description: Tumor morphology can include information on the type of cell (type), the malignant potential of the tumor (behavior), and the degree of differentiation (grade). For some cancers, the type and behavior are described in the ICD-O-3 code.
package_name: hl7.fhir.us.mcode.r4b
derivation: constraint
name: TumorMorphology
type: Observation
elements:
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        relatedCondition:
          match: {url: null}
          schema: {short: Condition associated with this test., type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition', index: 1}
          min: 0
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 77753-2, system: 'http://loinc.org'}
    index: 2
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 3
  effective:
    choices: [effectiveDateTime, effectivePeriod]
    index: 5
  effectiveDateTime: {type: dateTime, choiceOf: effective, index: 6}
  effectivePeriod: {type: Period, choiceOf: effective, index: 7}
  specimen:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen']
    index: 8
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histologic-behavior-and-type', 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histologic-grade']
    index: 9
package_version: 4.0.0
extensions:
  relatedCondition: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition', min: 0, short: Condition associated with this test., type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-morphology
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation
version: 4.0.0