minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0 - STU3 Release 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 (v3.0.0: STU 3) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Tumor Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor Version: 3.0.0
Draft as of 2023-10-26 Maturity Level: 3 Computable Name: Tumor

Identifies a tumor that has not been removed from the body. Whenever possible, a single resource conforming to this profile will be used to track a tumor over time (as opposed to creating new Tumor-conforming BodyStructure resources each time that tumor is measured). Use HumanSpecimen to represent the tumor after removal from the body. Note that the required code for morphology used in STU2 is now inactive. A new code has been specified and SHOULD be used, but the old code remains conformant.

Usage

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

Conformance

BodyStructure resources associated with an in-scope patient with morphology of SCT 367651003 SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient used to represent a tumor that has not been removed from the body SHALL be published in this form.

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

Usage:

Formal Views of Profile Content

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

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure BodyStructure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: Tumor Morphology Code Value Set (extensible)
Additional BindingsPurpose
Tumor Morphology Code Max Value SetMax Binding
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: Tumor Morphology Code Value Set (extensible)
Additional BindingsPurpose
Tumor Morphology Code Max Value SetMax Binding
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
BodyStructure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

This structure is derived from BodyStructure

Summary

Mandatory: 3 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element BodyStructure.identifier is sliced based on the value of pattern:type

Maturity: 3

Differential View

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure BodyStructure
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... Slices for identifier S1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... location S1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient S1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: Tumor Morphology Code Value Set (extensible)
Additional BindingsPurpose
Tumor Morphology Code Max Value SetMax Binding
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure 0..*BodyStructureSpecific and identified anatomical structure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCondition S0..1CodeableConcept, Reference(Condition)Reference to cancer condition associated with this tumor
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"
.... value[x] S1..1Reference(US Core Condition Problems and Health Concerns Profile)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier SΣ1..*IdentifierStable identifier(s) for this tumor
Slice: Unordered, Open by pattern:type
.... identifier:bodyStructureIdentifier 1..*BodyStructureIdentifierA persistent identifier of this tumor.
... active ?!Σ0..1booleanWhether this record is in active use
... morphology SΣ0..1CodeableConceptKind of Structure
Binding: Tumor Morphology Code Value Set (extensible)
Additional BindingsPurpose
Tumor Morphology Code Max Value SetMax Binding
... location SΣ1..1CodeableConceptBody site
Binding: Cancer Body Location Value Set (extensible)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: Body Location and Laterality Qualifier Value Set (required)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(Cancer Patient Profile)Who this is about

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
BodyStructure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
BodyStructure.morphologyextensibleTumorMorphologyCodeVS
Additional Bindings Purpose
Tumor Morphology Code Max Value Set Max Binding
BodyStructure.locationextensibleCancerBodyLocationVS
BodyStructure.locationQualifierrequiredBodyLocationAndLateralityQualifierVS

This structure is derived from BodyStructure

Summary

Mandatory: 3 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element BodyStructure.identifier is sliced based on the value of pattern:type

Maturity: 3

 

Other representations of profile: CSV, Excel, Schematron