ICHOM FHIR Implementation Guide: Breast Cancer
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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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Questionnaires

These define forms used by systems conforming to this implementation guide to capture or expose data to end users

BaselineTumorFactors

Baseline Tumor Factors

BreastQ

Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

Demographics

Demographic Factors

EORTCQLQ

European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ). Including the core questionnaire and the breast cancer and liver metastases colorectal modules

FACTES

Functional Assessment of Cancer Therapy Questionnaire

SACQComorbidities

Based upon the Self-administered Comorbidity Questionnaire (Sangha et al, 2003).

Survival

Survival and disease control questionnaire

TreatmentVariables

Treatment variables

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide

Boolean extended Code System

Extended Code System of boolean

Type of surgery for the Patient Reported Outcomes Instrument (BreastQ)

Type of surgery of the patient in the Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

Patient Reported Outcomes Instrument response (BreastQ)

Valueset used in the Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

BreastSurgeryTypes

Codes indicating the kind of surgery a patient undertook

Type of chemotherapy ValueSet

Codes indicating the type of chemotherapy

Clinical Distant Metastasis

Clinical distant metastasis (per AJCC 5th - 7th Ed.)

Clinical Nodal Stage

Clinical nodal stage (per AJCC 5th - 7th Ed.)

Clinical Tumor Stage

Clinical tumor stage (per AJCC 5th - 7th Ed.)

Complication impact ValueSet

Codes indicating if the impact of complications

Complication type ValueSet

Codes indicating the type of complication

Delayed reconstruction Code System

Codes indicating type of delayed reconstruction

Country

Country (e.g. of residence)

Sex of patient

Codes used in sex of patient

Values used in EORTC-QLQ questionnaire response

Valueset used in the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire

EducationLevel

Highest level of education completed based on local standard definitions of education levels

Valueset of FACT-ES questionnaire

Valueset used in the Functional Assessment of Cancer Therapy questionnare

Genetic Mutation

A genetic mutation predisposing the patient to breast cancer

HER2 Receptor Status

HER2 receptor status

Historical Type

Histologic type of the tumor

Hormonal therapy type ValueSet

Codes indicating the type of hormonal therapy

Invasion Grade

Grade of invasive component of tumor

Involved margins ValueSet

Codes indicating if the patient received surgery due to involved margins

MenopausalStatus

Menopausal Status

Pathological Distant Metastasis

Pathological distant metastasis (per AJCC 5th - 7th Ed.)

Pathological Nodal Stage

Pathological nodal stage (per AJCC 5th - 7th Ed.)

Pathological Tumor Stage

Pathological tumor stage (per AJCC 5th - 7th Ed.)

Location of radiotherapy ValueSet

Codes indicating the Location of radiotherapy

ReceptorStatus

Estrogen/progesterone receptor status

Method of confirming recurrence

Codes used describe the method to confirm recurrence of neoplasm

Recurrence of neoplasm

Codes used to indicate recurrence of neoplasm

RelationshipStatus

Relationship Status

Reoperations ValueSet

Codes indicating if the patient received a reoperation

Timing of the response of the BreastQ

Patient reported outcome measures are repeatedly collected from patients.

Timing of the response of survival questionnaire

The survival questionnaire is repeatedly collected from patients starting at the first year post-treatment up untill 10 years post-treatment.

Timing of the response of the patient reported outcome measures

Patient reported outcome measures are repeatedly collected from patients starting at the first doctor’s visit (baseline) up untill 10 years after treatment.

SACQ Patient's comorbidity history

Patient’s documented history of comorbidities

Surgery Axilla Types

Codes indicating the kind of axilla surgery was performed

Systemic Therapy ValueSet

Codes indicating if the patient received systemic therapy

Targeted Therapy ValueSet

Codes indicating type of targeted therapy

Intent of Therapy ValueSet

Codes indicating the intent of Therapy

Treatment variables

Codes indicating the kind of treatment a patient undertook

Tumor Grade

Tumor grade of DCIS component of tumor

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide

Boolean extended Code System

Extended Code System of boolean

Patient Reported Outcomes Instrument response (BreastQ)

Codes used in the Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

Type of surgery for BreastQ

Type of surgery of the patient in the Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

Breast surgery types

Codes indicating the kind of surgery a patient undertook

Type of chemotherapy Code System

Codes indicating the type of chemotherapy

Clinical Distant Metastasis Code System

Clinical distant metastasis (per AJCC 5th - 7th Ed.)

