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: Molecular Tumor Board Review

Official URL: http://onconova.github.io/fhir/StructureDefinition/onconova-molecular-tumor-board-review Version: 0.2.0
Active as of 2025-10-17 Computable Name: OnconovaMolecularTumorBoardReview

A profile representing a specialized molecular tumor board review for a cancer patient. This profile extends the OnconovaTumorBoardReview profile to specify that the review is focused on molecular diagnostics and recommendations.

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
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
Constraints: o-tub-req-1, o-tub-req-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension CUP characterization(s)
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:therapeuticRecommendation SC 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
Constraints: ext-1, tumor-board-therapeutic-recommendation-1
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
Constraints: ext-1
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
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: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C93304
..... display 1..1 string Representation defined by the system
Fixed Value: Tumor Board Review
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... Slices for extension Content/Rules for all slices
..... extension:specialization S 0..1 (Complex) Tumor Board Specialization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization
Constraints: ext-1
...... extension 0..0
...... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization"
...... value[x] 0..1 CodeableConcept Value of extension
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Cancer Patient Profile(0.2.0)) Who the procedure was performed on
... followUp S 0..* CodeableConcept Tumor Board Recommendation
Binding: OnconovaTumorBoardRecommendations (0.2.0) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.followUp Base required Tumor Board Recommendations 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure 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 Procedure 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 Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error Procedure.implicitRules, Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.code.extension:specialization, Procedure.code.extension:specialization.value[x], Procedure.subject, Procedure.followUp All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.code.extension:specialization Must have either extensions or value[x], not both extension.exists() != value.exists()
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()
tumor-board-therapeutic-recommendation-1 error Procedure.extension:therapeuticRecommendation Either clinical trial or medication SHALL be present extension('clinicalTrial').exists() or extension('medication').exists()

This structure is derived from OnconovaTumorBoardReview

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
... Slices for extension 0..* Extension CUP characterization(s)
Slice: Unordered, Open by value:url
.... extension:therapeuticRecommendation S 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
... code
.... Slices for extension Content/Rules for all slices
..... extension:specialization 0..1 TumorBoardSpecialization(0.2.0) Tumor Board Specialization
...... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
....... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
Constraints: o-tub-req-1, o-tub-req-2
... 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 CUP characterization(s)
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:therapeuticRecommendation SC 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
Constraints: ext-1, tumor-board-therapeutic-recommendation-1
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
Constraints: ext-1
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Not used in this profile
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Required Pattern: completed
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
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: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C93304
..... display 1..1 string Representation defined by the system
Fixed Value: Tumor Board Review
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:specialization S 0..1 (Complex) Tumor Board Specialization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization"
...... value[x] 0..1 CodeableConcept Value of extension
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Cancer Patient Profile(0.2.0)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] Σ 0..1 dateTime When the procedure was performed
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Not used in this profile
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Not used in this profile
... performer 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
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Not used in this profile
... reasonCode Σ 0..* CodeableConcept Not used in this profile
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Primary Cancer Condition Profile(0.2.0) | Secondary Cancer Condition Profile(0.2.0)) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... outcome Σ 0..1 CodeableConcept Not used in this profile
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Not used in this profile
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) Not used in this profile
... followUp S 0..* CodeableConcept Tumor Board Recommendation
Binding: OnconovaTumorBoardRecommendations (0.2.0) (required)
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... 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
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base required Tumor Board Recommendations 📍0.2.0 This IG
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure 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 Procedure 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 Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.code.extension, Procedure.code.extension:specialization, Procedure.code.extension:specialization.value[x], Procedure.code.coding, Procedure.code.text, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.code.extension, Procedure.code.extension:specialization, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()
tumor-board-therapeutic-recommendation-1 error Procedure.extension:therapeuticRecommendation Either clinical trial or medication SHALL be present extension('clinicalTrial').exists() or extension('medication').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
Constraints: o-tub-req-1, o-tub-req-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension CUP characterization(s)
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:therapeuticRecommendation SC 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
Constraints: ext-1, tumor-board-therapeutic-recommendation-1
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
Constraints: ext-1
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
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: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C93304
..... display 1..1 string Representation defined by the system
Fixed Value: Tumor Board Review
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... Slices for extension Content/Rules for all slices
..... extension:specialization S 0..1 (Complex) Tumor Board Specialization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization
Constraints: ext-1
...... extension 0..0
...... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization"
...... value[x] 0..1 CodeableConcept Value of extension
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Cancer Patient Profile(0.2.0)) Who the procedure was performed on
... followUp S 0..* CodeableConcept Tumor Board Recommendation
Binding: OnconovaTumorBoardRecommendations (0.2.0) (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.followUp Base required Tumor Board Recommendations 📍0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure 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 Procedure 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 Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error Procedure.implicitRules, Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.code.extension:specialization, Procedure.code.extension:specialization.value[x], Procedure.subject, Procedure.followUp All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.code.extension:specialization Must have either extensions or value[x], not both extension.exists() != value.exists()
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()
tumor-board-therapeutic-recommendation-1 error Procedure.extension:therapeuticRecommendation Either clinical trial or medication SHALL be present extension('clinicalTrial').exists() or extension('medication').exists()

