FHIR IG Statistics: StructureDefinition/StructureDefinition-cce-core-Observation-TNMc

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{
  "resourceType": "StructureDefinition",
  "url": "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Observation-TNMc",
  "version": "0.0.1",
  "name": "TNMc",
  "status": "draft",
  "description": "Staging of tumor diseases according to the TNM classification (clinical) in accordance with the current AJCC edition",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.system",
        "path": "Observation.category.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/observation-category"
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "min": 1,
        "fixedCode": "laboratory"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "21908-9"
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Patient",
              "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Pseudonym"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Condition-PrimaryDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "Date of TNM documentation/Date of findings",
        "definition": "This is the date on which the TNM data set was created and which is also considered relevant for the evaluation. It is usually identical to the diagnosis date or is close to this date.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_Date",
            "comment": "TNM:TNM_Date"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:2:3",
            "comment": "urn:dktk:dataelement:2:3"
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Indicates the stage of the tumor (according to \"Union internationale contre le cancer\")",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/UICCStageVS"
        }
      },
      {
        "id": "Observation.value[x].coding.version",
        "path": "Observation.value[x].coding.version",
        "short": "TNM-Version",
        "definition": "Catalog version of the TNM",
        "min": 1,
        "binding": {
          "strength": "extensible",
          "description": "Catalog version of the TNM",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMVersionVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_Version",
            "comment": "TNM:TNM_Version"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:18:2",
            "comment": "urn:dktk:dataelement:18:2"
          }
        ]
      },
      {
        "id": "Observation.value[x].coding.code",
        "path": "Observation.value[x].coding.code",
        "short": "UICC Stadium",
        "definition": "Indicates the stage of the tumor (according to \"Union internationale contre le cancer\")",
        "min": 1,
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM.TNM_T, TNM.TNM_N,  TNM.TNM_M",
            "comment": "Calculated from 3 TNM elements"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:89:1",
            "comment": "urn:dktk:dataelement:89:1"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "id": "394",
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:TNM-T",
        "path": "Observation.component",
        "sliceName": "TNM-T",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-T.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-T.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "21905-5"
      },
      {
        "id": "Observation.component:TNM-T.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-T",
        "definition": "Indicates the extent (location and size) of the primary tumor",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "TNM-T",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMTVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_T",
            "comment": "TNM:TNM_T"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:100:1",
            "comment": "urn:dktk:dataelement:100:1"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-N",
        "path": "Observation.component",
        "sliceName": "TNM-N",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-N.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-N.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "21906-3"
      },
      {
        "id": "Observation.component:TNM-N.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-N",
        "definition": "Indicates whether lymph nodes are affected",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "TNM-N",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMNVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_N",
            "comment": "TNM:TNM_N"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:101:1",
            "comment": "urn:dktk:dataelement:101:1"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-M",
        "path": "Observation.component",
        "sliceName": "TNM-M",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-M.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-M.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "fixedCode": "21907-1"
      },
      {
        "id": "Observation.component:TNM-M.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-M",
        "definition": "Indicates whether metastases are present",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "TNM-M",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMMVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_M",
            "comment": "TNM:TNM_M"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:99:1",
            "comment": "urn:dktk:dataelement:99:1"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-y-Symbol",
        "path": "Observation.component",
        "sliceName": "TNM-y-Symbol",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-y-Symbol.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-y-Symbol.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "59479-6"
      },
      {
        "id": "Observation.component:TNM-y-Symbol.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-y-Symbol",
        "definition": "Indicates when, in the case of multimodal therapies with multiple treatment approaches, the classification was made during or after these therapies",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM y-Symbol",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMySymbolVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_y_Symbol",
            "comment": "TNM:TNM_y_Symbol"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:82:1"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-y-Symbol.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-r-Symbol",
        "path": "Observation.component",
        "sliceName": "TNM-r-Symbol",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-r-Symbol.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-r-Symbol.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "21983-2"
      },
      {
        "id": "Observation.component:TNM-r-Symbol.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-r-Symbol",
        "definition": "Indicates whether the tumor is an assessed recurrence",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM r-Symbol",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMrSymbolVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_r_Symbol",
            "comment": "TNM:TNM_r_Symbol"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:81:1"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-r-Symbol.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-m-Symbol",
        "path": "Observation.component",
        "sliceName": "TNM-m-Symbol",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-m-Symbol.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-m-Symbol.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "42030-7"
      },
      {
        "id": "Observation.component:TNM-m-Symbol.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-m-Symbol",
        "definition": "Indicates whether multiple primary tumors are present in a region",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM m-Symbol",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMmSymbolVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM_m_Symbol",
            "comment": "TNM:TNM_m_Symbol"
          },
          {
            "identity": "ISO-11179",
            "map": "urn:dktk:dataelement:10:2"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-m-Symbol.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-L-Category",
        "path": "Observation.component",
        "sliceName": "TNM-L-Category",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-L-Category.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-L-Category.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "33739-4"
      },
      {
        "id": "Observation.component:TNM-L-Category.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-L-Category",
        "definition": "Lymphatic vessel invasion",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM-L-Category",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMLCategoryVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM-L-Category",
            "comment": "TNM:TNM-L-Category"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-L-Category.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-V-Category",
        "path": "Observation.component",
        "sliceName": "TNM-V-Category",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-V-Category.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-V-Category.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "33740-2"
      },
      {
        "id": "Observation.component:TNM-V-Category.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-V-Category",
        "definition": "Vein invasion",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM-V-Category",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMVCategoryVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM-V-Category",
            "comment": "TNM:TNM-V-Category"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-V-Category.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-Pn-Category",
        "path": "Observation.component",
        "sliceName": "TNM-Pn-Category",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-Pn-Category.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-Pn-Category.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "92837-4"
      },
      {
        "id": "Observation.component:TNM-Pn-Category.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-Pn-Category",
        "definition": "Perineuralinvasion",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM-Pn-Category",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMPnCategoryVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM-Pn-Category",
            "comment": "TNM:TNM-Pn-Category"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-Pn-Category.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:TNM-S-Category",
        "path": "Observation.component",
        "sliceName": "TNM-S-Category",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:TNM-S-Category.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Observation.component:TNM-S-Category.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "21924-6"
      },
      {
        "id": "Observation.component:TNM-S-Category.value[x]",
        "path": "Observation.component.value[x]",
        "short": "TNM-S-Category",
        "definition": "Serumtumormarker",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "TNM-S-Category",
          "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/TNMSCategoryVS"
        },
        "mapping": [
          {
            "identity": "ADT-GEKID",
            "map": "TNM:TNM-S-Category",
            "comment": "TNM:TNM-S-Category"
          }
        ]
      },
      {
        "id": "Observation.component:TNM-S-Category.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      }
    ]
  }
}