<status value="draft" /> <publisher value="GRADIANT" /> <contact> <name value="GRADIANT" /> <telecom> <system value="url" /> <value value="https://www.gradiant.org/" /> <use value="work" /> </telecom> </contact> <description value="Cancer stage according to TNM classification. This system is based on three properties to describe cancer: T gives information about the size and extension of the main tumor, N describes whether the cancer has spread to nearby lymph nodes, and M refers to whether the cancer has spread to parts of the body far from the main tumor as metastases." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.category"> <path value="Observation.category" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <binding> <strength value="required" /> <valueSet value="http://gradiant.org/fhir/ValueSet/CASIDECancerTNMCategoriesModifierVS" /> </binding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://gradiant.org/fhir/StructureDefinition/CASIDECancerSurvivor" /> </type> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <max value="0" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <max value="0" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <max value="0" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code.coding" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Observation.component:TumorCategory"> <path value="Observation.component" /> <sliceName value="TumorCategory" /> <definition value="T category: size and extent of the main tumor" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:TumorCategory.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="78873005" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:TumorCategory.value[x]"> <path value="Observation.component.value[x]" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> </coding> </patternCodeableConcept> <binding> <strength value="extensible" /> <valueSet value="http://gradiant.org/fhir/ValueSet/CASIDECancerTCategoryVS" /> </binding> </element> <element id="Observation.component:TumorCategory.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <max value="0" /> </element> <element id="Observation.component:NodeCategory"> <path value="Observation.component" /> <sliceName value="NodeCategory" /> <definition value="N category: number of nearby lymph nodes that have cancer." /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:NodeCategory.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="277206009" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:NodeCategory.value[x]"> <path value="Observation.component.value[x]" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> </coding> </patternCodeableConcept> <binding> <strength value="extensible" /> <valueSet value="http://gradiant.org/fhir/ValueSet/CASIDECancerNCategoryVS" /> </binding> </element> <element id="Observation.component:NodeCategory.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <max value="0" /> </element> <element id="Observation.component:MetastasisCategory"> <path value="Observation.component" /> <sliceName value="MetastasisCategory" /> <definition value="M category: whether the cancer has spread to other parts of the body (metastases)." /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:MetastasisCategory.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="277208005" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:MetastasisCategory.value[x]"> <path value="Observation.component.value[x]" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> </coding> </patternCodeableConcept> <binding> <strength value="extensible" /> <valueSet value="http://gradiant.org/fhir/ValueSet/CASIDECancerMCategoryVS" /> </binding> </element> <element id="Observation.component:MetastasisCategory.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <max value="0" /> </element> </differential> </StructureDefinition>