Differential View

This structure is derived from OnconovaTumorBoardReview

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
... Slices for extension 0..* Extension CUP characterization(s)
Slice: Unordered, Open by value:url
.... extension:therapeuticRecommendation S 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
... code
.... Slices for extension Content/Rules for all slices
..... extension:specialization 0..1 TumorBoardSpecialization(0.2.0) Tumor Board Specialization
...... value[x] 0..1 CodeableConcept Value of extension
Required Pattern: At least the following
....... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* OnconovaTumorBoardReview(0.2.0) An action that is being or was performed on a patient
Constraints: o-tub-req-1, o-tub-req-2
... 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 CUP characterization(s)
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:therapeuticRecommendation SC 0..* (Complex) Molecular Tumor Board Therapeutic Recommendation
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation
Constraints: ext-1, tumor-board-therapeutic-recommendation-1
.... extension:molecularComparison S 0..1 (Complex) Molecular Tumor Board Molecular Comparison
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-molecular-comparison
Constraints: ext-1
.... extension:cupCharacterization S 0..1 (Complex) Molecular Tumor Board CUP Characterization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-cup-characterization
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) Not used in this profile
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Required Pattern: completed
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
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: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: C93304
..... display 1..1 string Representation defined by the system
Fixed Value: Tumor Board Review
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:specialization S 0..1 (Complex) Tumor Board Specialization
URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization
Constraints: ext-1
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-tumor-board-specialization"
...... value[x] 0..1 CodeableConcept Value of extension
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://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: C20826
........ display 1..1 string Representation defined by the system
Fixed Value: Molecular Diagnosis
........ userSelected 0..1 boolean If this coding was chosen directly by the user
....... text 0..1 string Plain text representation of the concept
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Cancer Patient Profile(0.2.0)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] Σ 0..1 dateTime When the procedure was performed
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Not used in this profile
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Not used in this profile
... performer 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
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Not used in this profile
... reasonCode Σ 0..* CodeableConcept Not used in this profile
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Primary Cancer Condition Profile(0.2.0) | Secondary Cancer Condition Profile(0.2.0)) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept Not used in this profile
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... outcome Σ 0..1 CodeableConcept Not used in this profile
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Not used in this profile
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) Not used in this profile
... followUp S 0..* CodeableConcept Tumor Board Recommendation
Binding: OnconovaTumorBoardRecommendations (0.2.0) (required)
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... 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
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base required Tumor Board Recommendations 📍0.2.0 This IG
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure 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 Procedure 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 Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.code.extension, Procedure.code.extension:specialization, Procedure.code.extension:specialization.value[x], Procedure.code.coding, Procedure.code.text, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:therapeuticRecommendation, Procedure.extension:molecularComparison, Procedure.extension:cupCharacterization, Procedure.modifierExtension, Procedure.code.extension, Procedure.code.extension:specialization, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
o-tub-req-1 error Procedure The subject element is required and must be provided. subject.exists() and subject.resolve().is(Patient)
o-tub-req-2 error Procedure The performedDateTime element is required and must be provided. performedDateTime.exists() and performedDateTime.hasValue()
tumor-board-therapeutic-recommendation-1 error Procedure.extension:therapeuticRecommendation Either clinical trial or medication SHALL be present extension('clinicalTrial').exists() or extension('medication').exists()

 

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