IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

Logical Model: PathologicalReportInfoI4rc - Detailed Descriptions

Draft as of 2024-11-12

Definitions for the PathologicalReportInfo logical model.

Guidance on how to interpret the contents of this table can be found here

0. PathologicalReportInfo
Definition

Pathological Report Info

ShortPathological Report Info
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PathologicalReportInfo.episodeEvent
Definition

EpisodeEvent element containing the data regarding the patient's cancer

ShortEpisode Event Reference
Control1..1
Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
Obligations
    ObligationsActor
    SHALL:handle
    4. PathologicalReportInfo.degreeOfCytologicAtypia
    Definition

    Defines the degree of cytologic atypia

    ShortDegree of cytologic Atypia
    Comments

    mild, moderate, severe Mild cytologic atypia - 4201008 Moderate cytologic atypia - 4086011 Severe cytologic atypia - 4203317

    Control0..1
    TypeCodeableConcept
    Obligations
      ObligationsActor
      SHALL:handle
      6. PathologicalReportInfo.patternOfGrowth
      Definition

      Pattern of Growth

      ShortPattern of Growth
      Control0..1
      TypeBackboneElement
      Obligations
        ObligationsActor
        SHALL:handle
        8. PathologicalReportInfo.mitoticActivity
        Definition

        Mitotic Activity

        ShortMitotic Activity
        Control0..1
        TypeQuantity
        Obligations
          ObligationsActor
          SHALL:handle
          10. PathologicalReportInfo.infiltrationOfSurroundingMyometrium
          Definition

          Infiltration of surrounding myometrium

          ShortInfiltration of surrounding myometrium
          Control0..1
          TypeBackboneElement
          Obligations
            ObligationsActor
            SHALL:handle
            12. PathologicalReportInfo.typeOfNecrosis
            Definition

            Type of necrosis

            ShortType of necrosis
            Comments

            coagulative necrosis, caseous necrosis, liquefactive necrosis, fat necrosis, fibrinoid necrosis, and gangrenous necrosis Coagulative necrosis - 4138252 Caseous necrosis - 4144966 Liquefactive necrosis - 4219751 Fat necrosis - 4195121 Fibrinoid necrosis - 4179476 Gangrenous necrosis -

            Control0..1
            TypeCodeableConcept
            Obligations
              ObligationsActor
              SHALL:handle
              14. PathologicalReportInfo.expressionOfErPr
              Definition

              Expression of ER/PR

              ShortExpression of ER/PR
              Control0..1
              TypeBackboneElement
              Obligations
                ObligationsActor
                SHALL:handle
                16. PathologicalReportInfo.vascularIntrusionOrInvasion
                Definition

                vascular intrusion or invasion

                Shortvascular intrusion or invasion
                Comments

                True;False Vascular invasion by tumor present - 4163142

                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Obligations
                  ObligationsActor
                  SHALL:handle
                  18. PathologicalReportInfo.p16AndP53Expression
                  Definition

                  p16 and p53 expression

                  Shortp16 and p53 expression
                  Control0..1
                  TypeBackboneElement
                  Obligations
                    ObligationsActor
                    SHALL:handle

                    Guidance on how to interpret the contents of this table can be found here

                    0. PathologicalReportInfo
                    Definition

                    Pathological Report Info

                    ShortPathological Report Info
                    Control0..*
                    Is Modifierfalse
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    2. PathologicalReportInfo.episodeEvent
                    Definition

                    EpisodeEvent element containing the data regarding the patient's cancer

                    ShortEpisode Event Reference
                    Control1..1
                    Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                    Obligations
                      ObligationsActor
                      SHALL:handle
                      4. PathologicalReportInfo.degreeOfCytologicAtypia
                      Definition

                      Defines the degree of cytologic atypia

                      ShortDegree of cytologic Atypia
                      Comments

                      mild, moderate, severe Mild cytologic atypia - 4201008 Moderate cytologic atypia - 4086011 Severe cytologic atypia - 4203317

                      Control0..1
                      TypeCodeableConcept
                      Obligations
                        ObligationsActor
                        SHALL:handle
                        6. PathologicalReportInfo.patternOfGrowth
                        Definition

