FHIR Osiris Implementation Guide
2.1.0 - ci-build

FHIR Osiris Implementation Guide - Local Development build (v2.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Tumor Pathology Event

Official URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/tumor-pathology-event Version: 2.1.0
Draft as of 2024-03-21 Computable Name: TumorPathologyEvent

Tumor Pathology Event (TPE) Condition describing a tumoral event: reference to the parent TPE, laterality, morphology.

Usage:

Formal Views of Profile Content

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... value[x]
..... coding
...... code 0..1codeSymbol in syntax defined by the system
... histologygrade S0..1(Complex)Histology of the tumor
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade
.... extension:histologyGradeType 0..1ExtensionExtension
.... extension:histologyGradeValue 0..1ExtensionExtension
... bodySite S1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
.... coding
..... code 0..1codeSymbol in syntax defined by the system
... subject S1..1Reference(Oncology Patient)Who has the condition?
... Slices for onset[x] 1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S1..1dateTimeStart date
... Slices for abatement[x] 0..1dateTimeWhen in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime S0..1dateTimeEnd date
... recordedDate S1..1dateTimeDate of diagnosis
... Slices for stage 1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
.... stage:morphology S1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
..... summary 1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
...... coding
....... code 0..1codeSymbol in syntax defined by the system
..... type
...... coding
....... code 1..1codeSymbol in syntax defined by the system
Required Pattern: 116676008

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... extension 0..0
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality"
.... extension:histologyGradeType S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"histologyGradeType"
.... extension:histologyGradeValue S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"histologyGradeValue"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade"
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... code SΣ1..1CodeableConceptType of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
... subject SΣC1..1Reference(Oncology Patient)Who has the condition?
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeStart date
... Slices for abatement[x] C0..1dateTimeWhen in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC0..1dateTimeEnd date
... recordedDate SΣ1..1dateTimeDate of diagnosis
... Slices for stage C1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
con-1: Stage SHALL have summary or assessment
.... stage:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
.... stage:morphology SC1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
con-1: Stage SHALL have summary or assessment
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality"
.... value[x] 0..1CodeableConceptLaterality of location
Binding: Tumor Laterality Value Set (required)
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... histologygrade S0..1(Complex)Histology of the tumor
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:histologyGradeType S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"histologyGradeType"
..... value[x] 0..1stringValue of extension
.... extension:histologyGradeValue S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"histologyGradeValue"
..... value[x] 0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade"
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptType of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣC1..1Reference(Oncology Patient)Who has the condition?
ref-1: SHALL have a contained resource if a local reference is provided
... encounter ΣC0..1Reference(Encounter)Encounter created as part of
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeStart date
... Slices for abatement[x] C0..1dateTimeWhen in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC0..1dateTimeEnd date
... recordedDate SΣ1..1dateTimeDate of diagnosis
... recorder ΣC0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
ref-1: SHALL have a contained resource if a local reference is provided
... asserter ΣC0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for stage C1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
con-1: Stage SHALL have summary or assessment
.... stage:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
..... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

.... stage:morphology SC1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
con-1: Stage SHALL have summary or assessment
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
..... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Required Pattern: 116676008
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
... evidence C0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
ref-1: SHALL have a contained resource if a local reference is provided
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.extension:laterality.value[x]requiredLaterality
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Laterality
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG
Condition.stage:morphology.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

This structure is derived from Condition

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of type:$this
  • The element Condition.abatement[x] is sliced based on the value of type:$this
  • The element Condition.stage is sliced based on the value of pattern:type.coding.code

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*ConditionDetailed information about conditions, problems or diagnoses
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... value[x]
..... coding
...... code 0..1codeSymbol in syntax defined by the system
... histologygrade S0..1(Complex)Histology of the tumor
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade
.... extension:histologyGradeType 0..1ExtensionExtension
.... extension:histologyGradeValue 0..1ExtensionExtension
... bodySite S1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
.... coding
..... code 0..1codeSymbol in syntax defined by the system
... subject S1..1Reference(Oncology Patient)Who has the condition?
... Slices for onset[x] 1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetDateTime S1..1dateTimeStart date
... Slices for abatement[x] 0..1dateTimeWhen in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementDateTime S0..1dateTimeEnd date
... recordedDate S1..1dateTimeDate of diagnosis
... Slices for stage 1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
.... stage:morphology S1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
..... summary 1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
...... coding
....... code 0..1codeSymbol in syntax defined by the system
..... type
...... coding
....... code 1..1codeSymbol in syntax defined by the system
Required Pattern: 116676008

