Search FHIR

FHIR Osiris Implementation Guide
1.1.0 - trial-implementation

This page is part of the OSIRIS FHIR Implementation Guide (v1.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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:

Formal Views of Profile Content

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

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... verificationStatus ?!ΣC 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 SΣ 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 SΣ 1..1 CodeableConcept Topographic code
Binding: Topography Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
... subject SΣ 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:$this
ele-1: All FHIR elements must have a @value or children
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Start date
ele-1: All FHIR elements must have a @value or children
... Slices pour abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... abatement[x]:abatementDateTime SC 0..1 dateTime End date
ele-1: All FHIR elements must have a @value or children
... recordedDate SΣ 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 SC 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

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG

This structure is derived from Condition

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformitéValueSetURI
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG
NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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 ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC 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 SΣ 1..1 CodeableConcept Type of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ 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 SΣ 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:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Start date
... Slices pour abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC 0..1 dateTime End date
... recordedDate SΣ 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 SC 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 ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bindings Additionnels But
AllLanguages Binding Max
Condition.extension:laterality.value[x]requiredLaterality
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Laterality
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG
Condition.stage:morphology.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
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:

Extensions

This structure refers to these extensions:

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

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... verificationStatus ?!ΣC 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 SΣ 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 SΣ 1..1 CodeableConcept Topographic code
Binding: Topography Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
... subject SΣ 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:$this
ele-1: All FHIR elements must have a @value or children
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Start date
ele-1: All FHIR elements must have a @value or children
... Slices pour abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... abatement[x]:abatementDateTime SC 0..1 dateTime End date
ele-1: All FHIR elements must have a @value or children
... recordedDate SΣ 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 SC 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

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG

Differential View

This structure is derived from Condition

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformitéValueSetURI
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG

Snapshot View

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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 ?!ΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.

... verificationStatus ?!ΣC 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 SΣ 1..1 CodeableConcept Type of tumor event
Binding: Tumor Pathology Event Type Value Set (required)
... bodySite SΣ 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 SΣ 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:$this
.... onset[x]:onsetDateTime SΣ 1..1 dateTime Start date
... Slices pour abatement[x] C 0..1 dateTime When in resolution/remission
Slice: Unordered, Closed by type:$this
.... abatement[x]:abatementDateTime SC 0..1 dateTime End date
... recordedDate SΣ 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 SC 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 ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..* Annotation Additional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Condition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bindings Additionnels But
AllLanguages Binding Max
Condition.extension:laterality.value[x]requiredLaterality
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Laterality
from this IG
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1
from the FHIR Standard
Condition.verificationStatusrequiredConditionVerificationStatus
http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1
from the FHIR Standard
Condition.categoryextensibleConditionCategoryCodes
http://hl7.org/fhir/ValueSet/condition-category
from the FHIR Standard
Condition.severitypreferredCondition/DiagnosisSeverity
http://hl7.org/fhir/ValueSet/condition-severity
from the FHIR Standard
Condition.coderequiredTumorPathologyEventType
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/TumorPathologyEventType
from this IG
Condition.bodySiteextensibleTopography
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Topography
from this IG
Condition.stage.summaryexampleConditionStage
http://hl7.org/fhir/ValueSet/condition-stage
from the FHIR Standard
Condition.stage.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.stage:morphology.summaryextensibleMorphology
https://ig-osiris.cancer.fr/ig/osiris/ValueSet/Morphology
from this IG
Condition.stage:morphology.typeexampleConditionStageType
http://hl7.org/fhir/ValueSet/condition-stage-type
from the FHIR Standard
Condition.evidence.codeexampleManifestationAndSymptomCodes
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:

Extensions

This structure refers to these extensions:

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