description: 'The Eastern Cooperative Oncology Group (ECOG) Performance Status represents the patient''s functional status and is used to determine their ability to tolerate therapies in serious illness, specifically for chemotherapy. Source: LOINC'
package_name: hl7.fhir.us.mcode
derivation: constraint
name: ECOGPerformanceStatus
type: Observation
elements:
  category:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
    index: 2
  referenceRange:
    index: 21
    elements:
      type:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'}
        index: 22
      appliesTo:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'}
        index: 23
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Observation']
    index: 24
  derivedFrom:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference', 'http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Observation']
    index: 25
  interpretation: {index: 17}
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 9
  specimen: {index: 19}
  component:
    index: 26
    elements:
      referenceRange:
        index: 38
        elements:
          type:
            binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'}
            index: 39
          appliesTo:
            binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'}
            index: 40
      valueTime: {type: time, choiceOf: value, index: 35}
      valueQuantity: {type: Quantity, choiceOf: value, index: 29}
      value:
        choices: [valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod]
        index: 28
      valueString: {type: string, choiceOf: value, index: 31}
      valueRatio: {type: Ratio, choiceOf: value, index: 33}
      valueDateTime: {type: dateTime, choiceOf: value, index: 36}
      valueSampledData: {type: SampledData, choiceOf: value, index: 34}
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 30}
      valuePeriod: {type: Period, choiceOf: value, index: 37}
      valueRange: {type: Range, choiceOf: value, index: 32}
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 12}
  effective:
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 11
  code:
    index: 3
    elements:
      coding:
        array: true
        min: 1
        index: 4
        slicing:
          id: '1'
          rules: open
          ordered: false
          discriminator:
          - {path: code, type: value}
          min: 1
          slices:
            Fixed_89262-0:
              match: {code: 89262-0}
              schema:
                short: ECOG Performance Status [Interpretation]
                type: Coding
                _required: true
                base: {max: '*', min: 0, path: CodeableConcept.coding}
                isSummary: true
                index: 5
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    index: 6
                  code:
                    pattern: {type: Code, value: 89262-0}
                    index: 7
    required: [coding]
  valueCodeableConcept:
    type: CodeableConcept
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/obf-ECOGPerformanceStatusVS'}
    mustSupport: true
    index: 15
  bodySite:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/obf-datatype-BodyLocationVS'}
    index: 18
  device:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-device']
    index: 20
  basedOn:
    type: Reference
    short: The plan, proposal or order that is fulfilled in whole or in part by this event
    refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest']
    index: 0
  partOf:
    type: Reference
    short: The larger procedure that this particular observation is a component or step
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Procedure']
    index: 1
  subject:
    type: Reference
    short: The subject of an observation
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Patient']
    index: 8
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner']
    index: 14
  dataAbsentReason: {index: 16}
  effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 13}
package_version: 0.9.1
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/obf-ECOGPerformanceStatus
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 0.9.1
required: [subject, valueCodeableConcept]