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

BreastPathologicalLymphNodeInvolvementModel

 

The official URL for this logical model is:

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

Clinical assessment of lymph nodes for presence of cancer cells in staging the N category in cancers.

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 BreastPathologicalLymphNodeInvolvementProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. oncology-BreastPathologicalLymphNodeInvolvement-model 0..*
... personOfRecord 1..1Reference(BC PersonOfRecord Logical Model)The person this entry belongs to.
... laboratoryObservationTopic 1..1BackboneElementThe topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations.
.... 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: 399656008
..... 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.
.... 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
..... 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: laboratory
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... 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.
.... specimen 1..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.
.... referenceRange 0..*http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ReferenceRange-modelThe usual or acceptable range for a test result.
.... 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.
..... breastLymphNodeInvolvement 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastLymphNodeInvolvement-modelIdentification of whether tumor cells have extended to the lymph nodes. Formerly known as BreastNodeInvolvementValues
..... lymphNodeSamplingMethod 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-LymphNodeSamplingMethod-modelThe procedure method used to obtain the specimen analyzed for the pathological lymph node involvement.
..... totalNumberOfLymphNodesExamined 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-TotalNumberOfLymphNodesExamined-modelTotal number of lymph nodes examined for the presence of cancer cells
..... numberOfRegionalLymphNodes 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-NumberOfRegionalLymphNodes-modelNumber of regional lymph nodes examined for the presence of cancer cells
..... numberOfSentinelLymphNodes 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-NumberOfSentinelLymphNodes-modelNumber of sentinel lymph nodes examined for the presence of cancer cells
..... numberOfLymphNodesWithIsolatedTumorCells 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-NumberOfLymphNodesWithIsolatedTumorCells-modelNumber of lymph nodes with isolated metatstatic tumor cells examined for the presence of cancer cells
..... numberOfLymphNodesWithMicrometastases 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-NumberOfLymphNodesWithMicrometastases-modelNumber of lymph nodes with micrometastases examined
..... numberOfLymphNodesWithMacrometastases 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-NumberOfLymphNodesWithMacrometastases-modelNumber of lymph nodes with macrometastases examined
..... extraCapsularExtensionOfNodalTumorStatus 0..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-ExtraCapsularExtensionOfNodalTumorStatus-modelStatus for presence of extranodal extension of carcinoma where extranodal extension is the perforation of a cancer through the capsule of a lymph node into the tissue surrounding the node.
.... diagnosticService 0..*CodingThe service completing the observations, e.g. biochemistry, microbiology, blood bank.
..... 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/v2/0074
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: PAT
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
... 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)