<status value="draft" /> <date value="2019-12-20T18:15:04+00:00" /> <publisher value="Global Alliance for Genomics and Health" /> <contact> <telecom> <system value="other" /> <value value="http://ga4gh.org" /> <rank value="1" /> </telecom> </contact> <description value="The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy." /> <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://ga4gh.org/fhir/phenopackets/StructureDefinition/CancerStageGroup" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Observation"> <path value="Observation" /> <short value="TNMClinicalStageGroup" /> <definition value="The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy." /> </element> <element id="Observation.code"> <path value="Observation.code" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing id="1"> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> <max value="*" /> </element> <element id="Observation.code.coding:Fixed_21908-9"> <path value="Observation.code.coding" /> <sliceName value="Fixed_21908-9" /> <short value="Stage group.clinical Cancer" /> <definition value="Stage group.clinical Cancer" /> <min value="1" /> <max value="1" /> <base> <path value="CodeableConcept.coding" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Coding" /> </type> <isSummary value="true" /> </element> <element id="Observation.code.coding:Fixed_21908-9.system"> <path value="Observation.code.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:Fixed_21908-9.code"> <path value="Observation.code.coding.code" /> <fixedCode value="21908-9" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <mustSupport value="true" /> </element> <element id="Observation.valueCodeableConcept"> <path value="Observation.valueCodeableConcept" /> <mustSupport value="true" /> <binding> <strength value="preferred" /> <valueSet value="http://ga4gh.org/fhir/phenopackets/ValueSet/tnm-stage-group" /> </binding> </element> <element id="Observation.method"> <path value="Observation.method" /> <mustSupport value="true" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <slicing id="2"> <discriminator> <type value="value" /> <path value="$this.resolve().code.coding.code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Observation.hasMember:TNMClinicalPrimaryTumorCategory"> <path value="Observation.hasMember" /> <sliceName value="TNMClinicalPrimaryTumorCategory" /> <short value="TNMClinicalPrimaryTumorCategory: Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy" /> <definition value="Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ga4gh.org/fhir/phenopackets/StructureDefinition/TNMClinicalPrimaryTumorCategory" /> </type> </element> <element id="Observation.hasMember:TNMClinicalRegionalNodesCategory"> <path value="Observation.hasMember" /> <sliceName value="TNMClinicalRegionalNodesCategory" /> <short value="TNMClinicalRegionalNodesCategory: Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery" /> <definition value="Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ga4gh.org/fhir/phenopackets/StructureDefinition/TNMClinicalRegionalNodesCategory" /> </type> </element> <element id="Observation.hasMember:TNMClinicalDistantMetastasesCategory"> <path value="Observation.hasMember" /> <sliceName value="TNMClinicalDistantMetastasesCategory" /> <short value="TNMClinicalDistantMetastasesCategory: Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery" /> <definition value="Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." /> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ga4gh.org/fhir/phenopackets/StructureDefinition/TNMClinicalDistantMetastasesCategory" /> </type> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
Observation		0 .. *	CancerStageGroup	TNMClinicalStageGroup
code		1 .. 1	CodeableConcept
coding		1 .. *	(Slice Definition)	Slice: Unordered, Open by value:code
coding:Fixed_21908-9	Σ	1..1	Coding	Stage group.clinical Cancer
system		0 .. 1	uri	Fixed Value: http://loinc.org
code		0 .. 1	code	Fixed Value: 21908-9
effective[x]	S	0 .. 1	dateTime , Period
valueCodeableConcept	S	1 .. 1	CodeableConcept	Binding: TNM Stage Group (preferred)
method	S	0 .. 1	CodeableConcept
hasMember		0 .. *	(Slice Definition)	Slice: Unordered, Open by value:$this.resolve().code.coding.code
hasMember:TNMClinicalPrimaryTumorCategory		0..1	Reference(TNM Clinical Primary Tumor Category)	TNMClinicalPrimaryTumorCategory: Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy
hasMember:TNMClinicalRegionalNodesCategory		0..1	Reference(TNM Clinical Regional Nodes Category)	TNMClinicalRegionalNodesCategory: Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery
hasMember:TNMClinicalDistantMetastasesCategory		0..1	Reference(TNM Clinical Distant Metastases Category)	TNMClinicalDistantMetastasesCategory: Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery
Documentation for this format