HdBe-TNMTumorClassification
| Profile | Status | URL |
|---|---|---|
| HdBe-TNMTumorClassification | draft | https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-TNMTumorClassification |
| tnmtumor_classification | tnmtumor_classification | ||
| primary_tumor | 0..1 | BackboneElement | |
| m_number_of_primary_tumors | 0..1 | CodeableConceptBinding | |
| t_primary_tumor | 0..1 | CodeableConcept | |
| abnormality | 1..* | BackboneElement | |
| abnormality_number | 0..1 | Count | |
| morphology | 0..1 | CodeableConceptBinding | |
| g_histopathological_grading | 0..1 | CodeableConceptBinding | |
| tumor_localization | 0..* | BackboneElement | |
| anatomical_location | 0..1 | HdBe AnatomicalLocation | |
| regional_lymphnodes | 0..1 | BackboneElement | |
| n_regional_lymphnodes | 0..1 | CodeableConcept | |
| regional_lymph_nodes_localization | 0..* | BackboneElement | |
| anatomical_location | 0..1 | HdBe AnatomicalLocation | |
| distant_metastasis | 0..1 | BackboneElement | |
| m_distant_metastasis | 0..1 | CodeableConcept | |
| distant_metastasis_localization | 0..* | BackboneElement | |
| anatomical_location | 0..1 | HdBe AnatomicalLocation | |
| date_of_tnmclassification | 0..1 | dateTime | |
| tnmversion | 0..1 | CodeableConceptBinding | |
| integrated_tnmvalue | 0..1 | string | |
| explanation | 0..1 | string | |
| tl_lymphatic_invasion | 0..1 | CodeableConceptBinding | |
| pn_perineural_invasion | 0..1 | CodeableConceptBinding | |
| v_venous_invasion | 0..1 | CodeableConceptBinding | |
| anatomical_stage | 0..1 | CodeableConceptBinding | |
| prognostic_stage | 0..1 | CodeableConceptBinding | |
| r_residual_tumor | 0..1 | CodeableConceptBinding |
| tnmtumor_classification | 0..* | |
| tnmtumor_classification.primary_tumor | BackboneElement | 0..1 |
| tnmtumor_classification.primary_tumor.m_number_of_primary_tumors | CodeableConcept | 0..1 |
| tnmtumor_classification.primary_tumor.t_primary_tumor | CodeableConcept | 0..1 |
| tnmtumor_classification.primary_tumor.abnormality | BackboneElement | 1..* |
| tnmtumor_classification.primary_tumor.abnormality.abnormality_number | Count | 0..1 |
| tnmtumor_classification.primary_tumor.abnormality.morphology | CodeableConcept | 0..1 |
| tnmtumor_classification.primary_tumor.abnormality.g_histopathological_grading | CodeableConcept | 0..1 |
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization | BackboneElement | 0..* |
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization.anatomical_location | HdBe AnatomicalLocation | 0..1 |
| tnmtumor_classification.regional_lymphnodes | BackboneElement | 0..1 |
| tnmtumor_classification.regional_lymphnodes.n_regional_lymphnodes | CodeableConcept | 0..1 |
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization | BackboneElement | 0..* |
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization.anatomical_location | HdBe AnatomicalLocation | 0..1 |
| tnmtumor_classification.distant_metastasis | BackboneElement | 0..1 |
| tnmtumor_classification.distant_metastasis.m_distant_metastasis | CodeableConcept | 0..1 |
| tnmtumor_classification.distant_metastasis.distant_metastasis_localization | BackboneElement | 0..* |
| tnmtumor_classification.distant_metastasis.distant_metastasis_localization.anatomical_location | HdBe AnatomicalLocation | 0..1 |
| tnmtumor_classification.date_of_tnmclassification | dateTime | 0..1 |
| tnmtumor_classification.tnmversion | CodeableConcept | 0..1 |
| tnmtumor_classification.integrated_tnmvalue | string | 0..1 |
| tnmtumor_classification.explanation | string | 0..1 |
| tnmtumor_classification.tl_lymphatic_invasion | CodeableConcept | 0..1 |
| tnmtumor_classification.pn_perineural_invasion | CodeableConcept | 0..1 |
| tnmtumor_classification.v_venous_invasion | CodeableConcept | 0..1 |
| tnmtumor_classification.anatomical_stage | CodeableConcept | 0..1 |
| tnmtumor_classification.prognostic_stage | CodeableConcept | 0..1 |
| tnmtumor_classification.r_residual_tumor | CodeableConcept | 0..1 |
| tnmtumor_classification | |
| Definition | Root concept of the TNMTumorClassification information model.This root concept contains all data elements of the TNMTumorClassification information model. |
| Cardinality | 0...* |
| Invariants |
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| Mappings |
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| tnmtumor_classification.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.primary_tumor | |
| Definition | Container of the PrimaryTumor concept.This container contains all data elements of the PrimaryTumor concept. |
| Cardinality | 0...1 |
| Type | BackboneElement |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.primary_tumor.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.m_number_of_primary_tumors | |
| Definition | - |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | m-NumberOfPrimaryTumors codes https://fhir.healthdata.be/ValueSet/m_AantalPrimaireTumoren (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| Mappings |
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| tnmtumor_classification.primary_tumor.t_primary_tumor | |
| Definition | Staging result of the size extension of the primary tumor, the T-category of the TNM classification including the prefix and suffix. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality | |
| Definition | Container of the Abnormality concept.This container contains all data elements of the Abnormality concept. |
| Cardinality | 1...* |
| Type | BackboneElement |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality.abnormality_number | |
