ICHOM Patient Centered Outcomes Measure Set for Breast Cancer
1.0.0 - trial-use

ICHOM Patient Centered Outcomes Measure Set for Breast Cancer, published by HL7 International - Clinical Interoperability Council Group. This is not an authorized publication; it is the continuous build for version 1.0.0). 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

## ValueSet: Type of complication ValueSet

Official URL: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: ComplicationTypeVS
Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

ValueSet of the type of complication experienced by the breast cancer patient

References

- Complication
- Clinical response at 6 months post-treatment follow-up

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://snomed.info/sct`

  Code | Display
  76844004 | Local infection of wound
  715068009 | Seroma
  385494008 | Hematoma
  131148009 | Bleeding
  403678005 | Skin flap necrosis
  27315000 | Removal of breast implant
  371039008 | Thromboembolic disorder
  57182000 | Nerve injury
  403675008 | Drug-induced dermatosis
  233604007 | Pneumonia
  443980004 | Neutropenic sepsis

- Include these codes as defined in `http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem`

  Code | Display
  partial-loss | Partial autologous graft loss
  total-loss | Total autologous graft loss
  delay-wound | Delay wound healing/dehiscence
  immune-toxicity | Immune related toxicity

- Include these codes as defined in `http://terminology.hl7.org/CodeSystem/v3-NullFlavor`

  Code | Display | Definition
  UNK | unknown | **Description:**A proper value is applicable, but not known. **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless: 1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown') 2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
  OTH | other | **Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system). **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc. With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

### Expansion

This value set contains 17 concepts

Expansion based on:

- Type of complication CodeSystem v1.0.0 (CodeSystem)
- NullFlavor v2.1.0 (CodeSystem)
- SNOMED CT International edition 31-Jul 2023

Code | System | Display | Definition
76844004 | http://snomed.info/sct | Local infection of wound |
715068009 | http://snomed.info/sct | Seroma |
385494008 | http://snomed.info/sct | Hematoma |
131148009 | http://snomed.info/sct | Bleeding |
403678005 | http://snomed.info/sct | Skin flap necrosis |
27315000 | http://snomed.info/sct | Removal of breast implant |
371039008 | http://snomed.info/sct | Thromboembolic disorder |
57182000 | http://snomed.info/sct | Nerve injury |
403675008 | http://snomed.info/sct | Drug-induced dermatosis |
233604007 | http://snomed.info/sct | Pneumonia |
443980004 | http://snomed.info/sct | Neutropenic sepsis |
partial-loss | http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem | Partial autologous graft loss |
total-loss | http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem | Total autologous graft loss |
delay-wound | http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem | Delay wound healing/dehiscence |
immune-toxicity | http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem | Immune related toxicity |
UNK | http://terminology.hl7.org/CodeSystem/v3-NullFlavor | unknown | **Description:**A proper value is applicable, but not known. Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless: Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
OTH | http://terminology.hl7.org/CodeSystem/v3-NullFlavor | other | **Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system). Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc. With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code