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: Lymphoma Stage

Official URL: http://onconova.github.io/fhir/StructureDefinition/onconova-lymphoma-stage Version: 0.2.0
Active as of 2026-03-18 Computable Name: OnconovaLymphomaStage

Staging of lymphoma (both Hodgkins and Non-Hodgkins) by Ann Arbor, Cotswold, or Lugano staging systems. The method (required) indicates which of these related staging systems was used.

Conformance:

Observation resources representing a lymphoma staging in the scope of Onconova SHALL conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

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..* LymphomaStage assessment observation
Constraints: obs-6, obs-7, o-stg-req-1, o-stg-req-2, o-stg-req-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Not used in this profile
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of stage information reported.
Binding: Cancer Stage Type Value Set (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 385388004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus SOΣ 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SOΣ 1..1 dateTime S (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued Σ 0..1 instant Not used in this profile
... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] SOΣC 1..1 CodeableConcept S The value of the stage
Binding: Lymphoma Stage Value Set (required)
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite 0..1 CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method SO 1..1 CodeableConcept The staging system used.
Binding: Lymphoma Staging System Value Set (required)
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
.... component:stage-modifier Σ 0..* BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 106252000
....... display 1..1 string Representation defined by the system
Fixed Value: Staging classification for lymphoma (tumor staging)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 277366005
....... display 1..1 string Representation defined by the system
Fixed Value: Nature of staging values (qualifier value)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... component:bulky-modifier Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 260873006
....... display 1..1 string Representation defined by the system
Fixed Value: Bulky disease status (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept

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 preferred Cancer Stage Type Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.value[x] Base required Lymphoma Stage Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 required Lymphoma Staging System Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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 LymphomaStage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LymphomaStage assessment observation
Constraints: o-stg-req-1, o-stg-req-2, o-stg-req-3
... status 1..1 code Not used in this profile
... subject O 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus O 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... effective[x] O 1..1 dateTime (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued 0..1 instant Not used in this profile
... performer 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] O 1..1 CodeableConcept The value of the stage
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... interpretation 0..* CodeableConcept Not used in this profile
... bodySite 0..1 CodeableConcept Not used in this profile
... method O 1..1 CodeableConcept The staging system used.
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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..* LymphomaStage assessment observation
Constraints: obs-6, obs-7, o-stg-req-1, o-stg-req-2, o-stg-req-3
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Not used in this profile
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConcept (USCDI) Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of stage information reported.
Binding: Cancer Stage Type Value Set (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 385388004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus SOΣ 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SOΣ 1..1 dateTime S (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued Σ 0..1 instant Not used in this profile
... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] SOΣC 1..1 CodeableConcept S The value of the stage
Binding: Lymphoma Stage Value Set (required)
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method SO 1..1 CodeableConcept The staging system used.
Binding: Lymphoma Staging System Value Set (required)
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) (USCDI) US Core Profiles or other resource the observation is made from
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Cancer Staging Prognostic Factors Value (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:stage-modifier Σ 0..* BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 106252000
....... display 1..1 string Representation defined by the system
Fixed Value: Staging classification for lymphoma (tumor staging)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Lymphoma Stage Value Modifier Value Set (required)
..... 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
.... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 277366005
....... display 1..1 string Representation defined by the system
Fixed Value: Nature of staging values (qualifier value)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Clinical or Pathologic Modifier (required)
..... 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
.... component:bulky-modifier Σ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 260873006
....... display 1..1 string Representation defined by the system
Fixed Value: Bulky disease status (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Lymphoma Stage Bulky Modifier Value Set (required)
..... 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 preferred Cancer Stage Type Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.value[x] Base required Lymphoma Stage Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 required Lymphoma Staging System Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​value[x] Base preferred Cancer Staging Prognostic Factors Value 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:stage-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​value[x] Base required Lymphoma Stage Value Modifier Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:stage-modifier.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:clin-or-path-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​value[x] Base required Clinical or Pathologic Modifier 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:clin-or-path-modifier.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:bulky-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​value[x] Base required Lymphoma Stage Bulky Modifier Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:bulky-modifier.​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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LymphomaStage assessment observation
Constraints: obs-6, obs-7, o-stg-req-1, o-stg-req-2, o-stg-req-3
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Not used in this profile
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of stage information reported.
Binding: Cancer Stage Type Value Set (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 385388004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus SOΣ 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SOΣ 1..1 dateTime S (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued Σ 0..1 instant Not used in this profile
... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] SOΣC 1..1 CodeableConcept S The value of the stage
Binding: Lymphoma Stage Value Set (required)
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite 0..1 CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method SO 1..1 CodeableConcept The staging system used.
Binding: Lymphoma Staging System Value Set (required)
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
.... component:stage-modifier Σ 0..* BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 106252000
....... display 1..1 string Representation defined by the system
Fixed Value: Staging classification for lymphoma (tumor staging)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 277366005
....... display 1..1 string Representation defined by the system
Fixed Value: Nature of staging values (qualifier value)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... component:bulky-modifier Σ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 260873006
....... display 1..1 string Representation defined by the system
Fixed Value: Bulky disease status (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept

