German Oncological Data Standard (GOLD)
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Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Profile Body Height

Profile for body height of a patient

Profile Body Structure

Profile for the base definition of all body structures.

Profile Body Weight

Profile for body weight of a patient

Profile Clinical Study

Profile to describe a clinical study in which a patient takes part.

Profile ECOG Performance Status

Profile for the Eastern Cooperative Oncology Group (ECOG) Performance Status that represents a cancer patient’s functional status.

Profile Histology Topography

Profile for the classification of a tumor’s morphology(histology) and topography using ICD-O-3.

Profile Histopathological Tumor Grading WHO

Profile for the description of a tumor’s grade using the general four-tier grading scheme following the recommendations of the WHO classification of tumors and UICC.

Profile Karnofsky Performance Status

Profile for the Karnofsky Performance Status to measure a cancer patient’s ability to perform ordinary tasks.

Profile MedicationAdministration

Profile to describe the event of a patient consuming or otherwise being administered a medication.

Profile MedicationStatement

Profile to capture a record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.

Profile ProbandIn

Dieses Profil beschreibt eine Proband*in.

Profile RECIST timepoint assessment response

Profile for the RECIST timepoint assessment response which is available for each assessment timepoint as published here: https://recist.eortc.org/recist-1-1-2/ Please note there is no assessment timepoint response for the baseline assessment.

Profile Radiological Diagnostic Report

Profile for the base definition of all radiological diagnostic reports.

Profile Tumor

Profile of a tumor

Profile Tumor Disorder

Profile for a tumor disorder

Profile Tumor Measurment

Profile for recording measurements of a tumor like the longest diameter or volume. The resource can be used for different measurement methods (e.g. methods in pathology, radiology or physical exams).

Profile Tumor Specimen

Profile of a tumor specimen

Profile UICC TNM

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

Profile UICC TNM Residual Tumor (R) Classification

Profile for the residual tumor (R) classification as part of TNM.

Profile Vital Signs Base

Profile for the base definition of all vital signs. May not be used directly. Only for reprofiling purposes.

RECIST Tumor Category Observation

Profiles the category of a BodyStructure resource in the context of one RECIST procedure

Radiological read procedure

This radiological procedure profile describes a radiological reading process or an automated procedure like an AI algorithm for segmentation. Not the procedure performed during image aquisition which is described in the ImagingStudy procedureReference of the linked reports in this resource. The purpose of this resource is to give structured information in the Diagnostic Report the right context. For example this way a TNM observation resource gets the context which version of TNM was used and which entity was addressed. It can also be used to give BodyStructures resources which were addressed during a radiological read additional attributes. E.g. the category of tumor within a TNM read could be ‘Primary’ and the very same lesion (BodyStructure) could be ‘Target’ in the scope of a RECIST read procedure.

Radiological read procedure for RECIST

This radiological procedure profile describes the radiological reading process following the RECIST criteria. Not the procedure performed during image aquisition which is described in the ImagingStudy procedureReference of the linked reports in this resource.

Radiological read procedure for clinical TNM

This radiological procedure profile describes the radiological reading process following TNM criteria. It derives from the Radiological_Read_Procedure and needs to define which entity and in which version the read was performed.

TNM Tumor Category Observation

Profiles the category of a BodyStructure resource in the context of one TNM procedure

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Diagnosesicherung ICD O

Extension für die Erfassung der Diagnosesicherung der ICD-O-3

Diagnosis

Enables to reference a diagnosis <Condition> the body stucture refers to

Excluded Structure

Description of the excluded Structure of the Body Structure

Extension UICC TNM Prefix CPU

The Extension allows to add c, p and u prefixes to TNM stages.

Extension UICC TNM Suffix ITC

The Extension allows to add isolated tumor cells (ITC) suffixes to the N- and M-categories in TNM.

Extension UICC TNM Suffix ITC SN

The Extension allows to add isolated tumor cells (ITC) sentinel lymph nodes (sn) suffix to the N-category in TNM.

Included Structure

Description of the included Structure of the Body Structure

Specimen part of Tumor

Enables to reference a Tumor <BodyStructure> from its respective Specimen

Supporting Info

Enables to reference a supporting info <Observation or Procedure>. It contains additional information not containt in results and was used/applied during the creation of the report e.g. intermediate Observation results like RECIST target sum or infiltrations used within TNM staging procedures.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

ValieSet Diagnosesicherung ICD-O-3

ValueSet für die Diagnosesicherungscodes der ICD-O-3

ValueSet ECOG Performance Status SNOMED

The ValueSet contains the ECOG Performance Status values from SNOMED CT.

ValueSet Histologic Grade SNOMED

The ValueSet contains codes for the tumor grading system following the recommendations of the WHO Classification of Tumors from SNOMED CT.

ValueSet Morphology ICD-O-3

The ValueSet contains the morphology (histology) codes from ICD-O-3.

ValueSet Morphology SNOMED

The ValueSet contains the morphology (histology) codes from SNOMED CT.

ValueSet Recist Timepoint Response

Defines the valid values for the recist assessment response observation resource

ValueSet Studiendesign NCIt

Studiendesign aus NCI Thesaurus (NCIt)

ValueSet Studienkategorien NCIt

Studienkategorien aus NCI Thesaurus (NCIt)

ValueSet Study Focus NCIt

Study Focus aus NCI Thesaurus (NCIt)

ValueSet TNM Classification Type LOINC

This ValueSet contains codes to specifiy the type of TNM classification as clinical (cTNM) or pathological (pTNM).

ValueSet TNM L-Descriptor Lymphatic Invasion UICC

This ValueSet contains the TNM degree of lymphatic invasion codes used with the L-descriptor from TNM 8th edition UICC.

ValueSet TNM M Category UICC

This ValueSet contains the TNM M category codes from TNM 8th edition UICC.

ValueSet TNM M Staging Type LOINC

This ValueSet contains codes to specifiy the TNM distant metastases (M) category as clinical (cM) or pathological (pM).

ValueSet TNM N Category UICC

This ValueSet contains the TNM N category codes from TNM 8th edition UICC.

ValueSet TNM N Staging Type LOINC

This ValueSet contains codes to specifiy the TNM regional lymph nodes (N) category as clinical (cN) or pathological (pN).

ValueSet TNM Pn-Descriptor Perineural Invasion UICC

This ValueSet contains the TNM degree of perineural (lymphatic nerve sheet) invasion codes used with the Pn-descriptor from TNM 8th edition UICC.

ValueSet TNM Prefix CPU UICC

This ValueSet contains the c, p and u prefixes for TNM stages from TNM 8th edition UICC.

ValueSet TNM Residual Tumor (R) Classification UICC

This ValueSet contains the TNM residual tumor (R) classification codes from TNM 8th edition UICC.

ValueSet TNM S Serum Tumour Markers UICC

This ValueSet contains the TNM serum levels of tumor markers coded for germ cell tumors used with the S-symbol from TNM 8th edition UICC.

ValueSet TNM Stage Group UICC

The ValueSet contains codes for the TNM stage groups ranging from I to IV to group cancer patients with similar prognosis from TNM 8th edition UICC.

ValueSet TNM Suffix ITC SN UICC

This ValueSet contains the isolated tumor cells (ITC) sentinel lymph nodes (sn) suffix for the N-category in TNM from TNM 8th edition UICC.

ValueSet TNM Suffix ITC UICC

This ValueSet contains the isolated tumor cells (ITC) suffixes for N- and M-category from TNM 8th edition UICC.

ValueSet TNM T Category UICC

This ValueSet contains the TNM T category codes from TNM 8th edition UICC.

ValueSet TNM T Multiplicity UICC

This ValueSet contains the TNM primary tumor multiplicity codes used with the m-symbol from TNM 8th edition UICC.

ValueSet TNM T Staging Type LOINC

This ValueSet contains codes to specifiy the TNM primary tumor (T) category as clinical (cT) or pathological (pT).

ValueSet TNM V-Descriptor Venous Invasion UICC

This ValueSet contains the TNM degree of venous invasion codes used with the V-descriptor from TNM 8th edition UICC.

ValueSet Topography ICD-O-3

The ValueSet contains the topography codes from ICD-O-3.

ValueSet Topography SNOMED

The ValueSet contains the topography codes from SNOMED CT.

ValueSet Tumor Measurement Methods

Codes for methods of measuring tumor size, including physical examination, pathology, and imaging.

ValueSet Tumor Size Units

Acceptable units for measuring tumor size

ValueSet Tumor Size Units Value Set

Acceptable units for measuring tumor volumes

ValueSet Tumor Size Units ValueSet

Acceptable units for measuring tumor areas

ValueSet Type of Blinding NCIt

Type of Blinding aus NCI Thesaurus (NCIt)

ValueSet Type of Randomization NCIt

Type of Randomization aus NCI Thesaurus (NCIt)

ValueSet Type of Study Arm NCIt

Type of Study Arm aus NCI Thesaurus (NCIt)

Valueset for Categories of a BodyStructure in the context of one RECIST procedure

TODO

Valueset for Categories of a BodyStructure in the context of one TNM procedure
This Valueset contains the coded for the different categories for BodyStructures in the context of TNM (Tumor Node Metastase)
Valueset for RECIST Radiological Read Procedures

TODO

Valueset for TNM Radiological Read Procedures

This Valueset contains the snomed codes of the different TNM tumor staging systems

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Diagnosesicherung ICD-O-3

CodeSystem für die Diagnosesicherungscodes der ICD-O-3

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Diagnose MammaCa rechts

Beispiel einer Diagnose Mamma Ca rechts.

Example Body Height

Example body height of a patient.

Example Body Weight

Example body weight of a patient.

Example Diagnostic Report
Example ECOG Performance Status

Example ECOG status observation.

Example Histologic Tumor Grade

Example tumor grade using the general four-tier grading scheme.

Example Histology and Topography

Example tumor histology and topography observation.

Example Karnofsky Performance Status

Example Karnofsky performance status observation.

Example Patient

Example of a patient.

Example RECIST assessment timepoint response

Example RECIST assessment timepoint response observation.

Example Study NAPKON COVIDOM

Example Study NAPKON COVIDOM

Example Study RAAINBOW

Example Study RAAINBOW

Example TNM R0

Example TNM R0.

Example TNM R1

Example TNM R1.

Example TNM Tis N0 M0

Example TNM Tis N0 M0.

Example TNM cT3 pN0 (mol-)(sn) cM1

Example TNM cT3 pN0 (mol-)(sn) cM1.

Example TNM r pT3(m) pN0 (i+) cM0 R1(is)

Example TNM r pT3(m) pN0 (i+) cM0 R1(is).

Example TNM uT2a2 pN0 (0/23) (i-)(sn) cM1

Example TNM uT2a2 pN0 (0/23) (i-)(sn) cM1.

Example TNM y pT1b pN1 (3/9) (sn) L0 V0 Pn1 cM0 R0

Example TNM y pT1b pN1 (3/9) (sn) L0 V0 Pn1 cM0 R0.

Example Vital Signs Base Observation

Example of a vital signs base observation.

Example of a RECIST Radiological Read Procedure
Example of a RECIST Tumor Category Observation
Example of a TNM Radiological Read Procedure
Example of a TNM Tumor Category Observation
ExampleResearchSubjectStudienteilnehmer
Tumor Example - Cerebellar Sarcoma

Example for the Tumor profile

blood-specimen
exa-medication-administration
exa-medication-statement-caelyx
example-body-structure
tumor-size-pathology

Example of a resource conforming to the tumor size profile in pathology.

tumor-size-radiology

Example of a resource conforming to the tumor size profile in radiology (MRI bidimensional measurement).