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

BreastCancerPresenceStatementModel

Definitions for oncology-BreastCancerPresenceStatement-model.

1. oncology-BreastCancerPresenceStatement-model
Definition

Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body.

Control0..*
2. oncology-BreastCancerPresenceStatement-model.personOfRecord
Definition

The person this entry belongs to.

Control1..1
TypeReference(PersonOfRecordModel)
3. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic
Definition

A condition, independent of context. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context.

Control1..1
TypeBackboneElement
4. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.topicCode
Definition

The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding.

Control1..1
BindingThe codes SHALL be taken from BC BreastCarcinomaHistologicTypeVS ValueSet
TypeCoding
5. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.findingMethod
Definition

The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.

Control0..1
BindingThe codes SHOULD be taken from BC BreastCancerDetectionVS ValueSet
TypeCoding
6. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.details
Definition

A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.

Control0..1
Typestring
7. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.media
Definition

A file that contains audio, video, image, or similar content.

Control0..0
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model
8. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.category
Definition

A class or division of people or things having particular shared characteristics

Control1..*
BindingThe codes SHOULD be taken from US Core Condition Category Codes
TypeCoding
9. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.breastSite
Definition

A body site specific to the breast structure.

Control0..*
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model
10. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.conditionCause
Definition

The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives

Control0..*
TypeChoice of: Coding, Reference(EntityModel | ClinicalStatementModel)
11. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.alleviatingFactor
Definition

Activities that reduce the severity of the pathology

Control0..0
TypeCoding
12. oncology-BreastCancerPresenceStatement-model.conditionAssertionTopic.exacerbatingFactor
Definition

Activities that increase the severity of the pathology

Control0..0
TypeCoding
13. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext
Definition

The context for a condition that is known, suspected, or possibly present.

Control1..1
TypeBackboneElement
14. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.contextCode
Definition

A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.

Control1..1
BindingThe codes SHALL be taken from BC PresenceContextVS ValueSet
TypeCoding
15. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.encounter
Definition

A 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.

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model
16. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.verificationStatus
Definition

Whether an assessment has been confirmed by testing or observation. CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code.

Control1..1
TypeCoding
17. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.onset
Definition

The beginning or first appearance of a mental or physical disorder.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model, string
18. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.abatement
Definition

The end, remission or resolution.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model, boolean, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model, string
19. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.certainty
Definition

The degree of confidence in a conclusion or assertion.

Control0..1
TypeCoding
20. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.clinicalStatus
Definition

A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).

Control1..1
BindingThe codes SHALL be taken from Condition Clinical Status Codes
Typecode
21. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.whenClinicallyRecognized
Definition

The time at which a condition or condition was first identified in a healthcare context.

Control0..1
Typedate
22. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.presentOnAdmission
Definition

If the problem or condition existed before the current episode of care.

Control0..1
BindingThe codes SHALL be taken from BC YesNoUnknownVS ValueSet
TypeCoding
23. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.severity
Definition

Degree of harshness or extent of a symptom, disorder, or condition.

Control0..0
BindingThe codes SHALL be taken from Condition/Diagnosis Severity
TypeCoding
24. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage
Definition

The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information.

Control0..1
TypeBackboneElement
25. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.value
Definition

Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information.

Control1..1
TypeCoding
26. oncology-BreastCancerPresenceStatement-model.conditionPresenceContext.stage.stageDetail
Definition

The full staging information

Control0..1
TypeReference(BreastCancerStageModel)
27. oncology-BreastCancerPresenceStatement-model.morphologyBehavior
Definition

A description of the morphology and behavioral characteristics of the cancer.

Control0..1
BindingThe codes SHALL be taken from BC MorphologyBehaviorVS ValueSet
TypeCoding