minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4 United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v4.0.0: STU4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Lymphoma Stage Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-lymphoma-stage Version: 4.0.0
Active as of 2025-02-16 Maturity Level: 0 Computable Name: LymphomaStage
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.30

Staging of lymphoma (both Hodgkins and Non-Hodgkins) by Ann Arbor, Cotswold, or Lugano staging systems. The method (required) indicates which of these related staging systems was used.

Usage:

Changes since version true:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage assessment observation
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: 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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 385388004
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ele-1: All FHIR elements must have a @value or children
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ele-1: All FHIR elements must have a @value or children
    ... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
    ele-1: All FHIR elements must have a @value or children
    .... effectiveDateTime dateTime
    ... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) (USCDI) Who is responsible for the observation
    ele-1: All FHIR elements must have a @value or children
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Lymphoma Stage Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... method S 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    ele-1: All FHIR elements must have a @value or children
    .... component:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    .... component:stage-modifier Σ 0..* BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (tumor staging)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Clinical or Pathologic Modifier (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:bulky-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:us-corerequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    Observation.codepreferredPattern: SNOMED-CT Code 385388004
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.codepreferredPattern: SNOMED-CT Code 106252000("Staging classification for lymphoma (tumor staging)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.codepreferredPattern: SNOMED-CT Code 277366005("Nature of staging values (qualifier value)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:bulky-modifier.codepreferredPattern: SNOMED-CT Code 260873006("Bulky disease status (attribute)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG

    This structure is derived from CancerStage

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* CancerStage assessment observation
    ... code 1..1 CodeableConcept The type of stage information reported.
    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: 385388004
    ... value[x] 0..1 CodeableConcept The value of the stage
    Binding: Lymphoma Stage Value Set (required)
    ... method 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    .... component:stage-modifier 0..* BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (tumor staging)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (required)
    .... component:clin-or-path-modifier 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Clinical or Pathologic Modifier (required)
    .... component:bulky-modifier 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage assessment observation
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... Slices for category S 1..* CodeableConcept (USCDI) Classification of type of observation
    Slice: Unordered, Open by pattern:$this
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    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: 385388004
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) (USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 CodeableConcept S The value of the stage
    Binding: Lymphoma Stage Value Set (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 S 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... 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
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) (USCDI) US Core Profiles or other resource the observation is made from
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value: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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Cancer Staging Prognostic Factors Value (preferred)
    ..... 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:stage-modifier Σ 0..* BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (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 Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (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:clin-or-path-modifier Σ 0..1 BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ....... 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 Prognostic factor value
    Binding: Clinical or Pathologic Modifier (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:bulky-modifier Σ 0..1 BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ....... 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 Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:us-corerequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    Observation.codepreferredPattern: SNOMED-CT Code 385388004
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component.value[x]preferredCancerStagingPrognosticFactorValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs
    from this IG
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:stage-modifier.codepreferredPattern: SNOMED-CT Code 106252000("Staging classification for lymphoma (tumor staging)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:stage-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:stage-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:clin-or-path-modifier.codepreferredPattern: SNOMED-CT Code 277366005("Nature of staging values (qualifier value)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:clin-or-path-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:bulky-modifier.codepreferredPattern: SNOMED-CT Code 260873006("Bulky disease status (attribute)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG
    Observation.component:bulky-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:bulky-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    This structure is derived from CancerStage

    Summary

    Mandatory: 1 element

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.component

    Maturity: 0

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage assessment observation
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: 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
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.


    ele-1: All FHIR elements must have a @value or children
    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ele-1: All FHIR elements must have a @value or children
    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 385388004
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ele-1: All FHIR elements must have a @value or children
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ele-1: All FHIR elements must have a @value or children
    ... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
    ele-1: All FHIR elements must have a @value or children
    .... effectiveDateTime dateTime
    ... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) (USCDI) Who is responsible for the observation
    ele-1: All FHIR elements must have a @value or children
    ... value[x] SΣC 0..1 CodeableConcept The value of the stage
    Binding: Lymphoma Stage Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... method S 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value:code
    ele-1: All FHIR elements must have a @value or children
    .... component:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    .... component:stage-modifier Σ 0..* BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (tumor staging)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Clinical or Pathologic Modifier (required)
    ele-1: All FHIR elements must have a @value or children
    .... component:bulky-modifier Σ 0..1 BackboneElement Component results
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code Σ 1..1 CodeableConcept Type of prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ele-1: All FHIR elements must have a @value or children
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (required)
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:us-corerequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    Observation.codepreferredPattern: SNOMED-CT Code 385388004
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.codepreferredPattern: SNOMED-CT Code 106252000("Staging classification for lymphoma (tumor staging)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.codepreferredPattern: SNOMED-CT Code 277366005("Nature of staging values (qualifier value)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:bulky-modifier.codepreferredPattern: SNOMED-CT Code 260873006("Bulky disease status (attribute)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG

    Differential View

    This structure is derived from CancerStage

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation 0..* CancerStage assessment observation
    ... code 1..1 CodeableConcept The type of stage information reported.
    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: 385388004
    ... value[x] 0..1 CodeableConcept The value of the stage
    Binding: Lymphoma Stage Value Set (required)
    ... method 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    .... component:stage-modifier 0..* BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (tumor staging)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (required)
    .... component:clin-or-path-modifier 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Clinical or Pathologic Modifier (required)
    .... component:bulky-modifier 0..1 BackboneElement Component results
    ..... code 1..1 CodeableConcept Type of prognostic factor
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ..... value[x] 0..1 CodeableConcept Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Observation C 0..* CancerStage assessment observation
    obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
    obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business Identifier for observation
    ... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
    ... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
    ... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.

    ... Slices for category S 1..* CodeableConcept (USCDI) Classification of type of observation
    Slice: Unordered, Open by pattern:$this
    Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


    .... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
    Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


    ... code SΣ 1..1 CodeableConcept The type of stage information reported.
    Binding: Cancer Stage Type Value Set (preferred)
    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: 385388004
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
    ... focus SΣ 0..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
    ... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
    ... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
    .... effectiveDateTime dateTime S
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) (USCDI) Who is responsible for the observation
    ... value[x] SΣC 0..1 CodeableConcept S The value of the stage
    Binding: Lymphoma Stage Value Set (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 S 1..1 CodeableConcept The staging system used.
    Binding: Lymphoma Staging System Value Set (required)
    ... specimen 0..1 Reference(Specimen) Specimen used for this observation
    ... device 0..1 Reference(Device | DeviceMetric) Not used in this profile
    ... referenceRange C 0..* BackboneElement Not used in this profile
    obs-3: Must have at least a low or a high or text
    .... 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
    ... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
    ... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) (USCDI) US Core Profiles or other resource the observation is made from
    ... Slices for component Σ 0..* BackboneElement Component results
    Slice: Unordered, Open by value: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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    ..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
    Binding: Cancer Staging Prognostic Factors Value (preferred)
    ..... 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:stage-modifier Σ 0..* BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 106252000
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Staging classification for lymphoma (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 Prognostic factor value
    Binding: Lymphoma Stage Value Modifier Value Set (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:clin-or-path-modifier Σ 0..1 BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 277366005
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Nature of staging values (qualifier value)
    ....... 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 Prognostic factor value
    Binding: Clinical or Pathologic Modifier (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:bulky-modifier Σ 0..1 BackboneElement Component results
    ..... 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 prognostic factor
    Binding: Cancer Staging Prognostic Factors Types (preferred)
    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: 260873006
    ....... display 1..1 string Representation defined by the system
    Fixed Value: Bulky disease status (attribute)
    ....... 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 Prognostic factor value
    Binding: Lymphoma Stage Bulky Modifier Value Set (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

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    from the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    from the FHIR Standard
    Observation.category:us-corerequiredUSCoreSimpleObservationCategory
    http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
    Observation.codepreferredPattern: SNOMED-CT Code 385388004
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-stage-type-vs
    from this IG
    Observation.value[x]requiredLymphomaStageValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-vs
    from this IG
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Observation.methodrequiredLymphomaStagingMethodVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-staging-method-vs
    from this IG
    Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    from the FHIR Standard
    Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    from the FHIR Standard
    Observation.component.codepreferredCancerStagingPrognosticFactorTypeVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component.value[x]preferredCancerStagingPrognosticFactorValueVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs
    from this IG
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:stage-modifier.codepreferredPattern: SNOMED-CT Code 106252000("Staging classification for lymphoma (tumor staging)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:stage-modifier.value[x]requiredLymphomaStageValueModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-value-modifier-vs
    from this IG
    Observation.component:stage-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:stage-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:clin-or-path-modifier.codepreferredPattern: SNOMED-CT Code 277366005("Nature of staging values (qualifier value)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:clin-or-path-modifier.value[x]requiredClinOrPathModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-clin-or-path-modifier-vs
    from this IG
    Observation.component:clin-or-path-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:clin-or-path-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard
    Observation.component:bulky-modifier.codepreferredPattern: SNOMED-CT Code 260873006("Bulky disease status (attribute)")
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs
    from this IG
    Observation.component:bulky-modifier.value[x]requiredLymphomaStageBulkyModifierVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-lymphoma-stage-bulky-modifier-vs
    from this IG
    Observation.component:bulky-modifier.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    from the FHIR Standard
    Observation.component:bulky-modifier.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    from the FHIR Standard

    This structure is derived from CancerStage

    Summary

    Mandatory: 1 element

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.component

    Maturity: 0

     

    Other representations of profile: CSV, Excel, Schematron