| Definition | The number assigned to the abnormality, which is necessary in order to be able to clearly indicate to which abnormality the information relates in various examinations. In the case of multiple primary tumors in one organ, the tumor with the highest T category should be classified. |
| Cardinality | 0...1 |
| Type | Count |
| Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality.morphology | |
| Definition | Behavior of a tumor and cell type expressed in ICD-O-3 morphological or histology code. Describes the cell type (or histology) of the tumor, together with the behavior (malignant or benign). This is determined by a pathologist. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | Morphology codes Morfologie (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality.g_histopathological_grading | |
| Definition | Staging result of the histopathological grading, the G-category of theTNM classification. The differentiation grade of a tumor is determined by a pathologist. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | G-HistopathologicalGrading codes https://fhir.healthdata.be/ValueSet/G_DifferentiatiegraadTumor (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization | |
| Definition | Container of the TumorLocalization concept.This container contains all data elements of the TumorLocalization concept. |
| Cardinality | 0...* |
| Type | BackboneElement |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.primary_tumor.abnormality.tumor_localization.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.primary_tumor.abnormality.tumor_localization.anatomical_location | |
| Definition | Contains the localization(s) of the primary tumor, which (i.a.) determines the assignment of the TNM classification to the tumor. |
| Cardinality | 0...1 |
| Type | HdBe AnatomicalLocation |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.regional_lymphnodes | |
| Definition | Container of the RegionalLymphnodes concept.This container contains all data elements of the RegionalLymphnodes concept. |
| Cardinality | 0...1 |
| Type | BackboneElement |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.regional_lymphnodes.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.n_regional_lymphnodes | |
| Definition | Staging result of the presence or absence of regional lymph nodes metastasis, the N-category of the TNM classification. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization | |
| Definition | Container of the RegionalLymphNodesLocalization concept.This container contains all data elements of the RegionalLymphNodesLocalization concept. |
| Cardinality | 0...* |
| Type | BackboneElement |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.regional_lymphnodes.regional_lymph_nodes_localization.anatomical_location | |
| Definition | Contains the localization(s) of the positive regional lymph nodes, caused by the primary tumor. |
| Cardinality | 0...1 |
| Type | HdBe AnatomicalLocation |
| Invariants |
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| Mappings |
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| tnmtumor_classification.distant_metastasis | |
| Definition | Container of the DistantMetastasis concept.This container contains all data elements of the DistantMetastasis concept. |
| Cardinality | 0...1 |
| Type | BackboneElement |
| Invariants |
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| Mappings |
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| tnmtumor_classification.distant_metastasis.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.distant_metastasis.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.distant_metastasis.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants |
|
| Mappings |
|
| tnmtumor_classification.distant_metastasis.m_distant_metastasis | |
| Definition | Staging result of the presence or absence of distant metastasis, the M-category of the TNM classification. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.distant_metastasis.distant_metastasis_localization | |
| Definition | Container of the DistantMetastasisLocalization concept.This container contains all data elements of the DistantMetastasisLocalization concept. |
| Cardinality | 0...* |
| Type | BackboneElement |
| Invariants |
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| Mappings |
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| tnmtumor_classification.distant_metastasis.distant_metastasis_localization.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0...1 |
| Type | System.String |
| Mappings |
|
| tnmtumor_classification.distant_metastasis.distant_metastasis_localization.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Cardinality | 0...* |
| Type | Extension |
| Alias | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Slicing | Unordered, Open, by url(Value) |
| Invariants |
|
| Mappings |
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| tnmtumor_classification.distant_metastasis.distant_metastasis_localization.modifierExtension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Cardinality | 0...* |
| Type | Extension |
| Modifier | True |
| Summary | True |
| Alias | extensions, user content, modifiers |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
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| tnmtumor_classification.distant_metastasis.distant_metastasis_localization.anatomical_location | |
| Definition | Contains the localization(s) of distant metastasis, caused by the primary tumor. |
| Cardinality | 0...1 |
| Type | HdBe AnatomicalLocation |
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| tnmtumor_classification.date_of_tnmclassification | |
| Definition | The date at which the TNM Classification (the value) has been assigned. |