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 preferred Cancer Stage Type Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.value[x] Base required Lymphoma Stage Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 required Lymphoma Staging System Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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 LymphomaStage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* LymphomaStage assessment observation
Constraints: o-stg-req-1, o-stg-req-2, o-stg-req-3
... status 1..1 code Not used in this profile
... subject O 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus O 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... effective[x] O 1..1 dateTime (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued 0..1 instant Not used in this profile
... performer 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] O 1..1 CodeableConcept The value of the stage
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... interpretation 0..* CodeableConcept Not used in this profile
... bodySite 0..1 CodeableConcept Not used in this profile
... method O 1..1 CodeableConcept The staging system used.
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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..* LymphomaStage assessment observation
Constraints: obs-6, obs-7, o-stg-req-1, o-stg-req-2, o-stg-req-3
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Not used in this profile
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConcept (USCDI) Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:us-core S 0..* CodeableConcept (USCDI) Classification of type of observation
Binding: US Core Simple Observation Category (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... code SΣ 1..1 CodeableConcept The type of stage information reported.
Binding: Cancer Stage Type Value Set (preferred)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 385388004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SOΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who and/or what the observation is about
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... focus SOΣ 1..* Reference(Primary Cancer Condition Profile) The cancer condition associated with staging assessment.
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... encounter Σ 0..1 Reference(Encounter) Not used in this profile
... effective[x] SOΣ 1..1 dateTime S (USCDI) Clinically relevant time/time-period for observation
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... issued Σ 0..1 instant Not used in this profile
... performer SΣ 0..* Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | PractitionerRole | US Core CareTeam Profile | US Core RelatedPerson Profile) Not used in this profile
... value[x] SOΣC 1..1 CodeableConcept S The value of the stage
Binding: Lymphoma Stage Value Set (required)
ObligationsActor
SHALL:populate Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept Not used in this profile
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method SO 1..1 CodeableConcept The staging system used.
Binding: Lymphoma Staging System Value Set (required)
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
... specimen 0..1 Reference(Specimen) Not used in this profile
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Prognostic factors contributing to stage determination.
... derivedFrom Σ 0..* Reference(Observation | US Core DocumentReference Profile | US Core QuestionnaireResponse Profile | ImagingStudy | Media | MolecularSequence) (USCDI) US Core Profiles or other resource the observation is made from
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Cancer Staging Prognostic Factors Value (preferred)
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:stage-modifier Σ 0..* BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 106252000
....... display 1..1 string Representation defined by the system
Fixed Value: Staging classification for lymphoma (tumor staging)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Lymphoma Stage Value Modifier Value Set (required)
..... 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
.... component:clin-or-path-modifier Σ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 277366005
....... display 1..1 string Representation defined by the system
Fixed Value: Nature of staging values (qualifier value)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Clinical or Pathologic Modifier (required)
..... 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
.... component:bulky-modifier Σ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of prognostic factor
Binding: Cancer Staging Prognostic Factors Types (preferred)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 260873006
....... display 1..1 string Representation defined by the system
Fixed Value: Bulky disease status (attribute)
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 CodeableConcept Prognostic factor value
Binding: Lymphoma Stage Bulky Modifier Value Set (required)
..... 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 preferred Cancer Stage Type Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.value[x] Base required Lymphoma Stage Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 required Lymphoma Staging System Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
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 preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​value[x] Base preferred Cancer Staging Prognostic Factors Value 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:stage-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​value[x] Base required Lymphoma Stage Value Modifier Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:stage-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:stage-modifier.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:clin-or-path-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​value[x] Base required Clinical or Pathologic Modifier 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:clin-or-path-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:clin-or-path-modifier.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:bulky-modifier.​code Base preferred Cancer Staging Prognostic Factors Types 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​value[x] Base required Lymphoma Stage Bulky Modifier Value Set 📦4.0.0 minimal Common Oncology Data Elements v4.0
Observation.component:bulky-modifier.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:bulky-modifier.​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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
o-stg-req-1 error Observation The subject element is required and must be provided. subject.exists()
o-stg-req-2 error Observation The effectiveDateTime element is required and must be provided. effectiveDateTime.exists() and effectiveDateTime.hasValue()
o-stg-req-3 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()

 

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