description: Represents the extent of a tumor metastasis in remote anatomical locations (per AJCC 8th Ed.). This profile is in alignment with mCODE TNM Distant Metastases Category Profile. package_name: hl7.fhir.uv.ichom-breast-cancer derivation: constraint name: TNMDistantMetastases type: Observation elements: status: {mustSupport: true, index: 0} code: mustSupport: true pattern: type: CodeableConcept value: coding: - {code: '385380006', system: 'http://snomed.info/sct', display: Metastasis category finding} index: 1 subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/uv/ichom-breast-cancer/StructureDefinition/patient'] index: 2 focus: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/uv/ichom-breast-cancer/StructureDefinition/primary-breastcancer'] index: 3 value: choices: [valueCodeableConcept] index: 5 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 6} package_version: 1.0.0-ballot class: profile kind: resource url: http://hl7.org/fhir/uv/ichom-breast-cancer/StructureDefinition/tnm-distant-metastases base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.0.0-ballot