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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="CASIDE-CancerTNMCategories" />
  <meta>
    <lastUpdated value="2021-07-16T08:38:39.645+00:00" />
  </meta>
  <url value="http://gradiant.org/fhir/StructureDefinition/CASIDECancerTNMCategories" />
  <version value="1.0" />
  <name value="CASIDECancerTNMCategories" />
  <title value="Cancer TNM Categories Profile" />
  <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>

name : CASIDECancerTNMCategories

{

}

<name value="CASIDECancerTNMCategories" />