This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions
Logical Model Colorectal
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="Colorectal"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">to do</div> </text> <url value="http://hl7.org/fhir/StructureDefinition/Colorectal"/> <name value="Colorectal"/> <display value="nehta-colorectal"/> <status value="draft"/> <publisher value="Health Level Seven International fhir"/> <contact> <telecom> <system value="other"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <date value="2015-12-11T17:38:40+11:00"/> <description value="Logical Model: Colorectal cancer."/> <fhirVersion value="1.2.0"/> <mapping> <identity value="logical"/> <uri value="http://hl7.org/fhir/logical"/> <name value="Logical Mapping"/> </mapping> <mapping> <identity value="cap"/> <uri value="http://cap.org/ecc"/> <name value="CAP Code"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM"/> </mapping> <mapping> <identity value="sct"/> <uri value="http://snomed.info"/> <name value="SNOMED-CT"/> </mapping> <mapping> <identity value="loinc"/> <uri value="http://loinc.org"/> <name value="LOINC"/> </mapping> <kind value="logical"/> <abstract value="false"/> <snapshot> <element> <path value="Colorectal"/> <short value="Colorectal"/> <definition value="Colorectal cancer."/> <min value="0"/> <max value="*"/> <mapping> <identity value="logical"/> <map value="dr := DiagnosticReport"/> </mapping> <mapping> <identity value="cap"/> <map value="28282.1000043"/> </mapping> </element> <element> <path value="Colorectal.subject"/> <short value="The subject of the report, usually, but not always, the patient"/> <definition value="The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources."/> <alias value="Patient"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <isSummary value="true"/> <mapping> <identity value="logical"/> <map value="dr.subject"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3-Patient ID List (no V2 mapping for Group or Device)"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="sct"/> <map value="116154003"/> </mapping> </element> <element> <path value="Colorectal.requester"/> <short value="Who ordered the test"/> <definition value="The practitioner that holds legal responsibility for ordering the investigation."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <isSummary value="true"/> <mapping> <identity value="logical"/> <map value="!req := dr.request->DiagnosticOrder; req[orderer := $value]"/> </mapping> <mapping> <identity value="loinc"/> <map value="22027-7"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="sct"/> <map value="223366009"/> </mapping> </element> <element> <path value="Colorectal.performer"/> <short value="Responsible Diagnostic Service"/> <definition value="The diagnostic service that is responsible for issuing the report."/> <comments value="This is not necessarily the source of the atomic data items - it is the entity that takes responsibility for the clinical report."/> <requirements value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/> <alias value="Laboratory"/> <alias value="Service"/> <alias value="Practitioner"/> <alias value="Department"/> <alias value="Company"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <isSummary value="true"/> <mapping> <identity value="logical"/> <map value="dr[performer := $value]"/> </mapping> <mapping> <identity value="v2"/> <map value="PRT-8-Participation Organization (where this PRT-4-Participation = "PO")"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=AUT].role[classCode=ASSIGN].scoper"/> </mapping> <mapping> <identity value="sct"/> <map value="420158005"/> </mapping> </element> <element> <path value="Colorectal.preAnalytic"/> <short value="Pre Analytic"/> <definition value="Pre Analytic component - information collection prior to specimen receipt at laboratory."/> <comments value="This is just a group/section header and is not a result field."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <constraint> <key value="inv-01"/> <severity value="error"/> <human value="If there is a perforation, the perforation type must be indicated."/> <xpath value="not(f:perforation/@value = 'present') or exists(f:natureOfPerforation)"/> </constraint> <mapping> <identity value="logical"/> <map value="req := dr.request->DiagnosticOrder; req[orderer := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28592.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="70949-3"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="A: Specimen labelled : right hemicolectomy B: Mesentric lymph node"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueString value="R colon"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="Rectum/anus, Rectal Ca"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="No mets. Equivocal lymph nodes on imaging."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="Rectosigmoid adeno ca.; high anterior resection."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Ca rectum - was quite large. Post long course radio Tx. Pre radio Tx staging T3N1M0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="Ca restum; family history CRC; low anterior resection, proximal and distal donuts. The histopathology report on previous rectal biopsy, xxxx-xxxx from 24/9/2015, is noted."/> </extension> </extension> <path value="Colorectal.preAnalytic.clinicalInformation"/> <short value="Clinical information"/> <definition value="Clinical information provided on request form."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="req.reason[text := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28593.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="55752-0"/> </mapping> </element> <element> <path value="Colorectal.preAnalytic.operatingSurgeonDetails"/> <short value="Operating surgeon details"/> <definition value="The operating surgeon name and contact details."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <isSummary value="true"/> <mapping> <identity value="logical"/> <map value="sp := dr.specimen->Specimen; sp.collection[collector := $value]"/> </mapping> <mapping> <identity value="loinc"/> <map value="22027-7"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <path value="Colorectal.preAnalytic.perforation"/> <short value="Perforation"/> <definition value="Presence or absence of a perforation."/> <requirements value="If present, record the nature of perforation."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-01"/> <binding> <strength value="required"/> <description value="A code that indicates whether perforation is present"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-ns"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28289.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="36191001"/> </mapping> </element> <element> <path value="Colorectal.preAnalytic.natureOfPerforation"/> <short value="Nature of perforation"/> <definition value="The type of perforation."/> <min value="0"/> <max value="*"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the type of perforation"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-perforation-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28296.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <path value="Colorectal.preAnalytic.clinicalObstruction"/> <short value="Clinical obstruction"/> <definition value="Whether a clinical obstruction is present or absent."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates whether a clinical obstruction is present"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-ns"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28292.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Lower rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Ascending colon"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Distal rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Rectosigmoid junction"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <path value="Colorectal.preAnalytic.tumourLocation"/> <short value="Tumour location"/> <definition value="Anatomical location of the tumour from a given list."/> <min value="0"/> <max value="*"/> <type> <code value="code"/> </type> <condition value="inv-02"/> <constraint> <key value="inv-02"/> <severity value="error"/> <human value="If the tumour location is rectum, then the distance from the anal verge must be recorded."/> <xpath value="not(@value = 'Rectum') or exists(f:distanceAnalVerge)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the antomical location of the tumour from a given list"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-tumour-location"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28307.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33725-3"/> </mapping> <mapping> <identity value="sct"/> <map value="371480007"/> </mapping> </element> <element> <path value="Colorectal.preAnalytic.synchronousTumours"/> <short value="Synchronous tumours - other site"/> <definition value="For synchronous tumours indicate each other site."/> <comments value="Note : Synchronous tumours should be reported separately – this serves only to identify the presence of other synchronous tumours for which separate reports will be submitted."/> <requirements value="Conditional on rectum being selected. Measured in cm for RCPA requirements."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28346.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueQuantity> <value value="6"/> <unit value="cm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueQuantity> <unit value="Not stated"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <unit value="Not stated"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <unit value="Not stated"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <unit value="Not stated"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <unit value="Not stated"/> </valueQuantity> </extension> </extension> <path value="Colorectal.preAnalytic.distanceAnalVerge"/> <short value="Distance from anal verge"/> <definition value="Quantitative measurement of distance from anal verge."/> <comments value="Conditional on rectum being selected Note : Measured in cm by longstanding surgical convention."/> <requirements value="Conditional on rectum being selected. Measured in cm for RCPA requirements."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28335.