FHIR Osiris Implementation Guide
1.1.0 - trial-implementation

Publication Build: This will be filled in by the publication tooling

## Resource Profile: Tumor Pathology Event

Official URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/tumor-pathology-event | Version: 1.1.0
Draft as of 2025-04-03 | Computable Name: TumorPathologyEvent

Tumor Pathology Event (TPE) Condition describing a tumoral event: reference to the parent TPE, laterality, morphology.

Usage:

- Refer to this Resource Profile: Based On Condition (Tumor Pathology Event), Analysis, Tumor Pathology Event Parent, Oncologic Adverse Event... Show 5 more, Biological Sample, Oncology Surgery, TNM, Performance Status and Treatment
- Examples for this Resource Profile: Condition/fhir-osiris-example-TumorPathologyEvent-instance-1 and Condition/fhir-osiris-example-TumorPathologyEvent-instance-2

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality"
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension |  |  |  | Content/Rules for all slices
extension:histologyGradeType | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeType"
extension:histologyGradeValue | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeValue"
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required) ele-1: All FHIR elements must have a @value or children
bodySite | S Σ | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible) ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children
Slices pour onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
onset[x]:onsetDateTime | S Σ | 1..1 | dateTime | Start date ele-1: All FHIR elements must have a @value or children
Slices pour abatement[x] | C | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
abatement[x]:abatementDateTime | S C | 0..1 | dateTime | End date ele-1: All FHIR elements must have a @value or children
recordedDate | S Σ | 1..1 | dateTime | Date of diagnosis ele-1: All FHIR elements must have a @value or children
Slices pour stage | C | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
stage:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
stage:morphology | S C | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
summary | C | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG

This structure is derived from Condition

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade
Slices pour extension |  |  |  | Content/Rules for all slices
extension:histologyGradeType |  | 0..1 | Extension | Extension
extension:histologyGradeValue |  | 0..1 | Extension | Extension
code | S | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required)
bodySite | S | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible)
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
subject | S | 1..1 | Reference(Oncology Patient) | Who has the condition?
Slices pour onset[x] |  | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime | S | 1..1 | dateTime | Start date
Slices pour abatement[x] |  | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Open by type:$this
abatement[x]:abatementDateTime | S | 0..1 | dateTime | End date
recordedDate | S | 1..1 | dateTime | Date of diagnosis
Slices pour stage |  | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code
stage:morphology | S | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event
summary |  | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible)
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
type |  |  |  |
coding |  |  |  |
code |  | 1..1 | code | Symbol in syntax defined by the system Required Pattern: 116676008
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformité | ValueSet | URI
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality"
value[x] |  | 0..1 | CodeableConcept | Laterality of location Binding: Tumor Laterality Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:histologyGradeType | S | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeType"
value[x] |  | 0..1 | string | Value of extension
extension:histologyGradeValue | S | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeValue"
value[x] |  | 0..1 | string | Value of extension
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required)
bodySite | S Σ | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices pour onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime | S Σ | 1..1 | dateTime | Start date
Slices pour abatement[x] | C | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime | S C | 0..1 | dateTime | End date
recordedDate | S Σ | 1..1 | dateTime | Date of diagnosis
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
Slices pour stage | C | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code con-1: Stage SHALL have summary or assessment
stage:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
stage:morphology | S C | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: 116676008
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Condition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
Condition.extension:laterality.value[x] | required | Laterality `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Laterality` from this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG
Condition.stage:morphology.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` from the FHIR Standard

This structure is derived from Condition

Résumé

Mandatory: 8 elements(1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Oncology Patient (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Condition.onset[x]
- The element 1 is sliced based on the value of Condition.abatement[x]
- The element 1 is sliced based on the value of Condition.stage

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality"
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension |  |  |  | Content/Rules for all slices
extension:histologyGradeType | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeType"
extension:histologyGradeValue | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeValue"
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required) ele-1: All FHIR elements must have a @value or children
bodySite | S Σ | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible) ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children
Slices pour onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
onset[x]:onsetDateTime | S Σ | 1..1 | dateTime | Start date ele-1: All FHIR elements must have a @value or children
Slices pour abatement[x] | C | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
abatement[x]:abatementDateTime | S C | 0..1 | dateTime | End date ele-1: All FHIR elements must have a @value or children
recordedDate | S Σ | 1..1 | dateTime | Date of diagnosis ele-1: All FHIR elements must have a @value or children
Slices pour stage | C | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
stage:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
stage:morphology | S C | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
summary | C | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible) ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG

