Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/FindingsBiLateralBreast | Version: 0.3.0 | |||
| Draft as of 2019-11-01 | Computable Name: FindingsBiLateralBreast | |||
BiLateral breast findings profile.
Description
The Findings BiLateral Breast profile contains references to all the observations and exam information related to the Right breast.
There are only 0 or 1 of these items in any Breast Imaging Document.
Findings may be mammography findings, ultrasound findings, nuclear medicine findings, or any other type of finding. Future and unknoen finding types can be placed into the 'other finding' section. As future finding modalities become commonly used, sections defines for that finding type may be created.
Graphical Overview
This graph provides an overview of this profile, and its dependencies.
Click on any of the elements of the graph to go to a section describing that element.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreObservationImagingResultProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions | |
  contained | 0..0 | |||
| basedOn | 0..0 | |||
| partOf | 0..0 | |||
  Slices for category | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this | |
   category:categoryImaging | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| code | 1..1 | CodeableConcept | Imaging Name Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |
| focus | 0..0 | |||
| value[x] | 0..0 | |||
| interpretation | 0..0 | |||
| bodySite | 1..1 | CodeableConcept | Observed body part Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |
| specimen | 0..0 | |||
| device | 0..0 | |||
| referenceRange | 0..0 | |||
| Slices for hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url | |
 hasMember:mgFinding | S | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. |
| hasMember:mriFinding | S | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. |
| hasMember:nmFinding | S | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. |
| hasMember:usFinding | S | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. |
 hasMember:other | S | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
 component:breastAssessmentCategory | 0..* | BackboneElement | Breast Assessment Category Code component. | |
  code | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |
  value[x] | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) | |
| component:breastComposition | 0..* | BackboneElement | Breast Composition Category component. | |
| code | 1..1 | CodeableConcept | Breast Composition Category component code. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |
| value[x] | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS |
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category | S | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:imaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| category:categoryImaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| code | SΣ | 1..1 | CodeableConcept | Imaging Name Binding: US Core Non Laboratory Codes (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |
 subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about |
 effective[x] | SΣC | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| bodySite | 1..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url |
| hasMember:mgFinding | SΣ | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. |
| hasMember:mriFinding | SΣ | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. |
| hasMember:nmFinding | SΣ | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. |
| hasMember:usFinding | SΣ | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. |
| hasMember:other | SΣ | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:breastAssessmentCategory | Σ | 0..* | BackboneElement | Breast Assessment Category Code component. |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) |
| component:breastComposition | Σ | 0..* | BackboneElement | Breast Composition Category component. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Breast Composition Category component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:imaging | preferred | Pattern: imaging |
| Observation.category:categoryImaging | preferred | Pattern: imaging |
| Observation.code | extensible | Pattern: findingsBiLateralBreastObservation |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.bodySite | example | Pattern: SNOMED CT code 181131000("Entire breast (body structure)") |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:breastAssessmentCategory.code | example | Pattern: RDE1586 |
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS |
| Observation.component:breastComposition.code | example | Pattern: RDE1587 |
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category | S | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:imaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| category:categoryImaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| code | SΣ | 1..1 | CodeableConcept | Imaging Name Binding: US Core Non Laboratory Codes (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣC | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime S | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 1..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url | ||||
| hasMember:mgFinding | SΣ | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. | ||||
| hasMember:mriFinding | SΣ | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. | ||||
| hasMember:nmFinding | SΣ | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. | ||||
| hasMember:usFinding | SΣ | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. | ||||
| hasMember:other | SΣ | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:breastAssessmentCategory | Σ | 0..* | BackboneElement | Breast Assessment Category Code component. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:breastComposition | Σ | 0..* | BackboneElement | Breast Composition Category component. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Breast Composition Category component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:imaging | preferred | Pattern: imaging | ||||
| Observation.category:categoryImaging | preferred | Pattern: imaging | ||||
| Observation.code | extensible | Pattern: findingsBiLateralBreastObservation | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.bodySite | example | Pattern: SNOMED CT code 181131000("Entire breast (body structure)") | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:breastAssessmentCategory.code | example | Pattern: RDE1586 | ||||
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS | ||||
| Observation.component:breastAssessmentCategory.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:breastAssessmentCategory.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:breastComposition.code | example | Pattern: RDE1587 | ||||
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory | ||||
| Observation.component:breastComposition.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:breastComposition.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from USCoreObservationImagingResultProfile
Summary
Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 5 elements
Prohibited: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreObservationImagingResultProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions | |
| contained | 0..0 | |||
| basedOn | 0..0 | |||
| partOf | 0..0 | |||
| Slices for category | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this | |
| category:categoryImaging | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| code | 1..1 | CodeableConcept | Imaging Name Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |
| focus | 0..0 | |||
| value[x] | 0..0 | |||
| interpretation | 0..0 | |||
| bodySite | 1..1 | CodeableConcept | Observed body part Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |
| specimen | 0..0 | |||
| device | 0..0 | |||
| referenceRange | 0..0 | |||
| Slices for hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url | |
| hasMember:mgFinding | S | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. |
| hasMember:mriFinding | S | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. |
| hasMember:nmFinding | S | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. |
| hasMember:usFinding | S | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. |
| hasMember:other | S | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. |
| Slices for component | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | |
| component:breastAssessmentCategory | 0..* | BackboneElement | Breast Assessment Category Code component. | |
| code | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |
| value[x] | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) | |
| component:breastComposition | 0..* | BackboneElement | Breast Composition Category component. | |
| code | 1..1 | CodeableConcept | Breast Composition Category component code. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |
| value[x] | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS |
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category | S | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:imaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| category:categoryImaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |
| code | SΣ | 1..1 | CodeableConcept | Imaging Name Binding: US Core Non Laboratory Codes (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about |
| effective[x] | SΣC | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| bodySite | 1..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url |
| hasMember:mgFinding | SΣ | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. |
| hasMember:mriFinding | SΣ | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. |
| hasMember:nmFinding | SΣ | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. |
| hasMember:usFinding | SΣ | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. |
| hasMember:other | SΣ | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. |
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code |
| component:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:breastAssessmentCategory | Σ | 0..* | BackboneElement | Breast Assessment Category Code component. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) |
| component:breastComposition | Σ | 0..* | BackboneElement | Breast Composition Category component. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Breast Composition Category component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:imaging | preferred | Pattern: imaging |
| Observation.category:categoryImaging | preferred | Pattern: imaging |
| Observation.code | extensible | Pattern: findingsBiLateralBreastObservation |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.bodySite | example | Pattern: SNOMED CT code 181131000("Entire breast (body structure)") |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:breastAssessmentCategory.code | example | Pattern: RDE1586 |
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS |
| Observation.component:breastComposition.code | example | Pattern: RDE1587 |
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | USCoreObservationImagingResultProfile | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category | S | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:imaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| category:categoryImaging | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| code | SΣ | 1..1 | CodeableConcept | Imaging Name Binding: US Core Non Laboratory Codes (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: findingsBiLateralBreastObservation | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣC | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime S | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | 1..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Required Pattern: At least the following | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 181131000 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Entire breast (body structure) | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| Slices for hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Open by value:url | ||||
| hasMember:mgFinding | SΣ | 0..1 | Reference(Mammography Finding) | 'MG Finding' reference. hasMember. | ||||
| hasMember:mriFinding | SΣ | 0..1 | Reference(MRI Finding) | 'Magnetic Resonance Imaging Finding' reference. hasMember. | ||||
| hasMember:nmFinding | SΣ | 0..1 | Reference(Nuclear Medicine Finding) | 'Nuclear Medicine Finding' reference. hasMember. | ||||
| hasMember:usFinding | SΣ | 0..1 | Reference(Ultrasound Finding) | 'Ultrasound Finding' reference. hasMember. | ||||
| hasMember:other | SΣ | 0..1 | Reference(Other Finding) | Other modality finding. hasMember. | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | Σ | 0..* | BackboneElement | Component results Slice: Unordered, Open by pattern:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:breastAssessmentCategory | Σ | 0..* | BackboneElement | Breast Assessment Category Code component. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Breast Assessment Category Code component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1586 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: Breast Assessment Category ValueSet (required) | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:breastComposition | Σ | 0..* | BackboneElement | Breast Composition Category component. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Breast Composition Category component code. Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RDE1587 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | Σ | 1..1 | CodeableConcept | Actual component result Binding: RDE1587 Breast composition category (required) | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:imaging | preferred | Pattern: imaging | ||||
| Observation.category:categoryImaging | preferred | Pattern: imaging | ||||
| Observation.code | extensible | Pattern: findingsBiLateralBreastObservation | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.bodySite | example | Pattern: SNOMED CT code 181131000("Entire breast (body structure)") | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:breastAssessmentCategory.code | example | Pattern: RDE1586 | ||||
| Observation.component:breastAssessmentCategory.value[x] | required | BreastAssessmentCategoryVS | ||||
| Observation.component:breastAssessmentCategory.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:breastAssessmentCategory.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:breastComposition.code | example | Pattern: RDE1587 | ||||
| Observation.component:breastComposition.value[x] | required | RDE1587_BreastCompositionCategory | ||||
| Observation.component:breastComposition.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:breastComposition.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from USCoreObservationImagingResultProfile
Summary
Mandatory: 2 elements (2 nested mandatory elements)
Must-Support: 5 elements
Prohibited: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.3.0 based on FHIR 4.0.1. Generated 2022-12-07
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change