Name Flags Card. Type Description & Constraints doco
. . Observation I 0 .. * Observation Measurements and simple assertions
must-have-focus-or-specimen-invariant: Either `focus` OR `specimen` MUST be populated
. . . code S 1 .. 1 CodeableConcept Type of observation (code / type)
Required Pattern: At least the following
. . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21889-1
. . . subject S 1..1 Reference(Cancer Patient Profile) The patient whose tumor was measured.
. . . focus S 0..1 Reference(Tumor Profile) Identifies a tumor that has NOT been removed from the body
. . . effective[x] S 0 .. 1 dateTime , Period , Timing , instant Clinically relevant time/time-period for observation
. . . method S 0 .. 1 CodeableConcept Method for measuring the tumor
Binding: Tumor Size Method Value Set (extensible)
. . . specimen S 0 .. 1 Reference(Tumor Specimen Profile) Identifies a tumor that has been removed from the body
. . . Slices for component S 1 .. * BackboneElement Component results
Slice: Unordered, Open by pattern:code
. . . . component:tumorLongestDimension S 1..1 BackboneElement Longest tumor dimension (cm or mm)
. . . . . code S 1 .. 1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 33728-7
. . . . . Slices for value[x] S 0 .. 1 Quantity Actual component result
Slice: Unordered, Open by type:$this
. . . . . valueQuantity 0..1 Quantity Actual component result
Binding: Tumor Size Units Value Set (required)
. . . . . dataAbsentReason S 0 .. 1 CodeableConcept Why the component result is missing
. . . . component:tumorOtherDimension S 0..2 BackboneElement 2nd or 3rd tumor dimension (cm or mm)
. . . . . code S 1 .. 1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 33729-5
. . . . . Slices for value[x] S 0 .. 1 Quantity Actual component result
Slice: Unordered, Open by type:$this
. . . . . valueQuantity 0..1 Quantity Actual component result
Binding: Tumor Size Units Value Set (required)
. . . . . dataAbsentReason S 0 .. 1 CodeableConcept Why the component result is missing

doco Documentation for this format
<status value="active" /> <date value="2021-10-30T17:51:56+00:00" /> <publisher value="HL7 International Clinical Interoperability Council" /> <contact> <name value="HL7 International Clinical Interoperability Council" /> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/cic" /> </telecom> <telecom> <system value="email" /> <value value="ciclist@lists.HL7.org" /> </telecom> </contact> <description value="Records the dimensions of a tumor" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> </jurisdiction> <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="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size" /> </constraint> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <min value="1" /> </element> <element id="Observation.identifier.system"> <path value="Observation.identifier.system" /> <min value="1" /> <fixedUri value="https://build.fhir.org/ig/HL7/fhir-mCODE-ig/" /> </element> <element id="Observation.identifier.value"> <path value="Observation.identifier.value" /> <short value="[Tumor Size]" /> <min value="1" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <short value="[registered | preliminary | final | amended +]請填入(final)" /> <fixedCode value="final" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="21889-1" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <short value="The patient whose tumor was measured." /> <definition value="The patient whose tumor was measured. SHALL be a `Patient` resource conforming to `CancerPatient`." /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.subject.reference"> <path value="Observation.subject.reference" /> <short value="患者 Resource Link" /> <min value="1" /> </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="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor" /> </type> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <short value="LF.dmconf" /> <definition value="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. 使用 effectiveDateTime 首次顯微鏡檢證實日期" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="Observation.method"> <path value="Observation.method" /> <short value="癌症確診方式" /> <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." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.method.coding.code"> <path value="Observation.method.coding.code" /> <short value="LF.confirm" /> <min value="1" /> </element> <element id="Observation.method.text"> <path value="Observation.method.text" /> <short value="[癌症確診方式]" /> <min value="1" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component.code.coding.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.component.code.coding.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <fixedCode value="33729-5" /> </element> <element id="Observation.component.code.text"> <path value="Observation.component.code.text" /> <short value="[腫瘤大小]" /> <min value="1" /> </element> <element id="Observation.component.value[x]"> <path value="Observation.component.value[x]" /> <short value="請使用valueQuantity(LF.size)" /> <min value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.component.value[x].value"> <path value="Observation.component.value[x].value" /> <short value="LF.size" /> <min value="1" /> </element> <element id="Observation.component.value[x].unit"> <path value="Observation.component.value[x].unit" /> <short value="[mm]" /> <min value="1" /> </element> <element id="Observation.component.value[x].system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <fixedUri value="http://hl7.org/fhir/us/mcode/ValueSet/mcode-tumor-size-units-vs" /> </element> <element id="Observation.component.value[x].code"> <path value="Observation.component.value[x].code" /> <short value="[mm]" /> <min value="1" /> </element> <element id="Observation.component.referenceRange"> <path value="Observation.component.referenceRange" /> <contentReference value="http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange" /> </element> </differential> </StructureDefinition>