<status value="draft" /> <description value="Profile for recording measurements of a tumor like the longest diameter or volume. The resource can be used for different measurement methods (e.g. methods in pathology, radiology or physical exams)." /> <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"> <path value="Observation" /> <constraint> <key value="must-have-focus-or-specimen-invariant" /> <severity value="error" /> <human value="Either `focus` OR `specimen` MUST be populated" /> <expression value="(focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()" /> <source value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-measurement" /> </constraint> </element> <element id="Observation.code"> <path value="Observation.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="21889-1" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <short value="The patient whose tumor was measured." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.focus"> <path value="Observation.focus" /> <short value="Identifies a tumor that has NOT been removed from the body" /> <definition value="Reference to a BodyStructure resource conforming to Tumor." /> <comment value="Use **only** when the tumor **has not** been removed from the body. If the tumor has been removed, use `specimen` instead and leave `focus` empty." /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor" /> </type> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <mustSupport value="true" /> </element> <element id="Observation.method"> <path value="Observation.method" /> <short value="Method for measuring the tumor" /> <definition value="Method for measuring the tumor" /> <comment value="Tumors are typically measured via gross pathology after excision, or via diagnostic imaging or physical exam prior to removal. If `specimen` is set, `method` is expected to be a "gross pathology" code. If `focus` is set, `method` is expected to be a type of diagnostic imaging or physical exam." /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://www.vision-zero-oncology.de/fhir/ValueSet/tumor-measurement-methods" /> </binding> </element> <element id="Observation.specimen"> <path value="Observation.specimen" /> <short value="Identifies a tumor that has been removed from the body" /> <definition value="Reference to a Specimen resource." /> <comment value="Use **only** when the tumor **has** been removed from the body. If the tumor has been not removed, use `focus` instead and leave `specimen` empty." /> <mustSupport value="true" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:longestDimension"> <path value="Observation.component" /> <sliceName value="longestDimension" /> <short value="Longest tumor dimension (mm)" /> <definition value="The longest tumor dimension in mm." /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:longestDimension.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="33728-7" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:longestDimension.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.vision-zero-oncology.de/fhir/ValueSet/tumor-size-units" /> </binding> </element> <element id="Observation.component:shortAxis"> <path value="Observation.component" /> <sliceName value="shortAxis" /> <short value="short axis of the tumor lesion (mm or cm)" /> <definition value="short axis in mm or cm." /> <min value="0" /> <max value="1" /> </element> <element id="Observation.component:shortAxis.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="33729-5" /> <display value="Size additional dimension in Tumor" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:shortAxis.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.vision-zero-oncology.de/fhir/ValueSet/tumor-size-units" /> </binding> </element> <element id="Observation.component:area"> <path value="Observation.component" /> <sliceName value="area" /> <short value="area of the tumor (mm²)" /> <definition value="tumor area in mm²." /> <min value="0" /> <max value="1" /> </element> <element id="Observation.component:area.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.vision-zero-oncology.de/fhir/ValueSet/tumor-area-units" /> </binding> </element> <element id="Observation.component:volume"> <path value="Observation.component" /> <sliceName value="volume" /> <short value="tumor volume (ml)" /> <definition value="Tumor volume in ml." /> <min value="0" /> <max value="1" /> </element> <element id="Observation.component:volume.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <binding> <strength value="required" /> <valueSet value="https://www.vision-zero-oncology.de/fhir/ValueSet/tumor-volume-units" /> </binding> </element> </differential> </StructureDefinition>