description: Definition of the Observation for the TNM stage group
package_name: ch.fhir.ig.ch
derivation: constraint
name: CHCRLObservationTNMStageGroup
type: Observation
elements:
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 21914-7, system: 'http://loinc.org', display: Stage group.other Cancer}
    index: 0
  subject:
    type: Reference
    short: Patient
    refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-patient']
    index: 1
    elements:
      reference: {index: 2}
    required: [reference]
  effective:
    choices: []
    index: 4
  effectiveDateTime: {type: dateTime, index: 5}
  performer:
    type: Reference
    short: Practitioner if resident physician or Organization Department if hospital
    refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-organization-department', 'http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-practitioner']
    index: 6
    elements:
      reference: {index: 7}
    required: [reference]
  valueCodeableConcept:
    type: CodeableConcept
    short: The UICC TNM stage group
    binding: {strength: preferred, valueSet: 'http://fhir.ch/ig/ch-crl/ValueSet/nkrs-tnmstagegroup'}
    constraint:
      nkrs-tnmstagegroup: {human: At least one of the codings should come from the preferred NKRS value set, source: 'http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-tnmstagegroup', severity: warning, expression: 'coding.where(code.memberOf(''http://fhir.ch/ig/ch-crl/ValueSet/nkrs-tnmstagegroup'')).exists()'}
    index: 8
    elements:
      coding:
        index: 9
        elements:
          system: {index: 10}
          code: {index: 11}
          display: {index: 12}
        required: [display, system, code]
    required: [coding]
  dataAbsentReason:
    short: The UICC TNM stage group is not applicable or unknown
    index: 13
    elements:
      coding:
        constraint:
          ch-crl-obs-3: {human: The value for code must be either 'unknown' or 'not-applicable', source: 'http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-tnmstagegroup', severity: error, expression: code='unknown' or code='not-applicable'}
        index: 14
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/data-absent-reason'}
            index: 15
          code:
            short: "If not applicable or TNM classification not defined for this type of cancer than 'value=not-applicable'. \r\nIf not stated / not assessed than 'value=unknown'."
            index: 16
          display: {index: 17}
        required: [display, system, code]
    required: [coding]
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
    index: 18
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        ch-crl-cT:
          match: {}
          schema:
            type: Reference
            short: TNM clinical primary tumor category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-ct']
            index: 19
          min: 0
          max: 1
        ch-crl-cN:
          match: {}
          schema:
            type: Reference
            short: TNM clinical regional nodes category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-cn']
            index: 20
          min: 0
          max: 1
        ch-crl-cM:
          match: {}
          schema:
            type: Reference
            short: TNM clinical distant metastases category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-cm']
            index: 21
          min: 0
          max: 1
        ch-crl-pT:
          match: {}
          schema:
            type: Reference
            short: TNM pathologic primary tumor category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pt']
            index: 22
          min: 0
          max: 1
        ch-crl-pN:
          match: {}
          schema:
            type: Reference
            short: TNM pathologic regional nodes category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pn']
            index: 23
          min: 0
          max: 1
        ch-crl-pM:
          match: {}
          schema:
            type: Reference
            short: TNM pathologic distant metastases category
            refers: ['http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-pm']
            index: 24
          min: 0
          max: 1
package_version: crl-0.9.0
class: profile
kind: resource
url: http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-tnmstagegroup
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 0.9.0
required: [effectiveDateTime, subject, effective]