German Oncological Data Standard (GOLD)
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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

Resource Profile: Profile UICC TNM

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

Profile for the tumor classification using TNM stage groups (I, II, III, or IV) and TNM staging elements (T, N, and M).

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation Observation
... code
.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:snomed 0..*CodingCode defined by a terminology system

Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 258235000
..... coding:loinc 1..1CodingCode defined by a terminology system
Binding: ValueSet TNM Classification Type LOINC (required)
... subject 1..1Reference(Patient)Who and/or what the observation is about
... value[x] 0..1CodeableConceptActual result
Binding: ValueSet TNM Stage Group UICC (required)
.... hasMember:R-classification 0..1Reference(Profile UICC TNM Residual Tumor (R) Classification)Residual Tumor (R) Classification
... Slices for component 0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:y-symbol 0..1BackboneElementy Symbol
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277649004
....... display1..1stringRepresentation defined by the system
Fixed Value: y - During therapy/following treatment (tumor staging)
..... value[x] 0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: y
....... display1..1stringRepresentation defined by the system
Fixed Value: y
.... component:r-symbol 0..1BackboneElementr Symbol
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277647002
....... display1..1stringRepresentation defined by the system
Fixed Value: r - Tumor recurrence (tumor staging)
..... value[x] 0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: r
....... display1..1stringRepresentation defined by the system
Fixed Value: r
.... component:a-symbol 0..1BackboneElementa Symbol
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277646006
....... display1..1stringRepresentation defined by the system
Fixed Value: a - At autopsy (tumor staging)
..... value[x] 0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: a
....... display1..1stringRepresentation defined by the system
Fixed Value: a
.... component:T-code 0..1BackboneElementT - Primary Tumor
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM T Staging Type LOINC (required)
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM T Category UICC (required)
.... component:m-symbol 0..1BackboneElementm Symbol
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277650004
....... display1..1stringRepresentation defined by the system
Fixed Value: m - Multiple tumors (tumor staging)
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM T Multiplicity UICC (required)
.... component:N-code 0..1BackboneElementN - Regional Lymph Nodes
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... snSuffix 0..1CodeableConceptSentinel 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..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM N Staging Type LOINC (required)
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM N Category UICC (required)
.... component:M-code 0..1BackboneElementM - Distant Metastasis
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... code 1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM M Staging Type LOINC (required)
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM M Category UICC (required)
.... component:L-descriptor 0..1BackboneElementL - Lymphatic Invasion
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33739-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required)
.... component:V-descriptor 0..1BackboneElementV - Venous Invasion
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33740-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required)
.... component:Pn-descriptor 0..1BackboneElementPn - Perineural Invasion
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92837-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Perineural invasion [Presence] in Cancer specimen
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required)
.... component:S-symbol 0..1BackboneElementSerum Tumor Markers
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 399424006
....... display1..1stringRepresentation defined by the system
Fixed Value: Serum tumor marker category (observable entity)
..... value[x] 0..1CodeableConceptActual component result
Binding: ValueSet TNM S Serum Tumour Markers UICC (required)
.... component:numberOfNodesAffected 0..1BackboneElementNumber of regional lymph nodes positive
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21893-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional lymph nodes positive [#] Specimen
..... value[x] 0..1QuantityActual component result
...... system 0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1codeCoded form of the unit
Required Pattern: 1
.... component:numberOfNodesExamined 0..1BackboneElementNumber of regional lymph nodes examined
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21894-1
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional lymph nodes examined [#] Specimen
..... value[x] 0..1QuantityActual component result
...... system 0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1codeCoded form of the unit
Required Pattern: 1

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.code.coding:loincrequiredVS_TNM_Classification_Type_LOINC
Observation.value[x]requiredVS_TNM_Stage_Group_UICC
Observation.component:T-code.coderequiredVS_TNM_T_Staging_Type_LOINC
Observation.component:T-code.value[x]requiredVS_TNM_T_Category_UICC
Observation.component:m-symbol.value[x]requiredVS_TNM_T_Multiplicity_UICC
Observation.component:N-code.coderequiredVS_TNM_N_Staging_Type_LOINC
Observation.component:N-code.value[x]requiredVS_TNM_N_Category_UICC
Observation.component:M-code.coderequiredVS_TNM_M_Staging_Type_LOINC
Observation.component:M-code.value[x]requiredVS_TNM_M_Category_UICC
Observation.component:L-descriptor.value[x]requiredVS_TNM_L_Lymphatic_Invasion_UICC
Observation.component:V-descriptor.value[x]requiredVS_TNM_V_Venous_Invasion_UICC
Observation.component:Pn-descriptor.value[x]requiredVS_TNM_Pn_Perineural_Invasion_UICC
Observation.component:S-symbol.value[x]requiredVS_TNM_S_Serum_Tumor_Markers_UICC
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:snomed Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 258235000
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: ValueSet TNM Classification Type LOINC (required)
... subject Σ1..1Reference(Patient)Who and/or what the observation is about
... value[x] ΣC0..1CodeableConceptActual result
Binding: ValueSet TNM Stage Group UICC (required)
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:R-classification Σ0..1Reference(Profile UICC TNM Residual Tumor (R) Classification)Residual Tumor (R) Classification
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:y-symbol Σ0..1BackboneElementy Symbol
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277649004
....... display1..1stringRepresentation defined by the system
Fixed Value: y - During therapy/following treatment (tumor staging)
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: y
....... display1..1stringRepresentation defined by the system
Fixed Value: y
.... component:r-symbol Σ0..1BackboneElementr Symbol
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277647002
....... display1..1stringRepresentation defined by the system
Fixed Value: r - Tumor recurrence (tumor staging)
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: r
....... display1..1stringRepresentation defined by the system
Fixed Value: r
.... component:a-symbol Σ0..1BackboneElementa Symbol
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277646006
....... display1..1stringRepresentation defined by the system
Fixed Value: a - At autopsy (tumor staging)
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: a
....... display1..1stringRepresentation defined by the system
Fixed Value: a
.... component:T-code Σ0..1BackboneElementT - Primary Tumor
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical or pathological classification
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu
Binding: ValueSet TNM Prefix CPU UICC (required)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM T Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM T Category UICC (required)
.... component:m-symbol Σ0..1BackboneElementm Symbol
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277650004
....... display1..1stringRepresentation defined by the system
Fixed Value: m - Multiple tumors (tumor staging)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM T Multiplicity UICC (required)
.... component:N-code Σ0..1BackboneElementN - Regional Lymph Nodes
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... snSuffix 0..1CodeableConceptSentinel 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM N Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM N Category UICC (required)
.... component:M-code Σ0..1BackboneElementM - Distant Metastasis
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM M Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM M Category UICC (required)
.... component:L-descriptor Σ0..1BackboneElementL - Lymphatic Invasion
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33739-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required)
.... component:V-descriptor Σ0..1BackboneElementV - Venous Invasion
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33740-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM V-Descriptor Venous Invasion UICC (required)
.... component:Pn-descriptor Σ0..1BackboneElementPn - Perineural Invasion
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 92837-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Perineural invasion [Presence] in Cancer specimen
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM Pn-Descriptor Perineural Invasion UICC (required)
.... component:S-symbol Σ0..1BackboneElementSerum Tumor Markers
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 399424006
....... display1..1stringRepresentation defined by the system
Fixed Value: Serum tumor marker category (observable entity)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM S Serum Tumour Markers UICC (required)
.... component:numberOfNodesAffected Σ0..1BackboneElementNumber of regional lymph nodes positive
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21893-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional lymph nodes positive [#] Specimen
..... value[x] Σ0..1QuantityActual component result
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... system ΣC0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
Required Pattern: 1
.... component:numberOfNodesExamined Σ0..1BackboneElementNumber of regional lymph nodes examined
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 21894-1
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional lymph nodes examined [#] Specimen
..... value[x] Σ0..1QuantityActual component result
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... system ΣC0..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
Required Pattern: 1

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredObservationStatus
Observation.codeexampleLOINCCodes (a valid code from LOINC)
Observation.code.coding:loincrequiredVS_TNM_Classification_Type_LOINC
Observation.value[x]requiredVS_TNM_Stage_Group_UICC
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component:y-symbol.codeexamplePattern: SNOMED CT code 277649004("y - During therapy/following treatment (tumor staging)")
Observation.component:r-symbol.codeexamplePattern: SNOMED CT code 277647002("r - Tumor recurrence (tumor staging)")
Observation.component:a-symbol.codeexamplePattern: SNOMED CT code 277646006("a - At autopsy (tumor staging)")
Observation.component:T-code.coderequiredVS_TNM_T_Staging_Type_LOINC
Observation.component:T-code.value[x]requiredVS_TNM_T_Category_UICC
Observation.component:m-symbol.codeexamplePattern: SNOMED CT code 277650004("m - Multiple tumors (tumor staging)")
Observation.component:m-symbol.value[x]requiredVS_TNM_T_Multiplicity_UICC
Observation.component:N-code.coderequiredVS_TNM_N_Staging_Type_LOINC
Observation.component:N-code.value[x]requiredVS_TNM_N_Category_UICC
Observation.component:M-code.coderequiredVS_TNM_M_Staging_Type_LOINC
Observation.component:M-code.value[x]requiredVS_TNM_M_Category_UICC
Observation.component:L-descriptor.codeexamplePattern: LOINC code 33739-4("Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols")
Observation.component:L-descriptor.value[x]requiredVS_TNM_L_Lymphatic_Invasion_UICC
Observation.component:V-descriptor.codeexamplePattern: LOINC code 33740-2("Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols")
Observation.component:V-descriptor.value[x]requiredVS_TNM_V_Venous_Invasion_UICC
Observation.component:Pn-descriptor.codeexamplePattern: LOINC code 92837-4("Perineural invasion [Presence] in Cancer specimen")
Observation.component:Pn-descriptor.value[x]requiredVS_TNM_Pn_Perineural_Invasion_UICC
Observation.component:S-symbol.codeexamplePattern: SNOMED CT code 399424006("Serum tumor marker category (observable entity)")
Observation.component:S-symbol.value[x]requiredVS_TNM_S_Serum_Tumor_Markers_UICC
Observation.component:numberOfNodesAffected.codeexamplePattern: LOINC code 21893-3("Regional lymph nodes positive [#] Specimen")
Observation.component:numberOfNodesAffected.value[x].comparatorrequiredQuantityComparator
Observation.component:numberOfNodesExamined.codeexamplePattern: LOINC code 21894-1("Regional lymph nodes examined [#] Specimen")
Observation.component:numberOfNodesExamined.value[x].comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category 0..*CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:snomed Σ0..*CodingCode defined by a terminology system

Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 258235000
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: ValueSet TNM Classification Type LOINC (required)
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Patient)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] Σ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣC0..1CodeableConceptActual result
Binding: ValueSet TNM Stage Group UICC (required)
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by profile:resolve()
.... hasMember:R-classification Σ0..1Reference(Profile UICC TNM Residual Tumor (R) Classification)Residual Tumor (R) Classification
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementy Symbol
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277649004
....... display1..1stringRepresentation defined by the system
Fixed Value: y - During therapy/following treatment (tumor staging)
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: y
....... display1..1stringRepresentation defined by the system
Fixed Value: y
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementr Symbol
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277647002
....... display1..1stringRepresentation defined by the system
Fixed Value: r - Tumor recurrence (tumor staging)
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: r
....... display1..1stringRepresentation defined by the system
Fixed Value: r
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementa Symbol
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277646006
....... display1..1stringRepresentation defined by the system
Fixed Value: a - At autopsy (tumor staging)
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ0..1CodeableConceptActual component result
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: urn:oid:2.16.840.1.113883.15.16
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: a
....... display1..1stringRepresentation defined by the system
Fixed Value: a
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementT - Primary Tumor
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical or pathological classification
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-prefix-cpu
Binding: ValueSet TNM Prefix CPU UICC (required)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM T Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM T Category UICC (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementm Symbol
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 277650004
....... display1..1stringRepresentation defined by the system
Fixed Value: m - Multiple tumors (tumor staging)
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM T Multiplicity UICC (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementN - Regional Lymph Nodes
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... snSuffix 0..1CodeableConceptSentinel 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 ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM N Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM N Category UICC (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementM - Distant Metastasis
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... cpuPrefix 0..1CodeableConceptClinical 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..1CodeableConceptIsolated Tumor Cells
URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm-suffix-itc
Binding: ValueSet TNM Suffix ITC UICC (required)
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: ValueSet TNM M Staging Type LOINC (required)
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM M Category UICC (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..1BackboneElementL - Lymphatic Invasion
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 33739-4
....... display1..1stringRepresentation defined by the system
Fixed Value: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ0..1CodeableConceptActual component result
Binding: ValueSet TNM L-Descriptor Lymphatic Invasion UICC (required)
..... dataA