German Oncological Data Standard (GOLD)
0.1.0 - CI Build
German Oncological Data Standard (GOLD)
0.1.0 - CI Build
German Oncological Data Standard (GOLD) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm | Version: 0.1.0 | |||
| Draft as of 2023-12-13 | Computable Name: UICC_TNM | |||
Copyright/Legal: CC-BY-SA-4.0 |
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Profile for the tumor classification using TNM stage groups (I, II, III, or IV) and TNM staging elements (T, N, and M).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | Observation | |||
  code | ||||
   Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
   coding:snomed | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
   system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |
 coding:loinc | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) | |
  subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
 value[x] | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) | |
| Slices for hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() | |
| hasMember:R-classification | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification | |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
| component:y-symbol | 0..1 | BackboneElement | y Symbol | |
 code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |
 value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |
| component:r-symbol | 0..1 | BackboneElement | r Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |
| component:a-symbol | 0..1 | BackboneElement | a Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |
| component:T-code | 0..1 | BackboneElement | T - Primary Tumor | |
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) | |
| component:m-symbol | 0..1 | BackboneElement | m Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) | |
| component:N-code | 0..1 | BackboneElement | N - Regional Lymph Nodes | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) | |
| component:M-code | 0..1 | BackboneElement | M - Distant Metastasis | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) | |
| component:L-descriptor | 0..1 | BackboneElement | L - Lymphatic Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) | |
| component:V-descriptor | 0..1 | BackboneElement | V - Venous Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) | |
| component:Pn-descriptor | 0..1 | BackboneElement | Pn - Perineural Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) | |
| component:S-symbol | 0..1 | BackboneElement | Serum Tumor Markers | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) | |
| component:numberOfNodesAffected | 0..1 | BackboneElement | Number of regional lymph nodes positive | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |
| value[x] | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code | 0..1 | code | Coded form of the unit Required Pattern: 1 | |
 component:numberOfNodesExamined | 0..1 | BackboneElement | Number of regional lymph nodes examined | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |
| value[x] | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code | 0..1 | code | Coded form of the unit Required Pattern: 1 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC |
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC |
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC |
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC |
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC |
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC |
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC |
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC |
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC |
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC |
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC |
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC |
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:snomed | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |
| coding:loinc | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) |
| subject | Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) |
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() |
| hasMember:R-classification | Σ | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
 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. |
| component:y-symbol | Σ | 0..1 | BackboneElement | y Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |
| component:r-symbol | Σ | 0..1 | BackboneElement | r Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |
| component:a-symbol | Σ | 0..1 | BackboneElement | a Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |
| component:T-code | Σ | 0..1 | BackboneElement | T - Primary Tumor |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) |
| component:m-symbol | Σ | 0..1 | BackboneElement | m Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) |
| component:N-code | Σ | 0..1 | BackboneElement | N - Regional Lymph Nodes |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) |
| component:M-code | Σ | 0..1 | BackboneElement | M - Distant Metastasis |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) |
| component:L-descriptor | Σ | 0..1 | BackboneElement | L - Lymphatic Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) |
| component:V-descriptor | Σ | 0..1 | BackboneElement | V - Venous Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) |
| component:Pn-descriptor | Σ | 0..1 | BackboneElement | Pn - Perineural Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) |
| component:S-symbol | Σ | 0..1 | BackboneElement | Serum Tumor Markers |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) |
| component:numberOfNodesAffected | Σ | 0..1 | BackboneElement | Number of regional lymph nodes positive |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |
| value[x] | Σ | 0..1 | Quantity | Actual component result |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 |
| component:numberOfNodesExamined | Σ | 0..1 | BackboneElement | Number of regional lymph nodes examined |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |
| value[x] | Σ | 0..1 | Quantity | Actual component result |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC |
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:y-symbol.code | example | Pattern: SNOMED CT code 277649004("y - During therapy/following treatment (tumor staging)") |
| Observation.component:r-symbol.code | example | Pattern: SNOMED CT code 277647002("r - Tumor recurrence (tumor staging)") |
| Observation.component:a-symbol.code | example | Pattern: SNOMED CT code 277646006("a - At autopsy (tumor staging)") |
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC |
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC |
| Observation.component:m-symbol.code | example | Pattern: SNOMED CT code 277650004("m - Multiple tumors (tumor staging)") |
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC |
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC |
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC |
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC |
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC |
| Observation.component:L-descriptor.code | example | Pattern: LOINC code 33739-4("Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols") |
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC |
| Observation.component:V-descriptor.code | example | Pattern: LOINC code 33740-2("Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols") |
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC |
| Observation.component:Pn-descriptor.code | example | Pattern: LOINC code 92837-4("Perineural invasion [Presence] in Cancer specimen") |
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC |
| Observation.component:S-symbol.code | example | Pattern: SNOMED CT code 399424006("Serum tumor marker category (observable entity)") |
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC |
| Observation.component:numberOfNodesAffected.code | example | Pattern: LOINC code 21893-3("Regional lymph nodes positive [#] Specimen") |
| Observation.component:numberOfNodesAffected.value[x].comparator | required | QuantityComparator |
| Observation.component:numberOfNodesExamined.code | example | Pattern: LOINC code 21894-1("Regional lymph nodes examined [#] Specimen") |
| Observation.component:numberOfNodesExamined.value[x].comparator | required | QuantityComparator |
| 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 | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 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 | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:snomed | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:loinc | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus | Σ | 0..* | Reference(Resource) | 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/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] | ΣC | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) | ||||
| 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 | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() | ||||
| hasMember:R-classification | Σ | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| 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 | |||||
| component:y-symbol | Σ | 0..1 | BackboneElement | y Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:r-symbol | Σ | 0..1 | BackboneElement | r Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:a-symbol | Σ | 0..1 | BackboneElement | a Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:T-code | Σ | 0..1 | BackboneElement | T - Primary Tumor | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) | ||||
| 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 | |||||
| component:m-symbol | Σ | 0..1 | BackboneElement | m Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) | ||||
| 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 | |||||
| component:N-code | Σ | 0..1 | BackboneElement | N - Regional Lymph Nodes | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |||||
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) | ||||
| 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 | |||||
| component:M-code | Σ | 0..1 | BackboneElement | M - Distant Metastasis | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) | ||||
| 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 | |||||
| component:L-descriptor | Σ | 0..1 | BackboneElement | L - Lymphatic Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) | ||||
| 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 | |||||
| component:V-descriptor | Σ | 0..1 | BackboneElement | V - Venous Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) | ||||
| 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 | |||||
| component:Pn-descriptor | Σ | 0..1 | BackboneElement | Pn - Perineural Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) | ||||
| 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 | |||||
| component:S-symbol | Σ | 0..1 | BackboneElement | Serum Tumor Markers | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) | ||||
| 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 | |||||
| component:numberOfNodesAffected | Σ | 0..1 | BackboneElement | Number of regional lymph nodes positive | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 | ||||
| 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 | |||||
| component:numberOfNodesExamined | Σ | 0..1 | BackboneElement | Number of regional lymph nodes examined | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC | ||||
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:y-symbol.code | example | Pattern: SNOMED CT code 277649004("y - During therapy/following treatment (tumor staging)") | ||||
| Observation.component:y-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:y-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:r-symbol.code | example | Pattern: SNOMED CT code 277647002("r - Tumor recurrence (tumor staging)") | ||||
| Observation.component:r-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:r-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:a-symbol.code | example | Pattern: SNOMED CT code 277646006("a - At autopsy (tumor staging)") | ||||
| Observation.component:a-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:a-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC | ||||
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC | ||||
| Observation.component:T-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:T-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:m-symbol.code | example | Pattern: SNOMED CT code 277650004("m - Multiple tumors (tumor staging)") | ||||
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC | ||||
| Observation.component:m-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:m-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC | ||||
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC | ||||
| Observation.component:N-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:N-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC | ||||
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC | ||||
| Observation.component:M-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:M-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:L-descriptor.code | example | Pattern: LOINC code 33739-4("Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols") | ||||
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC | ||||
| Observation.component:L-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:L-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:V-descriptor.code | example | Pattern: LOINC code 33740-2("Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols") | ||||
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC | ||||
| Observation.component:V-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:V-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:Pn-descriptor.code | example | Pattern: LOINC code 92837-4("Perineural invasion [Presence] in Cancer specimen") | ||||
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC | ||||
| Observation.component:Pn-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:Pn-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:S-symbol.code | example | Pattern: SNOMED CT code 399424006("Serum tumor marker category (observable entity)") | ||||
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC | ||||
| Observation.component:S-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:S-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:numberOfNodesAffected.code | example | Pattern: LOINC code 21893-3("Regional lymph nodes positive [#] Specimen") | ||||
| Observation.component:numberOfNodesAffected.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:numberOfNodesAffected.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:numberOfNodesAffected.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:numberOfNodesExamined.code | example | Pattern: LOINC code 21894-1("Regional lymph nodes examined [#] Specimen") | ||||
| Observation.component:numberOfNodesExamined.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:numberOfNodesExamined.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:numberOfNodesExamined.interpretation | extensible | ObservationInterpretationCodes |
| 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.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: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | Observation | |||
| code | ||||
| Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:snomed | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |
| coding:loinc | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) | |
| subject | 1..1 | Reference(Patient) | Who and/or what the observation is about | |
| value[x] | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) | |
| Slices for hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() | |
| hasMember:R-classification | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification | |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
| component:y-symbol | 0..1 | BackboneElement | y Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |
| component:r-symbol | 0..1 | BackboneElement | r Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |
| component:a-symbol | 0..1 | BackboneElement | a Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |
| component:T-code | 0..1 | BackboneElement | T - Primary Tumor | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) | |
| component:m-symbol | 0..1 | BackboneElement | m Symbol | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) | |
| component:N-code | 0..1 | BackboneElement | N - Regional Lymph Nodes | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) | |
| component:M-code | 0..1 | BackboneElement | M - Distant Metastasis | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) | |
| component:L-descriptor | 0..1 | BackboneElement | L - Lymphatic Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) | |
| component:V-descriptor | 0..1 | BackboneElement | V - Venous Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) | |
| component:Pn-descriptor | 0..1 | BackboneElement | Pn - Perineural Invasion | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) | |
| component:S-symbol | 0..1 | BackboneElement | Serum Tumor Markers | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |
| value[x] | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) | |
| component:numberOfNodesAffected | 0..1 | BackboneElement | Number of regional lymph nodes positive | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |
| value[x] | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code | 0..1 | code | Coded form of the unit Required Pattern: 1 | |
| component:numberOfNodesExamined | 0..1 | BackboneElement | Number of regional lymph nodes examined | |
| code | 1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |
| value[x] | 0..1 | Quantity | Actual component result | |
| system | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code | 0..1 | code | Coded form of the unit Required Pattern: 1 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC |
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC |
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC |
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC |
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC |
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC |
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC |
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC |
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC |
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC |
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC |
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC |
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
| 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 | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:snomed | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |
| coding:loinc | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) |
| subject | Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| value[x] | ΣC | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) |
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() |
| hasMember:R-classification | Σ | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
| 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. |
| component:y-symbol | Σ | 0..1 | BackboneElement | y Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |
| component:r-symbol | Σ | 0..1 | BackboneElement | r Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |
| component:a-symbol | Σ | 0..1 | BackboneElement | a Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |
| component:T-code | Σ | 0..1 | BackboneElement | T - Primary Tumor |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) |
| component:m-symbol | Σ | 0..1 | BackboneElement | m Symbol |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) |
| component:N-code | Σ | 0..1 | BackboneElement | N - Regional Lymph Nodes |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) |
| component:M-code | Σ | 0..1 | BackboneElement | M - Distant Metastasis |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) |
| component:L-descriptor | Σ | 0..1 | BackboneElement | L - Lymphatic Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) |
| component:V-descriptor | Σ | 0..1 | BackboneElement | V - Venous Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) |
| component:Pn-descriptor | Σ | 0..1 | BackboneElement | Pn - Perineural Invasion |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) |
| component:S-symbol | Σ | 0..1 | BackboneElement | Serum Tumor Markers |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) |