Differential View

This structure is derived from Condition

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
value[x] |  |  |  |
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade
Slices pour extension |  |  |  | Content/Rules for all slices
extension:histologyGradeType |  | 0..1 | Extension | Extension
extension:histologyGradeValue |  | 0..1 | Extension | Extension
code | S | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required)
bodySite | S | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible)
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
subject | S | 1..1 | Reference(Oncology Patient) | Who has the condition?
Slices pour onset[x] |  | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onset[x]:onsetDateTime | S | 1..1 | dateTime | Start date
Slices pour abatement[x] |  | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Open by type:$this
abatement[x]:abatementDateTime | S | 0..1 | dateTime | End date
recordedDate | S | 1..1 | dateTime | Date of diagnosis
Slices pour stage |  | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code
stage:morphology | S | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event
summary |  | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible)
coding |  |  |  |
code |  | 0..1 | code | Symbol in syntax defined by the system
type |  |  |  |
coding |  |  |  |
code |  | 1..1 | code | Symbol in syntax defined by the system Required Pattern: 116676008
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformité | ValueSet | URI
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:due-to | S | 0..1 | Reference(Tumor Pathology Event) | The parent tumoral event URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo profiled by https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
extension:laterality | S | 0..1 | (Complex) | Laterality of location URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality"
value[x] |  | 0..1 | CodeableConcept | Laterality of location Binding: Tumor Laterality Value Set (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
extension:histologygrade | S | 0..1 | (Complex) | Histology of the tumor URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:histologyGradeType | S | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeType"
value[x] |  | 0..1 | string | Value of extension
extension:histologyGradeValue | S | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "histologyGradeValue"
value[x] |  | 0..1 | string | Value of extension
url |  | 1..1 | uri | "https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category |  | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Type of tumor event Binding: Tumor Pathology Event Type Value Set (required)
bodySite | S Σ | 1..1 | CodeableConcept | Topographic code Binding: Topography Value Set (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who has the condition?
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
Slices pour onset[x] | Σ | 1..1 | dateTime | Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onset[x]:onsetDateTime | S Σ | 1..1 | dateTime | Start date
Slices pour abatement[x] | C | 0..1 | dateTime | When in resolution/remission Slice: Unordered, Closed by type:$this
abatement[x]:abatementDateTime | S C | 0..1 | dateTime | End date
recordedDate | S Σ | 1..1 | dateTime | Date of diagnosis
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
Slices pour stage | C | 1..* | BackboneElement | Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type.coding.code con-1: Stage SHALL have summary or assessment
stage:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
stage:morphology | S C | 1..1 | BackboneElement | International code of lesion / histological type / morphology of the tumoral event con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 1..1 | CodeableConcept | Histological/ morphological code Binding: Morphology Value Set (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: 116676008
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
Condition.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
Condition.extension:laterality.value[x] | required | Laterality `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Laterality` from this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1` from the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1` from the FHIR Standard
Condition.category | extensible | ConditionCategoryCodes `http://hl7.org/fhir/ValueSet/condition-category` from the FHIR Standard
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` from the FHIR Standard
Condition.code | required | TumorPathologyEventType `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType` from this IG
Condition.bodySite | extensible | Topography `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography` from this IG
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` from the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.stage:morphology.summary | extensible | Morphology `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology` from this IG
Condition.stage:morphology.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` from the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` from the FHIR Standard

This structure is derived from Condition

Résumé

Mandatory: 8 elements(1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Oncology Patient (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/dueTo-tumor-pathology-event
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/laterality
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/histologygrade

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Condition.onset[x]
- The element 1 is sliced based on the value of Condition.abatement[x]
- The element 1 is sliced based on the value of Condition.stage

Other representations of profile: CSV, Excel, Schematron