HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)



The official URL for this logical model is:


An observation with components, but without a result value or panel members.

This logical model was published on Fri Aug 17 00:00:00 UTC 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).

View the corresponding ComponentOnlyNonLaboratoryObservationProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. cimi-statement-ComponentOnlyNonLaboratoryObservation-model 0..*
... personOfRecord 1..1Reference(BC PersonOfRecord Logical Model)The person this entry belongs to.
... observationTopic 1..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ObservationTopic-modelThe base class, independent of context for evaluations (measurements, tests, or questions). The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.
.... topicCode 1..1CodingThe concept representing the finding or action that is the topic of the statement.
.... findingMethod 0..1CodingThe technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: http://loinc.org/vs (preferred)
.... details 0..1stringA text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
.... media 0..*http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-modelA file that contains audio, video, image, or similar content.
.... category 1..*CodingA class or division of people or things having particular shared characteristics
Binding: Observation Category Codes (extensible)
.... anatomicalLocation 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-modelA location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart.
.... device 0..1Reference(BC Device Logical Model)A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients.
.... precondition 0..*Coding, Reference(BC Observation Logical Model)A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
.... evaluationComponent 0..*http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-EvaluationComponent-modelA simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation.
... observationContext 1..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ObservationContext-modelContext for recording an evaluation result, used to indicate an evaluation has been made.
.... contextCode 1..1CodingA code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 424975005
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... encounter 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-modelA description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
.... interpretation 0..1CodingA clinical interpretation of a finding (applies to both assertions and observation).
Binding: Observation Interpretation Codes (extensible)
.... findingStatus 1..1codeIndicates whether the finding is preliminary, amended, final, etc.
Binding: ObservationStatus (required)
.... relevantTime 0..1dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-modelThe time or time period that the finding addresses.
.... deltaFlag 0..1CodingIndicator of significant change (delta) from the last or previous measurement.
Binding: BC DeltaFlagVS ValueSet (required)
.... issued 0..1instantThe date and time this observation was made available to providers, typically after the results have been reviewed and verified.
.... observer 0..*Reference(BC Practitioner Logical Model | BC Organization Logical Model | BC Patient Logical Model | BC RelatedPerson Logical Model)The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)