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33748-5"/> </mapping> <mapping> <identity value="sct"/> <map value="371490004"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Anterior resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Right hemicolectomy"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Anterior resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Right hemicolectomy"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Abdominoperineal resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Anterior resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Anterior resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Anterior resection"/> </extension> </extension> <path value="Colorectal.preAnalytic.typeOfOperation"/> <short value="*"/> <definition value="The type of operation selected from a list."/> <requirements value="Single selection value list. If other procedure(s) is selected, record type of procedure. If anterior resection is selected, record anterior resection type."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-03"/> <condition value="inv-04"/> <constraint> <key value="inv-03"/> <severity value="error"/> <human value="If other procedure(s) is selected, then record the type of procedure."/> <xpath value="not(@value = 'Other procedure(s)') or exists(f:typeOfProcedure)"/> </constraint> <constraint> <key value="inv-04"/> <severity value="error"/> <human value="If anterior resection is selected, record anterior resection type."/> <xpath value="not(@value = 'Anterior resection') or exists(f:anteriorResectionType)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the type of operation"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-operation-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="too := req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27919.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="29306-8"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Laparoscopic ultralow anterior resection"/> </extension> </extension> <path value="Colorectal.preAnalytic.typeOfProcedure"/> <short value="Procedure type"/> <definition value="Type of procedure."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="too.text"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Ultralow"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="High"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Lower"/> </extension> </extension> <path value="Colorectal.preAnalytic.anteriorResectionType"/> <short value="Anterior resection type"/> <definition value="The type of anterior resection."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that idicates the type of anterior resection"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-hi-lo-ultralo"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28278.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Yes"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="No"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Yes"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <path value="Colorectal.preAnalytic.preoperativeRadiotherapy"/> <short value="Pre-operative radiotherapy"/> <definition value="An indication of pre-operative radiotherapy."/> <requirements value="Single selection value list. If yes, record type of course."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-05"/> <constraint> <key value="inv-05"/> <severity value="error"/> <human value="If pre-operative radiotherapy is done, then the type of course is to be recorded."/> <xpath value="not(@value = 'Yes') or exists(f:typeOfCourse)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates whether pre-operative radiotherapy was used"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-yes-no-ns"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28283.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Short duration"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Long course"/> </extension> </extension> <path value="Colorectal.preAnalytic.typeOfCourse"/> <short value="Type of course"/> <definition value="The type of course of pre-operative radiotherapy."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the type of course of pre-operative radiotherapy"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-course-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28286.100004299999"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="None noted"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <path value="Colorectal.preAnalytic.surgeonsOpinion"/> <short value="Surgeons opinion of residual cancer"/> <definition value="Surgeons opinion on the existence of local residual cancer postsurgery."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28295.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="Not stated"/> </extension> </extension> <path value="Colorectal.preAnalytic.adjacentOrgans"/> <short value="Adjacent organ involvement"/> <definition value="Involvement of adjacent organs."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28336.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="New primary"/> </extension> </extension> <path value="Colorectal.preAnalytic.newPrimaryOrRecurrence"/> <short value="New primary cancer or recurrence"/> <definition value="An indication of whether a new primary cancer or a recurrence."/> <comments value="? If need to make an invariant due to the conditional statement."/> <requirements value="Single selection value list. If regional (local) recurrence or distant metastasis describe."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-06"/> <constraint> <key value="inv-06"/> <severity value="error"/> <human value="If regional (local) recurrence or distant metastasis describe."/> <xpath value="not((@value = 'Regional (local) recurrence') or (@value = 'Distant metastases')) or exists(f:describ e)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates whether a new primary cancer or an recurrence"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-cancer-primary-or-recurrence"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="pno := req.supportingInformation -> Observation[code := %map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28337.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="No metastatic lesions"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Presence of distant metastasis: Absent."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Presence of distant metastasis: Absent."/> </extension> </extension> <path value="Colorectal.preAnalytic.RecurrenceDescription"/> <short value="Describe"/> <definition value="Description of regional (local) recurrence or distant metastases."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="pno.component[code := %map-codes; value[x] := $value]"/> </mapping> </element> <element> <path value="Colorectal.preAnalytic.pathologyAccessionNumber"/> <short value="Pathology number"/> <definition value="Pathology accession number."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="dr[identifier := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28300.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Tissue banking: No Specimen images: Yes"/> </extension> </extension> <path value="Colorectal.preAnalytic.otherRelevantDetails"/> <short value="Other details"/> <definition value="Other relevant details."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="req.note[text := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28301.1000043"/> </mapping> </element> <element> <path value="Colorectal.macro"/> <short value="Macroscopy"/> <definition value="Macroscopic findings."/> <comments value="This is just a group/section header and is not a result field."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <constraint> <key value="inv-15"/> <severity value="error"/> <human value="If lymph nodes have been received the tumour inolvement in the lymph nodes is to be recorded."/> <xpath value="not(lymphNodes/@value = 'Received') or exists(f:.lymphNodeInvolvement)"/> </constraint> <constraint> <key value="inv-09"/> <severity value="error"/> <human value="If lymph nodes are received, record the number of nodes"/> <xpath value="not(f:lymphNodes/@value = 'Received') or exists(f:noLymphNodesPerCassette)"/> </constraint> <mapping> <identity value="logical"/> <map value="macro := dr.result->Observation[code := %map-codes]"/> </mapping> <mapping> <identity value="cap"/> <map value="27906.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="70949-3"/> </mapping> <mapping> <identity value="sct"/> <map value="250429001"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueQuantity> <value value="130"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="240"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueQuantity> <value value="85"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueQuantity> <value value="155"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueQuantity> <value value="280"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <value value="260"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="175"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <value value="270"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <value value="165"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <path value="Colorectal.macro.specimenLength"/> <short value="Specimen length"/> <definition value="The length of the specimen."/> <comments value="Query if measurements are in mm is international ie USA and query if this comment needs to be refined to AUS? Ditto for subsequent metric measurements."/> <requirements value="measurement in mm."/> <min value="1"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="sp1 := dr.specimen->Specimen; sp1.collection[quantity := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28342.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33723-8"/> </mapping> <mapping> <identity value="sct"/> <map value="384606002"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Caecum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Ascending colon"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Distal rectum (35mm below the level of the anterior peritoneal reflection, 12 mm above the dentate line.)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Rectum, below the level of the anterior peritoneal reflection."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Proximal rectum"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Rectum, 30mm above the level of the anterior peritoneal reflection."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Rectum, entirely above the level of the anterior peritoneal reflection"/> </extension> </extension> <path value="Colorectal.macro.tumourSite"/> <short value="Tumour site"/> <definition value="The site of the tumour."