| Cardinality | 0...1 |
| Type | dateTime |
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| tnmtumor_classification.tnmversion | |
| Definition | TNM classification version (AJCC or UICC) and edition used (7th, 8th etc.). |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | TNMVersion codes TNMVersie (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
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| tnmtumor_classification.integrated_tnmvalue | |
| Definition | The assigned TNM classification (the value), based on each T, N and M category (optional incl. multiple primary tumors (m) and/or the localization of M). |
| Cardinality | 0...1 |
| Type | string |
| Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
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| tnmtumor_classification.explanation | |
| Definition | Remark regarding interpretation of the integrated TNM value as is classified. |
| Cardinality | 0...1 |
| Type | string |
| Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
| Invariants |
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| tnmtumor_classification.tl_lymphatic_invasion | |
| Definition | Presence or absence of tissue invasion absence of lymphatic invasion, the L-category. It concerns an additional description within the TNM classification that is determined by a pathologist. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | TL-LymphaticInvasion codes https://fhir.healthdata.be/ValueSet/L_LymfatischeInvasie (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| tnmtumor_classification.pn_perineural_invasion | |
| Definition | Presence or absence of perineural invasion, the Pn-category. It concerns an additional description within the TNM classification that is determined by a pathologist. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | Pn-PerineuralInvasion codes https://fhir.healthdata.be/ValueSet/Pn_PerineuraleInvasie (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| tnmtumor_classification.v_venous_invasion | |
| Definition | Presence or absence of venous invasion, the V-category. It concerns an additional description within the TNM classification that is determined by a pathologist. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | V-VenousInvasion codes https://fhir.healthdata.be/ValueSet/V_VeneuzeInvasie (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
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| tnmtumor_classification.anatomical_stage | |
| Definition | The stage of the disease is the grouping based on the anatomical extent of the disease. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | AnatomicalStage codes AnatomischStadium (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
| Invariants |
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| tnmtumor_classification.prognostic_stage | |
| Definition | The Prognostic Stage group of the disease. Next to the anatomic extent of the disease additional prognostic factors are included in the grouping. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | PrognosticStage codes PrognostischStadium (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
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| tnmtumor_classification.r_residual_tumor | |
| Definition | Presence or absence of Residual Tumor after treatment, the R-category. |
| Cardinality | 0...1 |
| Type | CodeableConcept |
| Binding | R-ResidualTumor codes https://fhir.healthdata.be/ValueSet/R_ResidueleTumor (extensible) |
| Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
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Example instances
| [CBB name] | |
|---|---|
| [Concept name ] | [example value] |
// example of NameInformation
## Example instances
| name_information | |
|----------------------|-------------------|
| first_names | Johanna Petronella Maria
| initials | J.P.M.
| given_name | Jo
| name_usage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| last_name.prefix | van
| last_name.last_name | Putten
| last_name_partner.partner_prefix | van der
| last_name_partner.partner_last_name | Giessen
| titles |
zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference
| Concept | Category | Description |
|---|---|---|
[element.path] |
[category of change] | [Description of change]([Reference to ticket/issue/zulip chat using MarkDown link]) |
Terminology Bindings
| Path | Name | Strength | URL |
|---|---|---|---|
| primary_tumor.m_number_of_primary_tumors | m_AantalPrimaireTumoren | extensible | https://fhir.healthdata.be/ValueSet/m_AantalPrimaireTumoren |
| primary_tumor.abnormality.morphology | Morfologie | extensible | https://fhir.healthdata.be/ValueSet/Morfologie |
| primary_tumor.abnormality.g_histopathological_grading | G_DifferentiatiegraadTumor | extensible | https://fhir.healthdata.be/ValueSet/G_DifferentiatiegraadTumor |
| tnmversion | TNMVersie | extensible | https://fhir.healthdata.be/ValueSet/TNMVersie |
| tl_lymphatic_invasion | L_LymfatischeInvasie | extensible | https://fhir.healthdata.be/ValueSet/L_LymfatischeInvasie |
| pn_perineural_invasion | Pn_PerineuraleInvasie | extensible | https://fhir.healthdata.be/ValueSet/Pn_PerineuraleInvasie |
| v_venous_invasion | V_VeneuzeInvasie | extensible | https://fhir.healthdata.be/ValueSet/V_VeneuzeInvasie |
| anatomical_stage | AnatomischStadium | extensible | https://fhir.healthdata.be/ValueSet/AnatomischStadium |
| prognostic_stage | PrognostischStadium | extensible | https://fhir.healthdata.be/ValueSet/PrognostischStadium |
| r_residual_tumor | R_ResidueleTumor | extensible | https://fhir.healthdata.be/ValueSet/R_ResidueleTumor |