Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build United States of America flag

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

Resource Profile: Right Breast Findings

Official URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/FindingsRightBreast Version: 0.3.0
Draft as of 2019-11-01 Computable Name: FindingsRightBreast

Right breast findings profile.

Description

The Findings Right 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.

image/svg+xml

Usage:

  • Refer to this Resource Profile:

Formal Views of Profile Content

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

This structure is derived from USCoreObservationImagingResultProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... contained 0..0
... basedOn 0..0
... partOf 0..0
.... category:categoryImaging 1..1CodeableConceptClassification of type of observation
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code 1..1CodeableConceptImaging Name
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
... focus 0..0
... value[x] 0..0
... interpretation 0..0
... bodySite 1..1CodeableConceptObserved body part
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (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 S0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding S0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding S0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding S0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other S0..1Reference(Other Finding)Other modality finding. hasMember.
... Slices for component 0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:breastAssessmentCategory 0..*BackboneElementBreast Assessment Category Code component.
..... code 1..1CodeableConceptBreast Assessment Category Code component code.
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
..... value[x] 1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
.... component:breastComposition 0..*BackboneElementBreast Composition Category component.
..... code 1..1CodeableConceptBreast Composition Category component code.
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
..... value[x] 1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... category:imaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
.... category:categoryImaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code SΣ1..1CodeableConceptImaging Name
Binding: US Core Non Laboratory Codes (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (body structure)
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by value:url
.... hasMember:mgFinding SΣ0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding SΣ0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding SΣ0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding SΣ0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other SΣ0..1Reference(Other Finding)Other modality finding. hasMember.
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:breastAssessmentCategory Σ0..*BackboneElementBreast Assessment Category Code component.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Assessment Category Code component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
..... value[x] Σ1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
.... component:breastComposition Σ0..*BackboneElementBreast Composition Category component.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Composition Category component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
..... value[x] Σ1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:imagingpreferredPattern: imaging
Observation.category:categoryImagingpreferredPattern: imaging
Observation.codeextensiblePattern: findingsRightBreastObservation
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexamplePattern: SNOMED CT code 73056007("Right breast structure (body structure)")
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component:breastAssessmentCategory.codeexamplePattern: RDE1586
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastComposition.codeexamplePattern: RDE1587
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S2..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:imaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:categoryImaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptImaging Name
Binding: US Core Non Laboratory Codes (extensible)
Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... note 0..*AnnotationComments about the observation
... bodySite 1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (body structure)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by value:url
.... hasMember:mgFinding SΣ0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding SΣ0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding SΣ0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding SΣ0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other SΣ0..1Reference(Other Finding)Other modality finding. hasMember.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..*BackboneElementBreast Assessment Category Code component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Assessment Category Code component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..*BackboneElementBreast Composition Category component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Composition Category component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:imagingpreferredPattern: imaging
Observation.category:categoryImagingpreferredPattern: imaging
Observation.codeextensiblePattern: findingsRightBreastObservation
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexamplePattern: SNOMED CT code 73056007("Right breast structure (body structure)")
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:breastAssessmentCategory.codeexamplePattern: RDE1586
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastAssessmentCategory.dataAbsentReasonextensibleDataAbsentReason
Observation.component:breastAssessmentCategory.interpretationextensibleObservationInterpretationCodes
Observation.component:breastComposition.codeexamplePattern: RDE1587
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory
Observation.component:breastComposition.dataAbsentReasonextensibleDataAbsentReason
Observation.component:breastComposition.interpretationextensibleObservationInterpretationCodes

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:

  • The element Observation.category is sliced based on the value of pattern:$this
  • The element Observation.hasMember is sliced based on the value of value:url
  • The element Observation.component is sliced based on the value of pattern:code

Differential View

This structure is derived from USCoreObservationImagingResultProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... contained 0..0
... basedOn 0..0
... partOf 0..0
.... category:categoryImaging 1..1CodeableConceptClassification of type of observation
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code 1..1CodeableConceptImaging Name
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
... focus 0..0
... value[x] 0..0
... interpretation 0..0
... bodySite 1..1CodeableConceptObserved body part
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (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 S0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding S0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding S0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding S0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other S0..1Reference(Other Finding)Other modality finding. hasMember.
... Slices for component 0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:breastAssessmentCategory 0..*BackboneElementBreast Assessment Category Code component.
..... code 1..1CodeableConceptBreast Assessment Category Code component code.
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
..... value[x] 1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
.... component:breastComposition 0..*BackboneElementBreast Composition Category component.
..... code 1..1CodeableConceptBreast Composition Category component code.
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
..... value[x] 1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

.... category:imaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
.... category:categoryImaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code SΣ1..1CodeableConceptImaging Name
Binding: US Core Non Laboratory Codes (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (body structure)
... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by value:url
.... hasMember:mgFinding SΣ0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding SΣ0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding SΣ0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding SΣ0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other SΣ0..1Reference(Other Finding)Other modality finding. hasMember.
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:breastAssessmentCategory Σ0..*BackboneElementBreast Assessment Category Code component.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Assessment Category Code component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
..... value[x] Σ1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
.... component:breastComposition Σ0..*BackboneElementBreast Composition Category component.
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Composition Category component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
..... value[x] Σ1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:imagingpreferredPattern: imaging
Observation.category:categoryImagingpreferredPattern: imaging
Observation.codeextensiblePattern: findingsRightBreastObservation
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexamplePattern: SNOMED CT code 73056007("Right breast structure (body structure)")
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component:breastAssessmentCategory.codeexamplePattern: RDE1586
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastComposition.codeexamplePattern: RDE1587
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*USCoreObservationImagingResultProfileMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.

... Slices for category S2..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:imaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:categoryImaging S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.



Required Pattern: At least the following
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptImaging Name
Binding: US Core Non Laboratory Codes (extensible)
Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodesCS
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: findingsRightBreastObservation
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... note 0..*AnnotationComments about the observation
... bodySite 1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 73056007
..... display1..1stringRepresentation defined by the system
Fixed Value: Right breast structure (body structure)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... Slices for hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
Slice: Unordered, Open by value:url
.... hasMember:mgFinding SΣ0..1Reference(Mammography Finding)'MG Finding' reference. hasMember.
.... hasMember:mriFinding SΣ0..1Reference(MRI Finding)'Magnetic Resonance Imaging Finding' reference. hasMember.
.... hasMember:nmFinding SΣ0..1Reference(Nuclear Medicine Finding)'Nuclear Medicine Finding' reference. hasMember.
.... hasMember:usFinding SΣ0..1Reference(Ultrasound Finding)'Ultrasound Finding' reference. hasMember.
.... hasMember:other SΣ0..1Reference(Other Finding)Other modality finding. hasMember.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... Slices for component Σ0..*BackboneElementComponent results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..*BackboneElementBreast Assessment Category Code component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Assessment Category Code component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1586
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ1..1CodeableConceptActual component result
Binding: Breast Assessment Category ValueSet (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, 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 Σ0..*BackboneElementBreast Composition Category component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptBreast Composition Category component code.
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDE
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RDE1587
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... value[x] Σ1..1CodeableConceptActual component result
Binding: RDE1587 Breast composition category (required)
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:imagingpreferredPattern: imaging
Observation.category:categoryImagingpreferredPattern: imaging
Observation.codeextensiblePattern: findingsRightBreastObservation
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.bodySiteexamplePattern: SNOMED CT code 73056007("Right breast structure (body structure)")
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:breastAssessmentCategory.codeexamplePattern: RDE1586
Observation.component:breastAssessmentCategory.value[x]requiredBreastAssessmentCategoryVS
Observation.component:breastAssessmentCategory.dataAbsentReasonextensibleDataAbsentReason
Observation.component:breastAssessmentCategory.interpretationextensibleObservationInterpretationCodes
Observation.component:breastComposition.codeexamplePattern: RDE1587
Observation.component:breastComposition.value[x]requiredRDE1587_BreastCompositionCategory
Observation.component:breastComposition.dataAbsentReasonextensibleDataAbsentReason
Observation.component:breastComposition.interpretationextensibleObservationInterpretationCodes

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:

  • The element Observation.category is sliced based on the value of pattern:$this
  • The element Observation.hasMember is sliced based on the value of value:url
  • The element Observation.component is sliced based on the value of pattern:code

 

Other representations of profile: CSV, Excel, Schematron