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-07"/> <condition value="inv-08"/> <condition value="inv-13"/> <constraint> <key value="inv-13"/> <severity value="error"/> <human value="If the tumour is a rectal tumour the status of the nonperitonealised circumferential margin (rectal tumours) is to be recorded."/> <xpath value="not(f:Colorectal.preAnalytic.tumourLocation/@value = 'Rectum') or exists(f:Colorectal.micro.nonperit onealisedCircumMargin)"/> </constraint> <constraint> <key value="inv-08"/> <severity value="error"/> <human value="If tumour site is rectum, the intactness of mesorectum is to be recorded."/> <xpath value="not(@value = 'Rectum') or exists(f:intactnessOfMesorectum)"/> </constraint> <constraint> <key value="inv-07"/> <severity value="error"/> <human value="If tumour site is rectum, the relationship to anterior peritoneal reflection is to be recorded."/> <xpath value="not(@value = 'Rectum') or exists(f:relToAntPeritonealReflection)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the site of the tumour"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-tumour-location"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="sp2 := dr.specimen->Specimen; sp2.collection[bodySite := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27931.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33725-3"/> </mapping> <mapping> <identity value="sct"/> <map value="371480007"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueQuantity> <value value="50"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="45"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueQuantity> <value value="90"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueQuantity> <value value="23"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="x 25mm, occupies 25% circumference"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="40"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <value value="15"/> <unit value="x10mm (ulcer)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="x25mm"/> </valueQuantity> </extension> </extension> <path value="Colorectal.macro.maxTumourDiameter"/> <short value="Max. tumour diameter"/> <definition value="Maximum tumour diameter."/> <requirements value="measurement in mm."/> <min value="1"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28360.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="21889-1"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueQuantity> <value value="20"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="6"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueQuantity> <value value="70"/> <unit value="mm (Proximal)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueQuantity> <value value="40"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueQuantity> <value value="40"/> <unit value="mm (distal)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <value value="12"/> <unit value="mm (distal)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="40"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <value value="75"/> <unit value="mm (distal)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="mm (distal)"/> </valueQuantity> </extension> </extension> <path value="Colorectal.macro.distanceNearerProxOrDistal"/> <short value="Dist. of tumour to the nearer proximal or distal "cut end""/> <definition value="Distance of tumour to the nearer proximal or distal "cut end"."/> <requirements value="measurement in mm."/> <min value="1"/> <max value="*"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28359.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueQuantity> <value value="15"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="10"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueQuantity> <value value="15"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <value value="3"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="25"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <value value="15"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <value value="5"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <path value="Colorectal.macro.distNonperitonCircumMargin"/> <short value="Dist. of tumour to the nonperitonealised circumferential margin"/> <definition value="Distance of tumour to the nonperitonealised circumferential margin."/> <requirements value="measurement in mm."/> <min value="1"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28358.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <path value="Colorectal.macro.tumourPerforation"/> <short value="Tumour perforation"/> <definition value="The presence or absence of tumour perforation."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the presence or absence of a tumour perforation"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27963.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Astride"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Astride"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Entirely below (35mm below)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Entirely below"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Entirely above (30mm)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Entirely above, right anterolateral quadrant"/> </extension> </extension> <path value="Colorectal.macro.relToAntPeritonealReflection"/> <short value="Relationship to anterior peritoneal reflection"/> <definition value="Site of tumour in relation to the anterior level of the peritoneal reflection."/> <requirements value="Single selection value list. Conditional on rectum being selected in Tumour Site."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the site of tumour in relation to the anterior level of the peritoneal reflection"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-rel-anterior-peritoneal-reflection"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28362.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Complete (grade 3)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Complete (grade 3)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Complete"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Nearly complete (B Grade 2)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Appears complete"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Appears complete"/> </extension> </extension> <path value="Colorectal.macro.intactnessOfMesorectum"/> <short value="Intactness of mesorectum"/> <definition value="For rectal resections the intactness of the mesorectum must be recorded."/> <requirements value="Single selection value list. Conditional on rectum being selected in Tumour Site."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the intactness of the mesorectum"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-intactness-of-mesorectum"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27967.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33730-3"/> </mapping> <mapping> <identity value="sct"/> <map value="408655002"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Tumour has formed nodule(s) discrete from the tumour mass along the serosal surface. An 8mm submucosal nodule, 20mm from the distal margin is noted."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Tumour invades to the peritoneal surface"/> </extension> </extension> <path value="Colorectal.macro.peritoneum"/> <short value="Peritoneum"/> <definition value="Any involvement of the peritoneum should be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the tumour invovlement in the peritoneum"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-peritoneum-invasion"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28369.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Received"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Received"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Received"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Received"/> </extension> </extension> <path value="Colorectal.macro.lymphNodes"/> <short value="Lymph nodes"/> <definition value="If lymph nodes are received, then they should be recorded."/> <requirements value="Conditional: If received, record the number of nodes."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-09"/> <condition value="inv-15"/> <binding> <strength value="required"/> <description value="A code that indicates if lymph nodes were received"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-received-notreceived"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28372.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="?? 44621-1"/> </mapping> <mapping> <identity value="sct"/> <map value="364108009"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="3 in cassette 1 4 in cassette 2 7 in cassette 3"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="1 in cassette 1 4 in cassette 2 3 in cassette 3"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="21 in total. A11 – 1 node, serially sliced A12 – 1 node, serially sliced A13 – 1 node, serially sliced A14 – 1 node, serially sliced A15 – 1 node, apical node, bisected and entirely submitted. A16 – 3 nodes A17 – 3 nodes A18 – 3 nodes A19 – 6 nodes, 1 bisected B - Mesentric lymph node Bisected and entirely submitted in 1 block"/> </extension> </extension> <path value="Colorectal.macro.noLymphNodesPerCassette"/> <short value="Number of lymph nodes in each cassette"/> <definition value="The number of lymph nodes placed in each cassette should be recorded."/> <comments value="The RCPA require the following be recorded: "Numeric: ___ in cassette: ___" Query how to record this?"/> <min value="0"/> <max value="*"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28387.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <path value="Colorectal.macro.polyps"/> <short value="Polyps"/> <definition value="The presence or absence of polyps should be recorded."/> <requirements value="Conditional: If present, provide a polyp summary."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-10"/> <constraint> <key value="inv-10"/> <severity value="error"/> <human value="If polyps are present, provide a polyp summary."/> <xpath value="not(f@value = 'Present') or exists(f:polypSummary)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the presence or absence of polyp(s)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-na"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28376.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="?? 33745-1"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Two 5mm polyps are noted."/> </extension> </extension> <path value="Colorectal.macro.polypSummary"/> <short value="The number, diameter and gross configuration of polyps should be summarised"/> <definition value="The polyp summary should include the numbers, diameter range and gross appearance."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28379.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Tumour appears ulcerated and scarred. Overlying serosa appears normal. Extramuscular spread to 15mm"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Tumour appears plaquelike, remaining mucosa appears normal."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="A segment of large bowel 175mm in length with an internal diameter of up to 52mm. The bowel has been opened prior to receipt. The peritoneal reflection has not been included in the specimen. Arising at 45mm from the presumed distal margin, a raised ulcerated firm tan tumour is present measuring 55x32mm. On slicing the tumour measures up to 10mm in thickness and infiltrates into the mesocolic fat. On the antimesenteric border, the tumour abuts the serosal surface. Tumour perforation is not seen. No other lesions are identified within the mucosa elsewhere. Blocks 1, 2 - reps of tumour with mesocolic fat. Blocks 3,4,5 - tumour with peritoneal surface. Block 6 - distal resection margin. Block 7 - apical lymph node. Block 8 - one lymph node. Block 9 - four lymph nodes. Block 10 - five lymph nodes. PP. (TW.LD)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueString value="(Query add the narrative comments here)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="Additional small polyps, 1-4mm in diameter, 4 within the c=vicinity of the tumour, 6 proximal to the tumour."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Pedunculated polyp 8mm, situated 55mm proximal to tumour."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Entire ulcer/tumour bed embedded"/> </extension> </extension> <path value="Colorectal.macro.otherMacroComments"/> <short value="Other macroscopic comments"/> <definition value="A descriptive or narrative field should be provided to record any macroscopic information that is not recorded in the above standards and guidelines, and that would normally form part of the macroscopic description."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28380.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="395526000"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Blocks 1 to 6: tumour. Block 7: distal margin. Blocks 8 & 9 : circumferential margin. Blocks 10 to 16: 14 lymph nodes (2 in each block)."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Blocks 1: shaved vascular margin, 2 to 4: tumour with greatest depth of invasion, radial inked red, distal inked blue. 5 – tumour with adjacent mucosa. 6-9 lymph nodes"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="A1-A2 - Omentum. A3 - Ileal margin with adjacent noninvolved ileum. A4 - Appendix with base painted. A5-A6 - Tumour at ileocaecal junction. A7-A8 - Representative sections of tumour. A9 - Tumour with nonperitonealised margin. A10 - Ascending colon and distal resection margin. Lymph nodes as above"/> </extension> </extension> <path value="Colorectal.macro.natureAndSiteOfBlocks"/> <short value="Nature and site of blocks"/> <definition value="The nature and sites of all blocks must be recorded."/> <min value="1"/> <max value="*"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="macro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28381.100004299999"/> </mapping> </element> <element> <path value="Colorectal.micro"/> <short value="Microscopy"/> <definition value="Microscopy of the sample."/> <comments value="This is just a group/section header and is not a result field."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <mapping> <identity value="logical"/> <map value="micro := dr.result->Observation[code := %map-codes]"/> </mapping> <mapping> <identity value="cap"/> <map value="27973.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="70949-3"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, NOS"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, with mucinous areas"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, NOS"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, NOS"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, NOS"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Adenocarcinoma, NOS"/> </extension> </extension> <path value="Colorectal.micro.tumourType"/> <short value="Tumour type"/> <definition value="A single selection value list from WHO Classification of Tumours."/> <comments value="How to represent this result group which has heading and components cf the bindings file is a flat file??"/> <requirements value="Single selection value list from WHO Classification of Tumours. Pathology and Genetics of Tumours of the Digestive System (2010)."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code from the WHO Calssification that indicates the tumour type"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-tumour-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27974.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="371441004"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Low grade – well and moderately differentiated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Low grade – well and moderately differentiated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Low grade – well and moderately differentiated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="High grade - poorly and undifferentiated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Low grade - well and moderately differentiated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Low grade, well/moderately differentiated, microsatellite stable (IHC)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Low grade, Moderately differentiated, but poorly differentiated tumour budding at the advancing edge."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Moderate (no mucinous areas)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Low grade (well/moderately differentiated) post treatment"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="High grade, variable differentiation, predominantly moderate but areas of poor differentiation. Microsatellite stable (IHC)"/> </extension> </extension> <path value="Colorectal.micro.histologicalGrade"/> <short value="Histological grade"/> <definition value="The histological grading of the tumour must be recorded."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the histological grade of the tumour"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-histological-grade"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="27988.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="371469007"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="pT3 Tumour invades through muscularis propria into pericolorectal tissues, specifically into perirectal fat"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="pT3 Tumour invades through muscularis propria into pericolorectal tissues. (For Grahame: The actual result value was: Beyond muscularis propria (pT3). Maximum distance of spread beyond muscularis propria: 5 mm. FYI- the second sentence was added to the Cooments, which Meagan was OK with."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="pT3 Tumour invades through muscularis propria into pericolorectal tissues"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="pT3 Beyond muscularis propria"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="pT2 (just into muscularis propria)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Focully just through muscularis propria (pT3)."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="pT3, tumour invades through full thickness of muscularis propria."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="ypT3"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="pT3c (5-15mm beyond mascularis propria)"/> </extension> </extension> <path value="Colorectal.micro.maxDegreeLocalInvasion"/> <short value="Maximum degree of local invasion into or through the bowel wall"/> <definition value="The maximum degree of local invasion into or through the bowel wall must be recorded."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the maximum degree of local invasion into or through the bowel wall"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-deg-inv-bowel-wall"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28534.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33759-2"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Not invovled"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Not invovled"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not involved"/> </extension> </extension> <path value="Colorectal.micro.proximalOrDistalResectionMargins"/> <short value="Involvement of the proximal or distal resection (cut-end) margins"/> <definition value="Involvement of the proximal or distal resection margins (cut-end margins) by tumour must be recorded. If the margin is less than 10 mm, the clearance must be recorded."/> <requirements value="Single selection value list. If involved is selected, record involved margin(s) If not involved is selected, record microscopic clearance."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-11"/> <condition value="inv-12"/> <constraint> <key value="inv-12"/> <severity value="error"/> <human value="If the tumour is not involved in the proximal or distal resection (‘cut-end’) margins, then record the microscopic clearance."/> <xpath value="not(@value = 'Not involved') or exists(f:microClearance)"/> </constraint> <constraint> <key value="inv-11"/> <severity value="error"/> <human value="If the tumour is involved in the proximal or distal resection (‘cut-end’) margins, then record invovled margin(s)."/> <xpath value="not(f@value = 'Involved') or exists(f:involvedMargins)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates involvement of the proximal or distal resection (cut-end) margins"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-involved-notinvolved"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28348.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Proximal; Distal"/> </extension> </extension> <path value="Colorectal.micro.involvedMargins"/> <short value="Involved margin(s)"/> <definition value="Involvement of the proximal or distal resection margins (cut-end margins) by tumour must be recorded. If the margin is less than 10 mm, the clearance must be recorded."/> <requirements value="Multi select value list (select all that apply). This is a conditional field."/> <min value="1"/> <max value="*"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the involvement at the margins"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-distal-proximal"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28351.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="423105004"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="10"/> <comparator value=">"/> <unit value="mm (Proximal)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueQuantity> <value value="10"/> <comparator value=">"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueQuantity> <value value="10"/> <comparator value=">"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueQuantity> <value value="5"/> <unit value="mm (anterior)"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="40"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <path value="Colorectal.micro.marginsMicroClearance"/> <short value="Microscopic Clearance"/> <definition value="If the margin is less than 10 mm, the clearance must be recorded."/> <comments value="Query how to achieve this??"/> <requirements value="Numeric: ___mm (if the margin is less than 10 mm) OR Clearance is ≥10mm."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28396.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Involved"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueCode value="Not invovled"/> </extension> </extension> <path value="Colorectal.micro.nonperitonealisedCircumMargin"/> <short value="Status of the nonperitonealised circumferential margin (rectal tumours)"/> <definition value="The status of the nonperitonealised circumferential margin in rectal tumours must be recorded."/> <requirements value="Single selection value list. Conditional on rectum being selected in S2.02 If not involved is selected, record microscopic clearance."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-14"/> <constraint> <key value="inv-14"/> <severity value="error"/> <human value="If the tumour is a rectal tumour and the status of the nonperitonealised circumferential margin (rectal tumours) is not involved, then the clearance is to be recorded."/> <xpath value="not(@value = 'Not involved') or exists(f:microClearanceRectum)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the status of the nonperitonealised circumferential margin in rectal tumours"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-involved-notinvolved"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28354.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueQuantity> <value value="1"/> <comparator value="<"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="6"/> </extension> <extension url="exValue"> <valueQuantity> <value value="30"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueQuantity> <value value="35"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueQuantity> <value value="21"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueQuantity> <value value="15"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueQuantity> <value value="5"/> <unit value="mm"/> </valueQuantity> </extension> </extension> <path value="Colorectal.micro.microClearanceRectum"/> <short value="Microscopic Clearance"/> <definition value="In rectal tumours, the minimum distance in millimetres between the tumour and the nonperitonealised (circumferential, radial) margin must be recorded from the histological slides."/> <requirements value="Is conditional."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28400.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <path value="Colorectal.micro.lymphNodeInvolvement"/> <short value="Lymph node involvement"/> <definition value="Results of lymph node histopathology must be recorded."/> <requirements value="Single selection value list. Conditional on nodes being received in G2.02. If G2.02 has been recorded as “not received” this standard is not required. If present, record site(s) and number of lymph nodes."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-16"/> <constraint> <key value="inv-16"/> <severity value="error"/> <human value="If tumour positive lymph nodes are present then record the site(s) and numbers of lymph nodes."/> <xpath value="not(@value = 'Present') or exists(f:lymphNodesDetails)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates lymph node involvement"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-na"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28338.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="?? 21892-5"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Perirectal LN basin: 2/14"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="0/8 (Note for Grahame: this is classed as free text clarification as this field is normally only completed when the involvment (field above) is Present. )"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="Left, 2/21"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="Left, 2/11"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="pN1a, 1/41 (4mm deposit in peritumoral / distal node)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="pN0, 0/36"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="pN0, 0/13"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="pN 1b Total number: 23 Number involved: 2 (with fibrosis regarded as treatment effect in additional 3 nodes)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="pN2a, 4/16"/> </extension> </extension> <path value="Colorectal.micro.lymphNodesDetails"/> <short value="Site(s) and numbers of lymph nodes"/> <definition value="If lymph node(s) received then the site(s) and numbers of lymph nodes must be recorded."/> <comments value="Query if this field needs to be broken in to a number of fields??"/> <requirements value="Text: Site of lymph node AND Numeric: ____/_____ (Number of positive nodes/ Total number of nodes from this site) Site is the LN drainage relevant to the site of tumour being reported."/> <min value="0"/> <max value="*"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28403.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Absent (1 fibrotic focus probable treatment related node but possible sclerosed satellite, block 1T)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Yes, present x2"/> </extension> </extension> <path value="Colorectal.micro.extramuralTumourDeposits"/> <short value="Isolated extra-mural tumour deposits"/> <definition value="The presence or absence of isolated extra-mural tumour deposits is to be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the presence or absence of isolated extra-mural tumour deposits."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-na"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28392.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Yes, 2mm deposit (1E)"/> </extension> </extension> <path value="Colorectal.micro.apicalNodeInvolvement"/> <short value="Apical node involvement"/> <definition value="Involvement of the apical lymph node should be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates apical node involvement"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-na"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28407.1000043"/> </mapping> </element> <element> <path value="Colorectal.micro.venousSmallVesselInvasion"/> <short value="Venous and small vessel invasion"/> <definition value="For all tumours, venous and small vessel invasion must be reported and its anatomic location specified as intramural or extramural."/> <comments value="This is just a header and is not a data field ?? How to be entered in the resource."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28411.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="371512006"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <path value="Colorectal.micro.intramuralVeinInvasion"/> <short value="Intramural vein invasion"/> <definition value="Intramural invasion must be reported on."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates intramural vein invasion"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-notidentified-present"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28412.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Present (1F)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <path value="Colorectal.micro.extramuralVeinInvasion"/> <short value="Extramural vein invasion"/> <definition value="Extramural invasion must be reported on."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates extramural vein invasion"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-notidentified-present"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28415.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Suspicious"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <path value="Colorectal.micro.smallVesselInvasion"/> <short value="Small vessel invasion"/> <definition value="Small vessel invasion must be reported on."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates small vessel invasion"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-notidentified-present-presentextensive"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28418.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="372264001"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Present (focal)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Present"/> </extension> </extension> <path value="Colorectal.micro.perineuralInvasion"/> <short value="Perineural invasion"/> <definition value="Perineural invasion must be reported on."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates perineural invasion"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-notidentified-present-presentextensive"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28136.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="33741-0"/> </mapping> <mapping> <identity value="sct"/> <map value="371513001"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Absent"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Unknown"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Nil"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not stated"/> </extension> </extension> <path value="Colorectal.micro.histoConfDistMetastases"/> <short value="Histologically confirmed distant metastases"/> <definition value="The presence or absence of histologically confirmed distant metastases must be recorded."/> <requirements value="Single selection value list. If present, record sites."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <condition value="inv-17"/> <constraint> <key value="inv-17"/> <severity value="error"/> <human value="If histologically confirmed distant metastases are present then the sites are to be recorded."/> <xpath value="not(@value = 'Present') or exists(f:site)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the presence or absence of histologically confirmed distant metastases"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-present-absent-na"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28236.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="399608002"/> </mapping> </element> <element> <path value="Colorectal.micro.histoConfDistMetastasesSite"/> <short value="Histologically confirmed distant metastases - site"/> <definition value="The site of histologically confirmed distant metastases must be recorded."/> <requirements value="Is conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28242.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="21920-4"/> </mapping> <mapping> <identity value="sct"/> <map value="385421009"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Polyps"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="None noted"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="None noted"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="None noted"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Hyperplastic polyps x 9"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Pedunculated tubulovillous adenoma 8mm, 55mmproximal to tumour."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Nil"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Nil"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Nil"/> </extension> </extension> <path value="Colorectal.micro.relCoexistPathabnorm"/> <short value="Relevant coexistent pathological abnormalities"/> <definition value="The relevant coexistent pathological abnormalities must be recorded."/> <requirements value="Multi select value list (select all that apply). ?? How is this indicated?? If Polyps is selected provide details If Ulcerative colitis or Crohn’s disease is selected record dysplasia If other is selected, provide details in “other abnormality”."/> <min value="1"/> <max value="*"/> <type> <code value="code"/> </type> <condition value="inv-18"/> <condition value="inv-19"/> <condition value="inv-20"/> <condition value="inv-21"/> <constraint> <key value="inv-18"/> <severity value="error"/> <human value="If polyps are present as relevant coexistent pathological abnormalities, then polyp details are to be recorded."/> <xpath value="not(@value = 'Polyps') or exists(f:polypDetails)"/> </constraint> <constraint> <key value="inv-19"/> <severity value="error"/> <human value="If Ulcerative colitis is present as relevant coexistent pathological abnormality, then dysplasia is to be recorded."/> <xpath value="not(@value = 'Ulcerative colitis') or exists(f:dysplasia)"/> </constraint> <constraint> <key value="inv-20"/> <severity value="error"/> <human value="If Crohn's disease is present as relevant coexistent pathological abnormality, then dysplasia is to be recorded."/> <xpath value="not(@value = 'Crohns disease') or exists(f:dysplasia)"/> </constraint> <constraint> <key value="inv-21"/> <severity value="error"/> <human value="If other abnormalities is selected as relevant coexistent pathological abnormality, then other abnormaily details are to be recorded."/> <xpath value="not(@value = 'Other') or exists(f:otherAbnormality)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the relevant coexistent pathological abnormalities"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-coexist-path-abnormalities"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28244.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="371498006"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Two tubular adenomata confirmed."/> </extension> </extension> <path value="Colorectal.micro.polypDetails"/> <short value="Polyp details (type, number, polyposis syndrome criteria met etc)"/> <definition value="The polyp details (type, number, polyposis syndrome criteria met etc) is to be recorded."/> <requirements value="Is conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> </element> <element> <path value="Colorectal.micro.dysplasia"/> <short value="Dysplasia"/> <definition value="If Ulcerative colitis or Crohns disease is selected for relevant coexistent pathological abnormalities record dysplasia."/> <comments value="Cannot have an apostrophe in a spreadsheet eg Crohn apostrophe s."/> <requirements value="Single selection value list. Is conditional."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates dysplasia if Ulcerative colitis or Crohn's disease is selected for relevant coexistent pathological abnormalities"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-dysplasia"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> </element> <element> <path value="Colorectal.micro.otherAbnormality"/> <short value="Other abnormality"/> <definition value="Record any other abnormality."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="loinc"/> <map value="44624-5"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Complete resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Complete resection"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="Complete"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="Complete"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="R0, complete resection, margins histologically negative, no residual tumour left after resection (primary tumour, regional nodes)."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <path value="Colorectal.micro.microResidualTumourStatus"/> <short value="Microscopic residual tumour status (completeness of resection)"/> <definition value="The microscopic residual tumour status (completeness of resection) is to be recorded."/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28425.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="Grade 2 (minimal response) Residual cancer outgrown by fibrosis"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="No prior treatment"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="No prior treatment"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="No prior treatment"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="NA"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not applicable"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Minimal response"/> </extension> </extension> <path value="Colorectal.micro.neoadjuvantTherapy"/> <short value="Response to neoadjuvant therapy"/> <definition value="The response to neoadjuvant therapy should be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates the response to neoadjuvant therapy"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-response-to-neoadjuvant-therapy"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28123.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="The submucosal nodule 20mm from the distal margin is a well differentiated carcinoid tumour, completely excised."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="The submucosal nodule 20mm from the distal margin is a well differentiated carcinoid tumour, completely excised."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="The caecal tumour is an adenocarcinoma, formed by malignant epithelial cells forming branching glands, some with cribriform pattern. These cells have pleomorphic nuclei with prominent nucleoli. Maximum distance of spread beyond muscularis propria: 5 mm."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Grade: 2 (residual cancer outgrown by fibrosis)"/> </extension> </extension> <path value="Colorectal.micro.microComments"/> <short value="Microscopic comments"/> <definition value="Other Microscopic comments should be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="micro.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28431.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="395527009"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests"/> <short value="Ancillary test findings"/> <definition value="Ancillary test findings are to be recorded."/> <comments value="This is just a group/section header and is not a result field, but some example reports this field was used as a comment field."/> <requirements value="Immunohistochemical stains for microsatellite instability will be performed and a supplementary report issued."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <mapping> <identity value="logical"/> <map value="ancillary := dr.result->Observation[code := %map-codes]"/> </mapping> <mapping> <identity value="cap"/> <map value="28156.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="70949-3"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.mismatchRepairEnz"/> <short value="Mismatch repair enzymes"/> <definition value="Mismatch repair enzymes are to be recorded."/> <comments value="This is just a sub-group/sub-section header and is not a result field."/> <min value="1"/> <max value="1"/> <type> <code value="Element"/> </type> <mapping> <identity value="cap"/> <map value="28433.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Performed on block D"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Performed on block 1F"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Preserved nuclear staining in the tumour"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Performed on block 1C"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <path value="Colorectal.ancillaryTests.mlh1"/> <short value="MLH-1"/> <definition value="MLH-1 testing."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates MLH-1 testing"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-stain-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28434.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="50322-7"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Preserved nuclear staining in the tumour"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <path value="Colorectal.ancillaryTests.pms2"/> <short value="PMS-2"/> <definition value="PMS-2 testing."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates PMS-2 testing"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-stain-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28442.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="50328-4"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Preserved nuclear staining in the tumour"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Abnormal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <path value="Colorectal.ancillaryTests.msh2"/> <short value="MSH-2"/> <definition value="MSH-2 testing."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates MSH-2 testing"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-stain-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28493.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="50323-5"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Preserved nuclear staining in the tumour"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Abnormal staining"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Normal staining"/> </extension> </extension> <path value="Colorectal.ancillaryTests.msh6"/> <short value="MSH-6"/> <definition value="MSH-6 testing."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that indicates MSH-6 testing"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-stain-type"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28544.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="50324-3"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Immunohistochemistry for mismatch repair gene products: staining of carcinoma cells for MLH-1, PMS-2, MSH-2 and MSH-6 is present."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Mismatch repair gene deficiency NOT identified"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="High-level microsatellite instability (MSI-H) is very unlikely."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="High-level microsatellite instability (MSI-H) is very unlikely."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="Preserved nuclear staining for mismatch repair proteins MLH1, PMS2, MSH2 and MSH6 indicates a low likelihood of microsatellite instability phenotype."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="There is strong nuclear staining (normal pattern) ini only a minor component of the residual tumour (block 1C) and attenuated (MSH2) or loss (MSH6) to staining in the rest. Whilst this abnormal staining pattern is likely to be secondary to the neoadjuvant therapy, thurther investigation to exclude germline mutation in MSH2 and MSH6 should be considered."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="High-level microsatellite instability (MSI-H) is very unlikely."/> </extension> </extension> <path value="Colorectal.ancillaryTests.comments"/> <short value="Mismatch repair enzyme comments"/> <definition value="Mismatch repair enzyme comments can be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28436.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="8262-8"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.msi"/> <short value="Microsatellite instability (MSI)"/> <definition value="Microsatellite instability (MSI) to be recorded."/> <comments value="This is just a group/section header and is not a result field."/> <requirements value="Single selection value list. If unstable or stable, record laboratory performing test and report number."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <condition value="inv-22"/> <condition value="inv-23"/> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <path value="Colorectal.ancillaryTests.msi.code"/> <short value="Microsatellite instability (MSI)"/> <definition value="Microsatellite instability (MSI) to be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <constraint> <key value="inv-22"/> <severity value="error"/> <human value="If MSI unstable, record laboratory performing test and report number"/> <xpath value="not(@value = 'Unstable') or exists(f:LabDetails)"/> </constraint> <constraint> <key value="inv-23"/> <severity value="error"/> <human value="If MSI stable, record laboratory performing test and report number"/> <xpath value="not(@value = 'Stable') or exists(f:LabDetails)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates Microsatellite instability (MSI)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-unstable-stable"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28399.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="email to Meagan"/> </mapping> <mapping> <identity value="sct"/> <map value="443412009"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.msi.comments"/> <short value="Microsatellite instability (MSI) comments"/> <definition value="Microsatellite instability (MSI) comments can be recorded."/> <requirements value="Conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28453.1000043"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.msi.labDetails"/> <short value="MSI laboratory performing test and report number"/> <definition value="Microsatellite instability (MSI) laboratory performing test and report number can be recorded."/> <requirements value="Conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28447.1000043"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.braf"/> <short value="BRAF (V600E mutation)"/> <definition value="BRAF (V600E mutation) testing."/> <comments value="This is just a group/section header and is not a result field."/> <requirements value="Single selection value list. If mutated or wild type, record laboratory performing test and report number."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <condition value="inv-24"/> <condition value="inv-25"/> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <path value="Colorectal.ancillaryTests.braf.code"/> <short value="BRAF (V600E mutation)"/> <definition value="BRAF (V600E mutation) testing."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <constraint> <key value="inv-24"/> <severity value="error"/> <human value="If BRAF mutated, record laboratory performing test and report number"/> <xpath value="not(@value = 'Mutated') or exists(f:LabDetails)"/> </constraint> <constraint> <key value="inv-25"/> <severity value="error"/> <human value="If BRAF wild type, record laboratory performing test and report number"/> <xpath value="not(@value = 'Wild type') or exists(f:LabDetails)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the BRAF (V600E mutation)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-mutated-wildtype"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28454.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="58483-9"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.braf.comments"/> <short value="BRAF (V600E mutation) comments"/> <definition value="BRAF (V600E mutation) comments can be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28460.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="8264-4"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.braf.labDetails"/> <short value="BRAF (V600E mutation) laboratory performing test and report number"/> <definition value="BRAF (V600E mutation) laboratory performing test and report number can be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28459.1000043"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.kras"/> <short value="KRAS gene mutation (codons 12 and 13)"/> <definition value="KRAS gene mutation (codons 12 and 13) testing."/> <comments value="This is just a group/section header and is not a result field."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <condition value="inv-26"/> <condition value="inv-27"/> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="Not tested"/> </extension> </extension> <path value="Colorectal.ancillaryTests.kras.code"/> <short value="KRAS gene mutation (codons 12 and 13)"/> <definition value="KRAS gene mutation (codons 12 and 13) testing."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <constraint> <key value="inv-27"/> <severity value="error"/> <human value="If KRAS wild type, record laboratory performing test and report number"/> <xpath value="not(@value = 'Wild type') or exists(f:LabDetails)"/> </constraint> <constraint> <key value="inv-26"/> <severity value="error"/> <human value="If KRAS mutated, record laboratory performing test and report number"/> <xpath value="not(@value = 'Mutated') or exists(f:LabDetails)"/> </constraint> <binding> <strength value="required"/> <description value="A code that indicates the KRAS gene mutation (codons 12 and 13)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-mutated-wildtype"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28461.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="21703-4"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.kras.comments"/> <short value="KRAS gene mutation (codons 12 and 13) comments"/> <definition value="KRAS gene mutation (codons 12 and 13) comments can be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28465.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="8266-9"/> </mapping> </element> <element> <path value="Colorectal.ancillaryTests.kras.labDetails"/> <short value="KRAS gene mutation (codons 12 and 13) laboratory performing test and report number"/> <definition value="KRAS gene mutation (codons 12 and 13) laboratory performing test and report number can be recorded."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="ancillary.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28466.1000043"/> </mapping> </element> <element> <path value="Colorectal.synthesisOverview"/> <short value="Synthesis and Overview"/> <definition value="Synthesis and Overview are to be recorded."/> <comments value="This is just a group/section header and is not a result field."/> <min value="0"/> <max value="1"/> <type> <code value="Element"/> </type> <mapping> <identity value="logical"/> <map value="synthesis := dr.result->Observation[code := %map-codes]"/> </mapping> <mapping> <identity value="cap"/> <map value="28253.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="70949-3"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="ypT3, pN1b, cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="ypT3, pN0, cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="pT3, pN1, cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="pT3, pN1, cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="pT2N1aMX"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="pT3N0 cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="pT3, pN0, pMX"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="ypY3 N1b cM0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="pT3cN2aMX"/> </extension> </extension> <path value="Colorectal.synthesisOverview.tumourStage"/> <short value="Tumour stage"/> <definition value="Tumour stage is to be recorded."/> <comments value="This is just a sub-group/sub-section header and is not a result field."/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28204.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="371508000"/> </mapping> </element> <element> <path value="Colorectal.synthesisOverview.tumourStageT"/> <short value="T"/> <definition value="Tumour stage T is to be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that records tumour stage T"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-tumour-stage-t"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28210.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="21899-0"/> </mapping> <mapping> <identity value="sct"/> <map value="78873005"/> </mapping> </element> <element> <path value="Colorectal.synthesisOverview.tumourStageN"/> <short value="N"/> <definition value="Tumour stage N is to be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that records tumour stage N"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-tumour-stage-n"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28220.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="21900-6"/> </mapping> </element> <element> <path value="Colorectal.synthesisOverview.tumourStageM"/> <short value="M"/> <definition value="Tumour stage M is to be recorded."/> <requirements value="Single selection value list."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that records tumour stage M"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-crc-tumour-stage-m"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28552.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="67211-3"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="IIIB"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="IIA"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="IIIB"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="IIIB"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueCode value="IIIA"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueCode value="IIA"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueCode value="IIA (Dukes stage B)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueCode value="IIIB"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueCode value="IIIB"/> </extension> </extension> <path value="Colorectal.synthesisOverview.tumourStageGrouping"/> <short value="Stage grouping"/> <definition value="Tumour stage grouping is to be recorded."/> <comments value="Check the formatting of the result group."/> <requirements value="Single selection value list."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that records tumour stage grouping"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-tumour-stage-grouping"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28243.1000043"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="AJCC 2010, 7th edition"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="AJCC 2010, 7th edition"/> </extension> </extension> <path value="Colorectal.synthesisOverview.tumourStagingSystem"/> <short value="Year and/or edition of staging system"/> <definition value="Year and/or edition of staging system is to be recorded."/> <requirements value="Numeric: year AND/OR Text: Edition eg 1st, 2nd etc."/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="loinc"/> <map value="? 67203-0"/> </mapping> <mapping> <identity value="sct"/> <map value="443941007"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="R0"/> </extension> </extension> <path value="Colorectal.synthesisOverview.residualTumourStatus"/> <short value="Residual tumour status"/> <definition value="The residual tumour status must be recorded according to the AJCC Cancer Staging Manual (7th Edition)."/> <min value="1"/> <max value="1"/> <type> <code value="string"/> </type> <binding> <strength value="required"/> <description value="An R code that records the residual tumour status"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-residual-tumour-status"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28317.1000043"/> </mapping> <mapping> <identity value="sct"/> <map value="17964000"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Low rectal tumour, ultralow anterior resection with proximal and distal donuts: - Moderately differentiated adenocarcinoma, invading into perirectal fat. - Less than 1mm from circumferential radial margin. - Proximal and distal margins free of tumour. - 8 lymph nodes, all benign. - No MSI loss detected by immunohistochemistry."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="7"/> </extension> <extension url="exValue"> <valueString value="Diagnostic Summary: Specimen type: Abdominoperineal resection Tumour site: Distal rectum, 35mm below anterior peritoneal reflection, 12 mm above dentate line. Tumour type: Low grade adenocarcinoma NOS, microsatellite stable (IHC) Tumour stage: pT2N1aMX, stage IIIA Completeness of excision: R0 Diagnosis: Abdominoperineal resection, distal rectum - low grade adenocarcinoma NOS, 30mm, microsatellite stable (IHC) Lymph nodes - +1/41, metastatic carcinoma in one of forty-one nodes, apical node clear TNM class AJCC stage (7th) - pT2N1aMX, stage IIIA, R0 Polyps - Hyperplastic polyps x9 (<5mm)"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="8"/> </extension> <extension url="exValue"> <valueString value="Diagnostic Summary: Specimen type: Ultra-low anterior resection Tumour site: Rectum Tumour type: Adenocarcinoma, poorly differentiated tumour budding Tumour stage: pT3N0 cM, stage IIA Completeness of excision: Complete Diagnosis: 1. Rectum and Sigmoid, ultrlow anterior resection: - Adenocarcinoma NOS, 30x28x15mm, poorly differentiated tumour budding, focal extramural venous invasion. - radial clearance 5mm, distal clearance 12mm. Lymph nodes: 0/36; thirty-six benign lymph nodes. TNM class, AJCC stage (7th): pT3N0 cM0, stage IIA, R0 Polyp, upper rectum: Tubulovillous adenoma, 8mm. 2. Distal donut: No evidence of malignancy"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="9"/> </extension> <extension url="exValue"> <valueString value="Diagnostic Summary: Specimen type:High anterior resection Tumour site: Rectum-sigmoid colon Tumour type: Adenocarcinoma Tumour stage: pT3. n0, Mx, R0 Completeness of excision: Completely excised Diagnosis: 1. Anterior resection: - Moderately differentiated adenocarcinoma, recto-sigmoid, completely excised. - Focus suspicious for lymphovascular invasion - no evidence of malignancy in thirteen lymph nodes (0/13) - pT3, n0, MX, R0, stage IIA (Dukes stage B) 2. Distal donut - No evidence of malignancy 3. Proximal donut - No evidence of malignancy"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="10"/> </extension> <extension url="exValue"> <valueString value="Diagnostic Summary: Specimen type:Anterior resection Tumour site: Upper rectum 300mm above level of anterior peritoneal reflection Tumour type: Adenocarcinoma NOS Low grade (post therapy) microsatellite stable Tumour stage: ypT3 N1b cMx cM0; stage IIIB Completeness of excision: R0 Diagnosis: 1. Upper rectum: Upper rectum - Redidual adenocarcinoma NOS, minimal response to therapy (TRG 2) - Extramural venous invasion Lymph nodes - +2/23; metastatic carcinoma in two of twenty-three nodes, treatment related changes in additional three nodes, apical node clear. TNM class AJCC Stage (7th) - ypT3N1b cM0; stage IIIB; R0 MMR IHC - Pending, supplementary report to follow 2. Distal rectal donut - No evidence of malignancy"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="11"/> </extension> <extension url="exValue"> <valueString value="Diagnostic Summary: Specimen type:Low anterior resection Tumour site: Rectum Tumour type: Adenocarcinoma NOS, microsatellite stable, variable differentiation including poorly differentiated areas Tumour stage: pT3cN2aMx; stage IIIB Completeness of excision: R0 Diagnosis: 1. Low anterior resection rectum: - High grade adenocarcinoma NOS, 30x25mm, microsatellite stable - Venous invasion, lymphatic permeation and perineural invasion present Lymph nodes - +4/16; metastatic carcinoma in four of sixteen nodes - Apical node involved - extranural satellite deposits x2. TNM class AJCC Stage (7th) - pT3cN2aMX; stage IIIB; R0 2. Proximal donut - Benign colonic tissue 3. Distal donut - Benign rectal tissue"/> </extension> </extension> <path value="Colorectal.synthesisOverview.diagnosticSummary"/> <short value="Diagnostic summary"/> <definition value="Diagnostic summary is to be recorded."/> <requirements value="Include: a. specimen type b. tumour site c. tumour type d. tumour stage e. completeness of excision."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="logical"/> <map value="dr[conclusion := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28842.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="34574-4"/> </mapping> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueCode value="New primary"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueCode value="New primary"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="3"/> </extension> <extension url="exValue"> <valueCode value="New primary"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="5"/> </extension> <extension url="exValue"> <valueCode value="New primary"/> </extension> </extension> <path value="Colorectal.synthesisOverview.newPrimaryOrRecurrence"/> <short value="New primary cancer or recurrence"/> <definition value="New primary cancer or recurrence is to be recorded."/> <requirements value="Single selection value list. If regional (local) recurrence or distant metastasis describe."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <binding> <strength value="required"/> <description value="A code that records whether a new primary cancer or a recurrence"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/nehta-nehta-new-cancer-or-recurrence"/> </valueSetReference> </binding> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28472.1000043"/> </mapping> </element> <element> <path value="Colorectal.synthesisOverview.newDescription"/> <short value="Describe"/> <definition value="Description of regional (local) recurrence or distant metastases."/> <requirements value="Conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> </element> <element> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="1"/> </extension> <extension url="exValue"> <valueString value="Mismatch repair gene deficiency is not identified."/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-example"> <extension url="index"> <valueString value="2"/> </extension> <extension url="exValue"> <valueString value="Mismatch repair gene deficiency identified."/> </extension> </extension> <path value="Colorectal.synthesisOverview.overarchingComment"/> <short value="Overarching comment"/> <definition value="Synthesis and overview overarching comment."/> <requirements value="Conditional."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="logical"/> <map value="synthesis.related[type:='has-member'].target->Observation[code:=%map-codes; value[x] := $value]"/> </mapping> <mapping> <identity value="cap"/> <map value="28252.1000043"/> </mapping> <mapping> <identity value="loinc"/> <map value="22638-1"/> </mapping> </element> </snapshot> </StructureDefinition>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.