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

BreastCancerPrimaryTumorClassificationModel

 

The official URL for this logical model is:

http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastCancerPrimaryTumorClassification-model

The size and extent of the primary tumor, based on criteria defined by the staging system being used.

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 BreastCancerPrimaryTumorClassificationProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. oncology-BreastCancerPrimaryTumorClassification-model 0..*
... personOfRecord 1..1Reference(BC PersonOfRecord Logical Model)The person this entry belongs to.
... observationTopic 1..1BackboneElementThe 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.
..... 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: 78873005
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... 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..1CodingA class or division of people or things having particular shared characteristics
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: exam
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... breastSite 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-modelA body site specific to the breast structure.
.... specimen 0..1Reference(BC Specimen Logical Model)A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities.
.... evaluationComponent 0..1A 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.
..... stageSuffix 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-StageSuffix-modelA suffix used in conjuction with certain cancer stages, based on criteria defined by the staging system being used.
.... panelMembers 0..1BackboneElementPanelMembers represent the elements of a group of a related but independent evaluations.
..... observation 0..1Represents the result of evaluations (measurements, tests, or questions) that have been performed.
...... tumorDimensions 0..1Reference(BC TumorDimensions Logical Model)Dimension size of the tumor sample evaluated for staging. Dimensions include a size measurements for the longest diameter and the short axis (per RECIST guidelines) as well as margin measurements.
...... tumorMargins 0..1Reference(BC TumorMargins Logical Model)The edge or border of the tissue removed in cancer surgery. The margin is described as negative or clean when the pathologist finds no cancer cells at the edge of the tissue, suggesting that all of the cancer has been removed. The margin is described as positive or involved when the pathologist finds cancer cells at the edge of the tissue, suggesting that all of the cancer has not been removed.
... observationContext 1..1BackboneElementContext 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.
.... resultValue 0..1CodingThe finding itself, such as the blood pressure value recorded.
.... exceptionValue 0..1CodingReason that a value associated with a test or other finding is missing.
Binding: DataAbsentReason (extensible)
.... 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.
... tumorIdentifier 0..1stringA human-readable identifier for the lesion; e.g., a letter or integer.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)