description: Category describing the extent of a tumor metastasis in remote anatomical locations, based on evidence such as physical examination, imaging, and/or biopsy. package_name: hl7.fhir.us.mcode derivation: constraint name: TNMDistantMetastasesCategory type: Observation elements: referenceRange: {short: Not used in this profile, index: 11} hasMember: {short: Not used in this profile, index: 12} method: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-staging-system-vs'} mustSupport: true index: 9 value: mustSupport: true choices: [valueCodeableConcept] index: 7 component: {short: Not used in this profile, index: 13} status: {mustSupport: true, index: 0} effective: mustSupport: true choices: [] index: 5 code: binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-observation-codes-distant-metastases-vs'} mustSupport: true index: 1 valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 8} focus: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition'] index: 3 device: {short: Not used in this profile, index: 10} subject: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient'] index: 2 package_version: 2.1.0 class: profile kind: resource url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category base: http://hl7.org/fhir/StructureDefinition/Observation version: 2.1.0