{ "resourceType": "StructureDefinition", "id": "VGHKS-mcode-tumor-size", "text": { "status": "extensions", "div": "
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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Observation I0..*ObservationMeasurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
\".\"\".\"\".\" code S1..1CodeableConceptType of observation (code / type)
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 21889-1
\".\"\".\"\".\" subject S1..1Reference(Cancer Patient Profile)The patient whose tumor was measured.
\".\"\".\"\".\" focus S0..1Reference(Tumor Profile)Identifies a tumor that has NOT been removed from the body
\".\"\".\"\".\" effective[x] S0..1dateTime, Period, Timing, instantClinically relevant time/time-period for observation
\".\"\".\"\".\" method S0..1CodeableConceptMethod for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
\".\"\".\"\".\" specimen S0..1Reference(Tumor Specimen Profile)Identifies a tumor that has been removed from the body
\".\"\".\"\".\" Slices for component S1..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
\".\"\".\"\".\"\".\" component:tumorLongestDimension S1..1BackboneElementLongest tumor dimension (cm or mm)
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 33728-7
\".\"\".\"\".\"\".\"\".\" Slices for value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\"\".\" valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
\".\"\".\"\".\"\".\"\".\" dataAbsentReason S0..1CodeableConceptWhy the component result is missing
\".\"\".\"\".\"\".\" component:tumorOtherDimension S0..2BackboneElement2nd or 3rd tumor dimension (cm or mm)
\".\"\".\"\".\"\".\"\".\" code S1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 33729-5
\".\"\".\"\".\"\".\"\".\" Slices for value[x] S0..1QuantityActual component result
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\"\".\" valueQuantity 0..1QuantityActual component result
Binding: Tumor Size Units Value Set (required)
\".\"\".\"\".\"\".\"\".\" dataAbsentReason S0..1CodeableConceptWhy the component result is missing

\"doco\" Documentation for this format
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Clinical.Diagnostics" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" } ], "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size", "version": "1.18.1", "name": "VGHKSTumorSize", "title": "VGHKS Tumor Size Profile", "status": "active", "date": "2021-10-30T17:51:56+00:00", "publisher": "HL7 International Clinical Interoperability Council", "contact": [ { "name": "HL7 International Clinical Interoperability Council", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/cic" }, { "system": "email", "value": "ciclist@lists.HL7.org" } ] } ], "description": "Records the dimensions of a tumor", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.org/attributebinding", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "constraint": [ { "key": "must-have-focus-or-specimen-invariant", "severity": "error", "human": "Either `focus` OR `specimen` MUST be populated", "expression": "(focus.exists() or specimen.exists()) and (focus.exists() and specimen.exists()).not()", "source": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size" } ] }, { "id": "Observation.identifier", "path": "Observation.identifier", "min": 1 }, { "id": "Observation.identifier.system", "path": "Observation.identifier.system", "min": 1, "fixedUri": "https://build.fhir.org/ig/HL7/fhir-mCODE-ig/" }, { "id": "Observation.identifier.value", "path": "Observation.identifier.value", "short": "[Tumor Size]", "min": 1 }, { "id": "Observation.status", "path": "Observation.status", "short": "[registered | preliminary | final | amended +]請填入(final)", "fixedCode": "final" }, { "id": "Observation.code", "path": "Observation.code", "mustSupport": true }, { "id": "Observation.code.coding.system", "path": "Observation.code.coding.system", "min": 1, "fixedUri": "http://loinc.org" }, { "id": "Observation.code.coding.code", "path": "Observation.code.coding.code", "min": 1, "fixedCode": "21889-1" }, { "id": "Observation.subject", "path": "Observation.subject", "short": "The patient whose tumor was measured.", "definition": "The patient whose tumor was measured. SHALL be a `Patient` resource conforming to `CancerPatient`.", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient" ] } ], "mustSupport": true }, { "id": "Observation.subject.reference", "path": "Observation.subject.reference", "short": "患者 Resource Link", "min": 1 }, { "id": "Observation.focus", "path": "Observation.focus", "short": "Identifies a tumor that has NOT been removed from the body", "definition": "Reference to a BodyStructure resource conforming to Tumor.", "comment": "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": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor" ] } ], "mustSupport": true }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "short": "LF.dmconf", "definition": "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.\r\n使用 effectiveDateTime \r\n首次顯微鏡檢證實日期", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "Observation.method", "path": "Observation.method", "short": "癌症確診方式", "definition": "Method for measuring the tumor", "comment": "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.", "min": 1, "mustSupport": true }, { "id": "Observation.method.coding.code", "path": "Observation.method.coding.code", "short": "LF.confirm", "min": 1 }, { "id": "Observation.method.text", "path": "Observation.method.text", "short": "[癌症確診方式]", "min": 1 }, { "id": "Observation.component", "path": "Observation.component", "min": 1, "mustSupport": true }, { "id": "Observation.component.code.coding.system", "path": "Observation.component.code.coding.system", "min": 1, "fixedUri": "http://loinc.org" }, { "id": "Observation.component.code.coding.code", "path": "Observation.component.code.coding.code", "min": 1, "fixedCode": "33729-5" }, { "id": "Observation.component.code.text", "path": "Observation.component.code.text", "short": "[腫瘤大小]", "min": 1 }, { "id": "Observation.component.value[x]", "path": "Observation.component.value[x]", "short": "請使用valueQuantity(LF.size)", "min": 1, "type": [ { "code": "Quantity" } ] }, { "id": "Observation.component.value[x].value", "path": "Observation.component.value[x].value", "short": "LF.size", "min": 1 }, { "id": "Observation.component.value[x].unit", "path": "Observation.component.value[x].unit", "short": "[mm]", "min": 1 }, { "id": "Observation.component.value[x].system", "path": "Observation.component.value[x].system", "min": 1, "fixedUri": "http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-units-vs" }, { "id": "Observation.component.value[x].code", "path": "Observation.component.value[x].code", "short": "[mm]", "min": 1 }, { "id": "Observation.component.referenceRange", "path": "Observation.component.referenceRange", "contentReference": "http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" } ] } }