| component:numberOfNodesAffected | Σ | 0..1 | BackboneElement | Number of regional lymph nodes positive |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |
| value[x] | Σ | 0..1 | Quantity | Actual component result |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 |
| component:numberOfNodesExamined | Σ | 0..1 | BackboneElement | Number of regional lymph nodes examined |
| 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. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |
| value[x] | Σ | 0..1 | Quantity | Actual component result |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC |
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:y-symbol.code | example | Pattern: SNOMED CT code 277649004("y - During therapy/following treatment (tumor staging)") |
| Observation.component:r-symbol.code | example | Pattern: SNOMED CT code 277647002("r - Tumor recurrence (tumor staging)") |
| Observation.component:a-symbol.code | example | Pattern: SNOMED CT code 277646006("a - At autopsy (tumor staging)") |
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC |
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC |
| Observation.component:m-symbol.code | example | Pattern: SNOMED CT code 277650004("m - Multiple tumors (tumor staging)") |
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC |
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC |
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC |
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC |
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC |
| Observation.component:L-descriptor.code | example | Pattern: LOINC code 33739-4("Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols") |
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC |
| Observation.component:V-descriptor.code | example | Pattern: LOINC code 33740-2("Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols") |
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC |
| Observation.component:Pn-descriptor.code | example | Pattern: LOINC code 92837-4("Perineural invasion [Presence] in Cancer specimen") |
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC |
| Observation.component:S-symbol.code | example | Pattern: SNOMED CT code 399424006("Serum tumor marker category (observable entity)") |
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC |
| Observation.component:numberOfNodesAffected.code | example | Pattern: LOINC code 21893-3("Regional lymph nodes positive [#] Specimen") |
| Observation.component:numberOfNodesAffected.value[x].comparator | required | QuantityComparator |
| Observation.component:numberOfNodesExamined.code | example | Pattern: LOINC code 21894-1("Regional lymph nodes examined [#] Specimen") |
| Observation.component:numberOfNodesExamined.value[x].comparator | required | QuantityComparator |
| 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 | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!Σ | 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 | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:snomed | Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 258235000 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:loinc | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet TNM Classification Type LOINC (required) | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus | Σ | 0..* | Reference(Resource) | 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/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] | ΣC | 0..1 | CodeableConcept | Actual result Binding: ValueSet TNM Stage Group UICC (required) | ||||
| 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 | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| 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 | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by profile:resolve() | ||||
| hasMember:R-classification | Σ | 0..1 | Reference(Profile UICC TNM Residual Tumor (R) Classification) | Residual Tumor (R) Classification | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| 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 | |||||
| component:y-symbol | Σ | 0..1 | BackboneElement | y Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277649004 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: y - During therapy/following treatment (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: y | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: y | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:r-symbol | Σ | 0..1 | BackboneElement | r Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277647002 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: r - Tumor recurrence (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: r | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: r | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:a-symbol | Σ | 0..1 | BackboneElement | a Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277646006 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: a - At autopsy (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.15.16 | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: a | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: a | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| 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 | |||||
| component:T-code | Σ | 0..1 | BackboneElement | T - Primary Tumor | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM T Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Category UICC (required) | ||||
| 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 | |||||
| component:m-symbol | Σ | 0..1 | BackboneElement | m Symbol | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277650004 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: m - Multiple tumors (tumor staging) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM T Multiplicity UICC (required) | ||||
| 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 | |||||
| component:N-code | Σ | 0..1 | BackboneElement | N - Regional Lymph Nodes | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |||||
| snSuffix | 0..1 | CodeableConcept | Sentinel Lymph Node URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc-sn Binding: ValueSet TNM Suffix ITC SN UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM N Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM N Category UICC (required) | ||||
| 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 | |||||
| component:M-code | Σ | 0..1 | BackboneElement | M - Distant Metastasis | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| cpuPrefix | 0..1 | CodeableConcept | Clinical or pathological classification URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu Binding: ValueSet TNM Prefix CPU UICC (required) | |||||
| itcSuffix | 0..1 | CodeableConcept | Isolated Tumor Cells URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc Binding: ValueSet TNM Suffix ITC UICC (required) | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ValueSet TNM M Staging Type LOINC (required) | ||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM M Category UICC (required) | ||||
