Onconova Implementation Guide
0.2.0 - ci-build

Onconova Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Cancer Risk Assessment Profile

Official URL: http://onconova.github.io/fhir/StructureDefinition/onconova-cancer-risk-assessment Version: 0.2.0
Active as of 2025-10-17 Computable Name: OnconovaCancerRiskAssessment

A profile representing a risk assessment performed for a cancer patient, including the method used, the resulting risk level, and an optional numerical score.

It constraints the mCODE CancerRiskAssessment profile and expands the valuesets for cancer risk assessment methods and values.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
Constraints: obs-6, obs-7, o-ria-req-1, o-ria-req-2, o-ria-req-3, o-ria-req-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... 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: USCoreSimpleObservationCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... focus SΣ 0..* Reference(Primary Cancer Condition Profile(4.0.0)) The cancer condition associated with risk assessment.
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime S
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] SΣC 0..1 CodeableConcept S The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason C 0..1 CodeableConcept Not used in this profile
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Not used in this profile
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... component Σ 0..* BackboneElement Not used in this profile
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:us-core Base required US Core Simple Observation Category 📍6.1.0 US Core v6.1
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:us-core, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CancerRiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Not used in this profile
... partOf 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... code 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... encounter 0..1 Reference(Encounter) Not used in this profile
... performer 0..* Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] 0..1 CodeableConcept The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason 0..1 CodeableConcept Not used in this profile
... interpretation 0..* CodeableConcept Not used in this profile
... hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Not used in this profile
... derivedFrom 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... component 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
Constraints: obs-6, obs-7, o-ria-req-1, o-ria-req-2, o-ria-req-3, o-ria-req-4
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Not used in this profile
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... 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: USCoreSimpleObservationCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... focus SΣ 0..* Reference(Primary Cancer Condition Profile(4.0.0)) The cancer condition associated with risk assessment.
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... 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(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] SΣC 0..1 CodeableConcept S The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason C 0..1 CodeableConcept Not used in this profile
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
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 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... 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
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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) Not used in this profile
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... 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

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:us-core Base required US Core Simple Observation Category 📍6.1.0 US Core v6.1
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:us-core, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CancerRiskAssessment

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
Constraints: obs-6, obs-7, o-ria-req-1, o-ria-req-2, o-ria-req-3, o-ria-req-4
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... 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: USCoreSimpleObservationCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... focus SΣ 0..* Reference(Primary Cancer Condition Profile(4.0.0)) The cancer condition associated with risk assessment.
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SΣ 0..1 (USCDI) Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime S
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] SΣC 0..1 CodeableConcept S The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason C 0..1 CodeableConcept Not used in this profile
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Not used in this profile
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... component Σ 0..* BackboneElement Not used in this profile
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:us-core Base required US Core Simple Observation Category 📍6.1.0 US Core v6.1
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:us-core, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from CancerRiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Not used in this profile
... partOf 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... code 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... encounter 0..1 Reference(Encounter) Not used in this profile
... performer 0..* Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] 0..1 CodeableConcept The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason 0..1 CodeableConcept Not used in this profile
... interpretation 0..* CodeableConcept Not used in this profile
... hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Not used in this profile
... derivedFrom 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... component 0..* BackboneElement Not used in this profile

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CancerRiskAssessment(4.0.0) assessment observation
Constraints: obs-6, obs-7, o-ria-req-1, o-ria-req-2, o-ria-req-3, o-ria-req-4
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:riskAssessmentScore 0..1 decimal, integer Risk Assessment Score
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-risk-assessment-score
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Not used in this profile
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Not used in this profile
... status ?!SΣ 1..1 code (USCDI) registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... 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: USCoreSimpleObservationCategory (6.1.0) (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of risk assessment information reported.
Binding: CancerRiskAssessmentMethods (0.2.0) (required)
... subject SΣ 1..1 Reference(Cancer Patient Profile(0.2.0)) (USCDI) Who and/or what the observation is about
... focus SΣ 0..* Reference(Primary Cancer Condition Profile(4.0.0)) The cancer condition associated with risk assessment.
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... 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(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | PractitionerRole | US Core CareTeam Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Not used in this profile
... value[x] SΣC 0..1 CodeableConcept S The value of the risk assessment
Binding: CancerRiskAssessmentValues (0.2.0) (required)
... dataAbsentReason C 0..1 CodeableConcept Not used in this profile
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
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 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... 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
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) 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) Not used in this profile
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile(6.1.0) | US Core QuestionnaireResponse Profile(6.1.0) | ImagingStudy | Media | MolecularSequence) Not used in this profile
... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... 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

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:us-core Base required US Core Simple Observation Category 📍6.1.0 US Core v6.1
Observation.code Base required Cancer Risk Assessment Methods 📍0.2.0 This IG
Observation.value[x] Base required Risk Assessment Values 📍0.2.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:us-core, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:riskAssessmentScore, Observation.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-ria-req-1 error Observation The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-ria-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-ria-req-3 error Observation The code element is required and must be provided. code.exists() and code.coding.exists()
o-ria-req-4 error Observation The valueCodeableConcept element is required and must be provided. valueCodeableConcept.exists() and valueCodeableConcept.coding.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from CancerRiskAssessment

 

Other representations of profile: CSV, Excel, Schematron