Clinical Nodal Stage Code System

Clinical nodal stage (per AJCC 5th - 7th Ed.)

Clinical Tumor Stage Code System

Clinical tumor stage (per AJCC 5th - 7th Ed.)

Complication impact Code System

Codes indicating if the impact of complications

Complication type Code System

Codes indicating the type of complication

Delayed reconstruction Code System

Codes indicating type of delayed reconstruction

Codes used in EORTC-QLQ questionnaire response

Codes used in the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire

EducationLevelCodeSystem

Highest level of education completed based on local standard definitions of education levels

Codesystem of FACT-ES questionnaire

Codes used in the Functional Assessment of Cancer Therapy questionnare

Genetic Mutation

A genetic mutation predisposing the patient to breast cancer

HER2 Receptor Status Code System

HER2 receptor status

Histological Type

Histologic type of the tumor

Hormonal therapy type Code System

Codes indicating the type of hormonal therapy

Invasion Grade CodeSystem

Grade of invasive component of tumor

Involved margins Code System

Codes indicating if the patient received surgery due to involved margins

MenopausalStatusCodeSystem

Menopausal Status

Pathological Distant Metastasis Code System

Pathological distant metastasis (per AJCC 5th - 7th Ed.)

Pathological Nodal Stage Code System

Pathological nodal stage (per AJCC 5th - 7th Ed.)

Pathological Tumor Stage Code System

Pathological tumor stage (per AJCC 5th - 7th Ed.)

Location of radiotherapy Code System

Codes indicating the location of radiotherapy

Receptor Status Positive Code System

Estrogen/progesterone receptor status

Recurrence of neoplasm

Codes used to indicate recurrence of neoplasm

Method of confirming recurrence

Codes used describe the method to confirm recurrence of neoplasm

RelationshipStatusCodeSystem

Codes used in ICHOM relationship status that are not available yet in standard terminologies

Reoperations Code System

Codes indicating if the patient received a reoperation

Timing of the response of the patient reported outcome measures

Patient reported outcome measures are repeatedly collected from patients starting at the first doctor’s visit (baseline) up untill 10 years after treatment.

SACQ patient's comorbidity history

Codes used in SACQ patient’s comorbidity history that are not available yet in standard terminologies

Surgery Axilla Code System

Codes indicating the kind of surgery axilla was performed

Systemic Therapy Code System

Codes indicating if the patient received systemic therapy

Targeted Therapy Code System

Codes indicating type of targeted therapy

Intent of Therapy Code System

Codes indicating the intent of Therapy

Treatment variables

Codes indicating the kind of treatment a patient undertook

Tumor Grade Code System

Tumor grade of DCIS component of tumor

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

Bundle of all valuesystems and questionnaires related to BaselineTumorFactors

Bundle of the BaselineTumorFactors Questionnaire

Bundle of all valuesystems and questionnaires related to BreastQ

Bundle of the Patient Reported Outcomes Instrument about quality of life of patients with breast cancer

Bundle of all valuesystems and questionnaires related to EORTCQLQ

Bundle of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)

Bundle of all valuesystems and questionnaires related to FACT-ES

Bundle of the Functional Assesment of Cancer Therapy Questionnaire

Bundle of all valuesystems and questionnaires related to SACQComorbidities

Bundle of the Self-administered Comorbidity Questionnaire

Bundle of all valuesystems and questionnaires related to Survival and Disease control

Bundle of the Survival and disease control questionnaire

Bundle of all valuesystems and questionnaires related to demographics

Bundle of the Demographics Questionnaire