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... extension 0..0
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality"
.... extension:histologyGradeType S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"histologyGradeType"
.... extension:histologyGradeValue S0..1ExtensionExtension
..... extension 0..0
..... url 1..1uri"histologyGradeValue"
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade"
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... code SΣ1..1CodeableConceptType of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
... subject SΣC1..1Reference(Oncology Patient)Who has the condition?
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeStart date
... Slices for abatement[x] C0..1dateTimeWhen in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC0..1dateTimeEnd date
... recordedDate SΣ1..1dateTimeDate of diagnosis
... Slices for stage C1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
con-1: Stage SHALL have summary or assessment
.... stage:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
.... stage:morphology SC1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
con-1: Stage SHALL have summary or assessment
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*ConditionDetailed information about conditions, problems or diagnoses
con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... due-to S0..1Reference(Tumor Pathology Event)The parent tumoral event
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/dueTo-tumor-pathology-event
... laterality S0..1CodeableConceptLaterality of location
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality
Binding: Tumor Laterality Value Set (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/laterality"
.... value[x] 0..1CodeableConceptLaterality of location
Binding: Tumor Laterality Value Set (required)
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... histologygrade S0..1(Complex)Histology of the tumor
URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:histologyGradeType S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"histologyGradeType"
..... value[x] 0..1stringValue of extension
.... extension:histologyGradeValue S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"histologyGradeValue"
..... value[x] 0..1stringValue of extension
.... url 1..1uri"https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/histologygrade"
... modifierExtension ?!N0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!ΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.

... category 0..*CodeableConceptproblem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptType of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ1..1CodeableConceptTopographic code
Binding: Topography Value Set (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣC1..1Reference(Oncology Patient)Who has the condition?
ref-1: SHALL have a contained resource if a local reference is provided
... encounter ΣC0..1Reference(Encounter)Encounter created as part of
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for onset[x] Σ1..1dateTimeEstimated or actual date, date-time, or age
Slice: Unordered, Closed by type:$this
.... onset[x]:onsetDateTime SΣ1..1dateTimeStart date
... Slices for abatement[x] C0..1dateTimeWhen in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC0..1dateTimeEnd date
... recordedDate SΣ1..1dateTimeDate of diagnosis
... recorder ΣC0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
ref-1: SHALL have a contained resource if a local reference is provided
... asserter ΣC0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
ref-1: SHALL have a contained resource if a local reference is provided
... Slices for stage C1..*BackboneElementStage/grade, usually assessed formally
Slice: Unordered, Open by pattern:type.coding.code
con-1: Stage SHALL have summary or assessment
.... stage:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
..... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

.... stage:morphology SC1..1BackboneElementInternational code of lesion / histological type / morphology of the tumoral event
con-1: Stage SHALL have summary or assessment
..... id 0..1stringUnique id for inter-element referencing
..... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... summary C1..1CodeableConceptHistological/ morphological code
Binding: Morphology Value Set (extensible)
...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ0..1codeSymbol in syntax defined by the system
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
ref-1: SHALL have a contained resource if a local reference is provided
..... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

...... id 0..1stringUnique id for inter-element referencing
...... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
....... id 0..1stringUnique id for inter-element referencing
....... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ0..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
Required Pattern: 116676008
....... display Σ0..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
... evidence C0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringUnique id for inter-element referencing
.... extension N0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
ref-1: SHALL have a contained resource if a local reference is provided
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Condition.extension:laterality.value[x]requiredLaterality
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Laterality
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/Morphology
from this IG
Condition.stage:morphology.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
http://hl7.org/fhir/ValueSet/manifestation-or-symptom
from the FHIR Standard

This structure is derived from Condition

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of type:$this
  • The element Condition.abatement[x] is sliced based on the value of type:$this
  • The element Condition.stage is sliced based on the value of pattern:type.coding.code

 

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