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
}
]
}
}