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



The official URL for this logical model is:


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

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 BreastCancerPresenceStatementProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. oncology-BreastCancerPresenceStatement-model 0..*
... personOfRecord 1..1Reference(BC PersonOfRecord Logical Model)The person this entry belongs to.
... conditionAssertionTopic 1..1BackboneElementA 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.
.... topicCode 1..1CodingThe concept representing the finding or action that is the topic of the statement.
Binding: BC BreastCarcinomaHistologicTypeVS ValueSet (required)
.... findingMethod 0..1CodingThe technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: BC BreastCancerDetectionVS ValueSet (preferred)
.... details 0..1stringA text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
.... category 1..*CodingA class or division of people or things having particular shared characteristics
Binding: US Core Condition Category Codes (preferred)
.... breastSite 0..*http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-modelA body site specific to the breast structure.
.... conditionCause 0..*Coding, Reference(BC Entity Logical Model | BC ClinicalStatement Logical Model)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
... conditionPresenceContext 1..1BackboneElementThe context for a condition that is known, suspected, or possibly present.
.... contextCode 1..1CodingA code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Binding: BC PresenceContextVS ValueSet (required)
.... 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.
.... verificationStatus 1..1CodingWhether an assessment has been confirmed by testing or observation.
.... onset 0..1dateTime, 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, stringThe beginning or first appearance of a mental or physical disorder.
.... abatement 0..1dateTime, 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, stringThe end, remission or resolution.
.... certainty 0..1CodingThe degree of confidence in a conclusion or assertion.
.... clinicalStatus 1..1codeA flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
Binding: Condition Clinical Status Codes (required)
.... whenClinicallyRecognized 0..1dateThe time at which a condition or condition was first identified in a healthcare context.
.... presentOnAdmission 0..1CodingIf the problem or condition existed before the current episode of care.
Binding: BC YesNoUnknownVS ValueSet (required)
.... stage 0..1BackboneElementThe relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information.
..... value 1..1CodingCode 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.
..... stageDetail 0..1Reference(BC BreastCancerStage Logical Model)The full staging information
... morphologyBehavior 0..1CodingA description of the morphology and behavioral characteristics of the cancer.
Binding: BC MorphologyBehaviorVS ValueSet (required)

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)