) http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-stage-group-vs from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	CancerStagingSystemVS http://hl7.eu/fhir/ig/pcsp/ValueSet/mcode-cancer-staging-system-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from Observation

Summary

Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)
• Observation: TNM Primary Tumor Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-primary-tumor-category)
• Observation: TNM Regional Nodes Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-regional-nodes-category)
• Observation: TNM Distant Metastases Category (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-tnm-distant-metastases-category)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron