minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Tumor Profile

Defining URL:http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor
Version:2.0.0
Name:Tumor
Title:Tumor Profile
Status:Active as of 1/18/22 3:17 AM
Definition:

Identifies a tumor that has not been removed from the body. Whenever possible, a single resource conforming to this profile will be used to track a tumor over time (as opposed to creating new Tumor-conforming BodyStructure resources each time that tumor is measured). Use TumorSpecimen to represent the tumor after removal from the body.

Publisher:HL7 International Clinical Interoperability Council
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor

Usage

Used to represent a tumor that has not been removed from the body, and track that specific tumor across encounters and procedures.

Conformance

A producer of resources SHALL ensure that any BodyStructure instance associated with an in-scope patient used to represent a tumor that has not been removed from the body SHALL be published in this form.

A single instance of BodyStructure SHOULD be used to track a specific tumor over time.

Formal Views of Profile Content

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

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-related-condition S0..1Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:tumorIdentifier 1..*BodyStructureIdentifierIdentifier to associate this specimen with a specific Tumor
.... 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: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-related-condition S0..1Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:tumorIdentifier 1..*BodyStructureIdentifierIdentifier to associate this specimen with a specific Tumor
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-related-condition 0..1Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] 1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier Σ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... 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: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location Σ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier 0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient Σ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Differential View

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-related-condition S0..1Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:tumorIdentifier 1..*BodyStructureIdentifierIdentifier to associate this specimen with a specific Tumor
.... 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: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-related-condition S0..1Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:tumorIdentifier 1..*BodyStructureIdentifierIdentifier to associate this specimen with a specific Tumor
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.


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: 367651003
..... display1..1stringRepresentation defined by the system
Fixed Value: Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
BodyStructure.languagepreferredCommonLanguages
Max Binding: AllLanguages
BodyStructure.morphologyexamplePattern: SNOMED CT code 367651003("Malignant neoplasm of primary, secondary, or uncertain origin (morphologic abnormality)")
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS