HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide
0.1.0 - CI Build

HL7® FHIR® Te Aho o Te Kahu, Cancer Control Agency Implementation Guide, published by Te Aho o Te Kahu, Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7NZ/cca/ and changes regularly. See the Directory of published versions

## Extension: ESMO-MCBS Score

Official URL: http://hl7.org.nz/fhir/StructureDefinition/sact-esmo-score | Version: 0.1.0
Active as of 2026-05-21 | Computable Name: EsmoScore

The ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS) score for the regimen

Context of Use

This extension may be used on the following element(s)

- Element ID: `PlanDefinition`

Usage info

Usages:

- Use this Extension: PlanDefinition

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | ESMO-MCBS Score
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:score |  | 1..1 | Extension | The ESMO-MCBS score grade
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "score"
value[x] |  | 0..1 | code | Value of extension
extension:evaluationForm |  | 1..1 | Extension | The ESMO-MCBS evaluation form used
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "evaluationForm"
value[x] |  | 0..1 | Coding | Value of extension Binding: ESMO-MCBS Evaluation Form (required)
extension:esmoUrl |  | 0..1 | Extension | URL to the ESMO-MCBS scorecard
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "esmoUrl"
value[x] |  | 0..1 | url | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/sact-esmo-score"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | ESMO-MCBS Score
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:score |  | 1..1 | Extension | The ESMO-MCBS score grade
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "score"
value[x] |  | 0..1 | code | Value of extension
extension:evaluationForm |  | 1..1 | Extension | The ESMO-MCBS evaluation form used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "evaluationForm"
value[x] |  | 0..1 | Coding | Value of extension Binding: ESMO-MCBS Evaluation Form (required)
extension:esmoUrl |  | 0..1 | Extension | URL to the ESMO-MCBS scorecard
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "esmoUrl"
value[x] |  | 0..1 | url | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/sact-esmo-score"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS) score for the regimen

- score: code: An Extension
- evaluationForm: Coding: An Extension
- esmoUrl: url: An Extension

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | ESMO-MCBS Score
extension |  | 2..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:score |  | 1..1 | Extension | The ESMO-MCBS score grade
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "score"
value[x] |  | 0..1 | code | Value of extension
extension:evaluationForm |  | 1..1 | Extension | The ESMO-MCBS evaluation form used
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "evaluationForm"
value[x] |  | 0..1 | Coding | Value of extension Binding: ESMO-MCBS Evaluation Form (required)
extension:esmoUrl |  | 0..1 | Extension | URL to the ESMO-MCBS scorecard
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "esmoUrl"
value[x] |  | 0..1 | url | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/sact-esmo-score"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | ESMO-MCBS Score
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 2..* | Extension | Extension Slice: Unordered, Open by value:url
extension:score |  | 1..1 | Extension | The ESMO-MCBS score grade
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "score"
value[x] |  | 0..1 | code | Value of extension
extension:evaluationForm |  | 1..1 | Extension | The ESMO-MCBS evaluation form used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "evaluationForm"
value[x] |  | 0..1 | Coding | Value of extension Binding: ESMO-MCBS Evaluation Form (required)
extension:esmoUrl |  | 0..1 | Extension | URL to the ESMO-MCBS scorecard
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "esmoUrl"
value[x] |  | 0..1 | url | Value of extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/sact-esmo-score"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The ESMO Magnitude of Clinical Benefit Scale (ESMO-MCBS) score for the regimen

- score: code: An Extension
- evaluationForm: Coding: An Extension
- esmoUrl: url: An Extension

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:evaluationForm.​value[x] | Base | required | ESMO-MCBS Evaluation Form | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`