description: A clinician's qualitative judgment on the current trend of the cancer, e.g., whether it is stable, worsening (progressing), or improving (responding). The judgment may be based a single type or multiple kinds of evidence, such as imaging data, assessment of symptoms, tumor markers, laboratory data, etc.
package_name: hl7.fhir.us.mcode
derivation: constraint
name: CancerDiseaseStatus
type: Observation
elements:
  referenceRange: {short: Not used in this profile, index: 15}
  hasMember: {short: Not used in this profile, index: 16}
  specimen: {short: Not used in this profile, index: 13}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 11
  component: {short: Not used in this profile, index: 17}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        evidenceType:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type', index: 1}
          min: 0
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 8}
  status: {mustSupport: true, index: 2}
  effective:
    mustSupport: true
    choices: [effectiveDateTime]
    index: 7
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 97509-4, system: 'http://loinc.org'}
    index: 3
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 12}
  focus:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition', 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition', 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor']
    index: 5
  device: {short: Not used in this profile, index: 14}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 4
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner']
    index: 9
package_version: 2.0.0
extensions:
  evidenceType: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type', min: 0, type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [subject]