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

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Resource Profile: TNM Stage Group Profile

Reporting of the stage group representing the overall extent of a cancer, based on AJCC staging guidelines.

Usage:

• Examples for this Resource Profile: Observation/tnm-clinical-stage-group-3c, Observation/tnm-clinical-stage-group-jenny-m and Observation/tnm-pathologic-stage-group-jenny-m

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
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
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. 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: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding ele-1: All FHIR elements must have a @value or children
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	1..1	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 stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding ele-1: All FHIR elements must have a @value or children
method	S	1..1	CodeableConcept	The staging system used. Binding: TNM Staging Method Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Slices for hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
hasMember:TNMCategory	SΣ	0..3	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Prognostic factors contributing to stage determination. ele-1: All FHIR elements must have a @value or children
component	Σ	0..*	BackboneElement	Not used in this profile 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:us-core	required	USCoreSimpleObservationCategory http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG
Observation.component.code	preferred	CancerStagingPrognosticFactorTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG

This structure is derived from CancerStage

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	CancerStage	assessment observation
code		1..1	CodeableConcept	The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
focus		1..1	Reference(Primary Cancer Condition Profile)	The cancer condition associated with staging assessment.
value[x]		0..1	CodeableConcept	The stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
method		1..1	CodeableConcept	The staging system used. Binding: TNM Staging Method Value Set (extensible)
Slices for hasMember	S	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve()
hasMember:TNMCategory	S	0..3	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Prognostic factors contributing to stage determination.
component		0..*	BackboneElement	Not used in this profile
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
subject	SΣ	1..1	Reference(Cancer Patient Profile)	(USCDI) Who and/or what the observation is about
focus	SΣ	1..1	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 stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
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: TNM Staging Method Value Set (extensible)
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
Slices for hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve()
hasMember:TNMCategory	SΣ	0..3	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
component	Σ	0..*	BackboneElement	Not used in this profile
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:us-core	required	USCoreSimpleObservationCategory http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	preferred	CancerStagingPrognosticFactorTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG
Observation.component.value[x]	preferred	CancerStagingPrognosticFactorValueVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from CancerStage

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

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

Maturity: 4

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
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. 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: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding ele-1: All FHIR elements must have a @value or children
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	1..1	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 stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding ele-1: All FHIR elements must have a @value or children
method	S	1..1	CodeableConcept	The staging system used. Binding: TNM Staging Method Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Slices for hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
hasMember:TNMCategory	SΣ	0..3	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Prognostic factors contributing to stage determination. ele-1: All FHIR elements must have a @value or children
component	Σ	0..*	BackboneElement	Not used in this profile 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:us-core	required	USCoreSimpleObservationCategory http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG
Observation.component.code	preferred	CancerStagingPrognosticFactorTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG

Differential View

This structure is derived from CancerStage

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	CancerStage	assessment observation
code		1..1	CodeableConcept	The type of stage information reported. Binding: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
focus		1..1	Reference(Primary Cancer Condition Profile)	The cancer condition associated with staging assessment.
value[x]		0..1	CodeableConcept	The stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
method		1..1	CodeableConcept	The staging system used. Binding: TNM Staging Method Value Set (extensible)
Slices for hasMember	S	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve()
hasMember:TNMCategory	S	0..3	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Prognostic factors contributing to stage determination.
component		0..*	BackboneElement	Not used in this profile
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose 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: TNM Stage Group Staging Type Value Set (preferred) Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
subject	SΣ	1..1	Reference(Cancer Patient Profile)	(USCDI) Who and/or what the observation is about
focus	SΣ	1..1	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 stage group Binding: TNM Stage Group Value Set (preferred) Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
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: TNM Staging Method Value Set (extensible)
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
Slices for hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Element containing the T, N, and M categories as references to separate T, N, M observations. The referenced resources are observations leading to the Stage Group reported in the current resource. Slice: Unordered, Open by profile:$this.resolve()
hasMember:TNMCategory	SΣ	0..3	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
component	Σ	0..*	BackboneElement	Not used in this profile
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:us-core	required	USCoreSimpleObservationCategory http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category
Observation.code	preferred	TNMStageGroupStagingTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-staging-type-vs from this IG Additional Bindings Purpose TNM Stage Group Staging Type Maximum Value Set Max Binding
Observation.value[x]	preferred	TNMStageGroupVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-stage-group-vs from this IG Additional Bindings Purpose TNM Stage Group Maximum Value Set Max Binding
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	preferred	CancerStagingPrognosticFactorTypeVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-type-vs from this IG
Observation.component.value[x]	preferred	CancerStagingPrognosticFactorValueVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-prognostic-factor-value-vs from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

This structure is derived from CancerStage

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

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

Maturity: 4

Other representations of profile: CSV, Excel, Schematron