XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

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:

• Refer to this Resource Profile: Condition Xpandh Profile

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		1..1	code	The status of the result
code		1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject		1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus		0..*	Reference(Condition Xpandh Profile)	What the observation is about, when it is not about the subject of record
effective[x]		0..1	dateTime, Period, Timing, instant	Clinically relevant time for observation
value[x]		0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (preferred)
method		0..1	CodeableConcept	ADD BINDING
device		0..0
referenceRange		0..0
Slices for hasMember		0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory		0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory		0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory		0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	The status of the result Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Condition Xpandh Profile)	What the observation is about, when it is not about the subject of record
effective[x]	Σ	0..1		Clinically relevant time for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	ΣC	0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (preferred)
method		0..1	CodeableConcept	ADD BINDING Binding: ObservationMethods (example): Methods for simple observations.
Slices for hasMember	Σ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	Σ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory	Σ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory	Σ	0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category
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	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods 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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

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	?!Σ	1..1	code	The status of the result 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	Σ	1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Condition Xpandh Profile)	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]	Σ	0..1		Clinically relevant time 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]	ΣC	0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (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		0..1	CodeableConcept	ADD BINDING Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
Slices for hasMember	Σ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	Σ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory	Σ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory	Σ	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-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	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)
• Observation: TNM Primary Tumor Category (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/mcode-tnm-primary-tumor-category)
• Observation: TNM Regional Nodes Category (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/mcode-tnm-regional-nodes-category)
• Observation: TNM Distant Metastases Category (http://hl7.eu/fhir/ig/xpandh/hdr/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		1..1	code	The status of the result
code		1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject		1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus		0..*	Reference(Condition Xpandh Profile)	What the observation is about, when it is not about the subject of record
effective[x]		0..1	dateTime, Period, Timing, instant	Clinically relevant time for observation
value[x]		0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (preferred)
method		0..1	CodeableConcept	ADD BINDING
device		0..0
referenceRange		0..0
Slices for hasMember		0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory		0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory		0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory		0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category
component		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG

Key Elements 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	The status of the result Binding: ObservationStatus (required): Codes providing the status of an observation.
code	Σ	1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Condition Xpandh Profile)	What the observation is about, when it is not about the subject of record
effective[x]	Σ	0..1		Clinically relevant time for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	ΣC	0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (preferred)
method		0..1	CodeableConcept	ADD BINDING Binding: ObservationMethods (example): Methods for simple observations.
Slices for hasMember	Σ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	Σ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory	Σ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory	Σ	0..1	Reference(Observation: TNM Distant Metastases Category)	TNM Distant Metastases Category
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	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods 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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

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	?!Σ	1..1	code	The status of the result 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	Σ	1..1	CodeableConcept	What was observed Binding: Cancer Stage Group: SNOMED CT (extensible)
subject	Σ	1..1	Reference(Patient: HDR)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Condition Xpandh Profile)	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]	Σ	0..1		Clinically relevant time 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]	ΣC	0..1	CodeableConcept	Actual result. Binding: Cancer Stage Group: SNOMED CT (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		0..1	CodeableConcept	ADD BINDING Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
Slices for hasMember	Σ	0..*	Reference(Observation)	Related resource that belongs to the Observation group Slice: Unordered, Open by value:$this.resolve().code
hasMember:tnmPrimaryTumorCategory	Σ	0..1	Reference(Observation: TNM Primary Tumor Category)	TNM Primary Tumor Category
hasMember:tnmRegionalNodesCategory	Σ	0..1	Reference(Observation: TNM Regional Nodes Category)	TNM Regional Nodes Category
hasMember:tnmDistantMetastasesCategory	Σ	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	extensible	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-vs from this IG
Observation.value[x]	preferred	CancerStageGroupVS http://hl7.eu/fhir/ig/xpandh/hdr/ValueSet/cancer-stageGroup-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	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)
• Observation: TNM Primary Tumor Category (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/mcode-tnm-primary-tumor-category)
• Observation: TNM Regional Nodes Category (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/mcode-tnm-regional-nodes-category)
• Observation: TNM Distant Metastases Category (http://hl7.eu/fhir/ig/xpandh/hdr/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