| 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 | |||||
| component:L-descriptor | Σ | 0..1 | BackboneElement | L - Lymphatic Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33739-4 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required) | ||||
| 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 | |||||
| component:V-descriptor | Σ | 0..1 | BackboneElement | V - Venous Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33740-2 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required) | ||||
| 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 | |||||
| component:Pn-descriptor | Σ | 0..1 | BackboneElement | Pn - Perineural Invasion | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 92837-4 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Perineural invasion [Presence] in Cancer specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required) | ||||
| 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 | |||||
| component:S-symbol | Σ | 0..1 | BackboneElement | Serum Tumor Markers | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 399424006 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Serum tumor marker category (observable entity) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | CodeableConcept | Actual component result Binding: ValueSet TNM S Serum Tumour Markers UICC (required) | ||||
| 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 | |||||
| component:numberOfNodesAffected | Σ | 0..1 | BackboneElement | Number of regional lymph nodes positive | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21893-3 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes positive [#] Specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 | ||||
| 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 | |||||
| component:numberOfNodesExamined | Σ | 0..1 | BackboneElement | Number of regional lymph nodes examined | ||||
| 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. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 21894-1 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Regional lymph nodes examined [#] Specimen | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code | Σ | 0..1 | code | Coded form of the unit Required Pattern: 1 | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.code.coding:loinc | required | VS_TNM_Classification_Type_LOINC | ||||
| Observation.value[x] | required | VS_TNM_Stage_Group_UICC | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:y-symbol.code | example | Pattern: SNOMED CT code 277649004("y - During therapy/following treatment (tumor staging)") | ||||
| Observation.component:y-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:y-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:r-symbol.code | example | Pattern: SNOMED CT code 277647002("r - Tumor recurrence (tumor staging)") | ||||
| Observation.component:r-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:r-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:a-symbol.code | example | Pattern: SNOMED CT code 277646006("a - At autopsy (tumor staging)") | ||||
| Observation.component:a-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:a-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:T-code.code | required | VS_TNM_T_Staging_Type_LOINC | ||||
| Observation.component:T-code.value[x] | required | VS_TNM_T_Category_UICC | ||||
| Observation.component:T-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:T-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:m-symbol.code | example | Pattern: SNOMED CT code 277650004("m - Multiple tumors (tumor staging)") | ||||
| Observation.component:m-symbol.value[x] | required | VS_TNM_T_Multiplicity_UICC | ||||
| Observation.component:m-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:m-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:N-code.code | required | VS_TNM_N_Staging_Type_LOINC | ||||
| Observation.component:N-code.value[x] | required | VS_TNM_N_Category_UICC | ||||
| Observation.component:N-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:N-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:M-code.code | required | VS_TNM_M_Staging_Type_LOINC | ||||
| Observation.component:M-code.value[x] | required | VS_TNM_M_Category_UICC | ||||
| Observation.component:M-code.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:M-code.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:L-descriptor.code | example | Pattern: LOINC code 33739-4("Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols") | ||||
| Observation.component:L-descriptor.value[x] | required | VS_TNM_L_Lymphatic_Invasion_UICC | ||||
| Observation.component:L-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:L-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:V-descriptor.code | example | Pattern: LOINC code 33740-2("Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols") | ||||
| Observation.component:V-descriptor.value[x] | required | VS_TNM_V_Venous_Invasion_UICC | ||||
| Observation.component:V-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:V-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:Pn-descriptor.code | example | Pattern: LOINC code 92837-4("Perineural invasion [Presence] in Cancer specimen") | ||||
| Observation.component:Pn-descriptor.value[x] | required | VS_TNM_Pn_Perineural_Invasion_UICC | ||||
| Observation.component:Pn-descriptor.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:Pn-descriptor.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:S-symbol.code | example | Pattern: SNOMED CT code 399424006("Serum tumor marker category (observable entity)") | ||||
| Observation.component:S-symbol.value[x] | required | VS_TNM_S_Serum_Tumor_Markers_UICC | ||||
| Observation.component:S-symbol.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:S-symbol.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:numberOfNodesAffected.code | example | Pattern: LOINC code 21893-3("Regional lymph nodes positive [#] Specimen") | ||||
| Observation.component:numberOfNodesAffected.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:numberOfNodesAffected.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:numberOfNodesAffected.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:numberOfNodesExamined.code | example | Pattern: LOINC code 21894-1("Regional lymph nodes examined [#] Specimen") | ||||
| Observation.component:numberOfNodesExamined.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:numberOfNodesExamined.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:numberOfNodesExamined.interpretation | extensible | ObservationInterpretationCodes |
| 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.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: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron