ICHOM FHIR Implementation Guide: Breast Cancer
0.0.1 - ci-build International flag

ICHOM FHIR Implementation Guide: Breast Cancer, published by ICHOM. This is not an authorized publication; it is the continuous build for version 0.0.1). This version is based on the current content of https://github.com/HL7/fhir-ichom-breast-cancer-ig/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle of all valuesystems and questionnaires related to BaselineTumorFactors

Bundle DebugBaselineTumorFactorsBundle of type transaction

Entry 1

Request:

PUT CodeSystem/HistologicalTypeCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/histological-type defines the following codes:

CodeDisplay
0 Ductal carcinoma in situ
1 Invasive ductal carcinoma
2 Invasive lobular carcinoma
3 Other
999 unknown

Entry 2

Request:

PUT CodeSystem/GeneticMutationCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/genetic-mutation defines the following codes:

CodeDisplay
0 No mutation
1 BRCA 1
2 BRCA 2
3 Other mutation
4 Not tested

Entry 3

Request:

PUT CodeSystem/InvasionGradeCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/invasion-grade defines the following codes:

CodeDisplay
0 Grade 1
1 Grade 2
2 Grade 3
3 Not reported

Entry 4

Request:

PUT CodeSystem/TumorGradeCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/tumor-grade defines the following codes:

CodeDisplay
0 Low
1 Intermediate
2 High
3 Not reported

Entry 5

Request:

PUT CodeSystem/ClinicalTumorStageCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/clinical-tumor-stage defines the following codes:

CodeDisplay
0 cTX
1 cT0
2 cTis
3 cT1
4 cT2
5 cT3
6 cT4
999 Unknown

Entry 6

Request:

PUT CodeSystem/ClinicalNodalStageCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/clinical-nodal-stage defines the following codes:

CodeDisplay
0 cNX
1 cN0
2 cN1
3 cN2
4 cN3
999 Unknown

Entry 7

Request:

PUT CodeSystem/ClinicalDistantMetastasisCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/clinical-distant-metastasis defines the following codes:

CodeDisplay
0 cMX
1 cM0
2 cM1
999 Unknown

Entry 8

Request:

PUT CodeSystem/PathologicalTumorStageCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/pathological-tumor-stage defines the following codes:

CodeDisplay
0 pTX
1 pT0
2 pTis
3 pT1
4 pT2
5 pT3
6 pT4
999 Unknown

Entry 9

Request:

PUT CodeSystem/PathologicalNodalStageCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/pathological-nodal-stage defines the following codes:

CodeDisplay
0 pNX
1 pN0
2 pN1
3 pN2
4 pN3
999 Unknown

Entry 10

Request:

PUT CodeSystem/PathologicalDistantMetastasisCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/pathological-distant-metastasis defines the following codes:

CodeDisplay
0 pMx
1 pM0
2 pM1
999 Unknown

Entry 11

Request:

PUT CodeSystem/HER2ReceptorStatusCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/her2-receptor-status defines the following codes:

CodeDisplay
0 Negative
1 Positive
2 Equivocal
3 HER2 receptor status not tested

Entry 12

Request:

PUT CodeSystem/ReceptorStatusCodeSystem

Resource CodeSystem:

This code system http://connect.ichom.org/fhir/CodeSystem/receptor-status defines the following codes:

CodeDisplay
0 No
1 Yes
2 Not performed
999 Unkown

Entry 13

Request:

PUT ValueSet/HistologicalType

Resource ValueSet:

Entry 14

Request:

PUT ValueSet/GeneticMutation

Resource ValueSet:

Entry 15

Request:

PUT ValueSet/InvasionGrade

Resource ValueSet:

Entry 16

Request:

PUT ValueSet/TumorGrade

Resource ValueSet:

Entry 17

Request:

PUT ValueSet/ClinicalTumorStage

Resource ValueSet:

Entry 18

Request:

PUT ValueSet/ClinicalNodalStage

Resource ValueSet:

Entry 19

Request:

PUT ValueSet/ClinicalDistantMetastasis

Resource ValueSet:

Entry 20

Request:

PUT ValueSet/PathologicalTumorStage

Resource ValueSet:

Entry 21

Request:

PUT ValueSet/PathologicalNodalStage

Resource ValueSet:

Entry 22

Request:

PUT ValueSet/PathologicalDistantMetastasis

Resource ValueSet:

Entry 23

Request:

PUT ValueSet/ReceptorStatus

Resource ValueSet:

Entry 24

Request:

PUT ValueSet/HER2ReceptorStatus

Resource ValueSet:

Entry 25

Request:

PUT Questionnaire/BaselineTumorFactors

Resource Questionnaire:

LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. BaselineTumorFactorsQuestionnairehttps://connect.ichom.org/fhir/Questionnaire/BaselineTumorFactors
... HistologicalDiagnosisDateThe initial date of histological diagnosis0..1date
... HISTOTYPEIndicate histologic type of the tumor (select all that apply)1..*choiceValue Set: Historical Type
... MUTBCIndicate if the patient carries a genetic mutation predisposing breast cancer1..1choiceValue Set: Genetic Mutation
... GRADEDCISIndicate tumor grade of DCIS component of tumor1..1choiceValue Set: Tumor Grade
... received_neoadjuvant_therapyHas the patient received neoadjuvant therapy?1..1boolean
... TNMCT_BREASTClinical tumor stage (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_neoadjuvant_therapy = true
Value Set: Clinical Tumor Stage
... TNMCN_BREASTClinical nodal stage (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_neoadjuvant_therapy = true
Value Set: Clinical Nodal Stage
... TNMCM_BREASTClinical distant metastasis (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_neoadjuvant_therapy = true
Value Set: Clinical Distant Metastasis
... received_surgeryHas the patient received surgery?1..1boolean
... TNMPT_BREASTPathological tumor stage (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_surgery = true
Value Set: Pathological Tumor Stage
... TNMPN_BREASTPathological nodal stage (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_surgery = true
Value Set: Pathological Nodal Stage
... TNMPM_BREASTPathological distant metastasis (per AJCC 5th - 7th Ed.)0..1choiceEnable When: received_surgery = true
Value Set: Pathological Distant Metastasis
... SIZEINVIndicate size of invasive component of tumor (in mm, 999 if unknown)1..1integerEnable When: received_surgery = true
Initial Value: integer = 999
... NumLymphNodesResectNumber of lymph nodes resected (999 if unknown)1..1integerEnable When: received_surgery = true
Initial Value: integer = 999
... LYMPHINV_BREASTNumber of lymph nodes involved according to the TNM stage AJCC 7th Ed. (999 if unknown)1..1integerEnable When: received_surgery = true
Initial Value: integer = 999
... ERSTATUSIndicate if the estrogen receptor status is positive1..1choiceEnable When: received_surgery = true
Value Set: ReceptorStatus
... PRSTATUSIndicate if the progesterone receptor status is positive1..1choiceEnable When: received_surgery = true
Value Set: ReceptorStatus
... HER2STATUSIndicate if the HER2 receptor status is positive0..1choiceEnable When: received_surgery = true
Value Set: HER2 Receptor Status

doco Documentation for this format