                        Pattern of Growth

                        ShortPattern of Growth
                        Control0..1
                        TypeBackboneElement
                        Obligations
                          ObligationsActor
                          SHALL:handle
                          8. PathologicalReportInfo.mitoticActivity
                          Definition

                          Mitotic Activity

                          ShortMitotic Activity
                          Control0..1
                          TypeQuantity
                          Obligations
                            ObligationsActor
                            SHALL:handle
                            10. PathologicalReportInfo.infiltrationOfSurroundingMyometrium
                            Definition

                            Infiltration of surrounding myometrium

                            ShortInfiltration of surrounding myometrium
                            Control0..1
                            TypeBackboneElement
                            Obligations
                              ObligationsActor
                              SHALL:handle
                              12. PathologicalReportInfo.typeOfNecrosis
                              Definition

                              Type of necrosis

                              ShortType of necrosis
                              Comments

                              coagulative necrosis, caseous necrosis, liquefactive necrosis, fat necrosis, fibrinoid necrosis, and gangrenous necrosis Coagulative necrosis - 4138252 Caseous necrosis - 4144966 Liquefactive necrosis - 4219751 Fat necrosis - 4195121 Fibrinoid necrosis - 4179476 Gangrenous necrosis -

                              Control0..1
                              TypeCodeableConcept
                              Obligations
                                ObligationsActor
                                SHALL:handle
                                14. PathologicalReportInfo.expressionOfErPr
                                Definition

                                Expression of ER/PR

                                ShortExpression of ER/PR
                                Control0..1
                                TypeBackboneElement
                                Obligations
                                  ObligationsActor
                                  SHALL:handle
                                  16. PathologicalReportInfo.vascularIntrusionOrInvasion
                                  Definition

                                  vascular intrusion or invasion

                                  Shortvascular intrusion or invasion
                                  Comments

                                  True;False Vascular invasion by tumor present - 4163142

                                  Control0..1
                                  Typeboolean
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Obligations
                                    ObligationsActor
                                    SHALL:handle
                                    18. PathologicalReportInfo.p16AndP53Expression
                                    Definition

                                    p16 and p53 expression

                                    Shortp16 and p53 expression
                                    Control0..1
                                    TypeBackboneElement
                                    Obligations
                                      ObligationsActor
                                      SHALL:handle

                                      Guidance on how to interpret the contents of this table can be found here

                                      0. PathologicalReportInfo
                                      Definition

                                      Pathological Report Info

                                      ShortPathological Report Info
                                      Control0..*
                                      Is Modifierfalse
                                      Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                      2. PathologicalReportInfo.episodeEvent
                                      Definition

                                      EpisodeEvent element containing the data regarding the patient's cancer

                                      ShortEpisode Event Reference
                                      Control1..1
                                      Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                                      Obligations
                                        ObligationsActor
                                        SHALL:handle
                                        4. PathologicalReportInfo.degreeOfCytologicAtypia
                                        Definition

                                        Defines the degree of cytologic atypia

                                        ShortDegree of cytologic Atypia
                                        Comments

                                        mild, moderate, severe Mild cytologic atypia - 4201008 Moderate cytologic atypia - 4086011 Severe cytologic atypia - 4203317

                                        Control0..1
                                        TypeCodeableConcept
                                        Obligations
                                          ObligationsActor
                                          SHALL:handle
                                          6. PathologicalReportInfo.patternOfGrowth
                                          Definition

                                          Pattern of Growth

                                          ShortPattern of Growth
                                          Control0..1
                                          TypeBackboneElement
                                          Obligations
                                            ObligationsActor
                                            SHALL:handle
                                            8. PathologicalReportInfo.mitoticActivity
                                            Definition

                                            Mitotic Activity

                                            ShortMitotic Activity
                                            Control0..1
                                            TypeQuantity
                                            Obligations
                                              ObligationsActor
                                              SHALL:handle
                                              10. PathologicalReportInfo.infiltrationOfSurroundingMyometrium
                                              Definition

                                              Infiltration of surrounding myometrium

                                              ShortInfiltration of surrounding myometrium
                                              Control0..1
                                              TypeBackboneElement
                                              Obligations
                                                ObligationsActor
                                                SHALL:handle
                                                12. PathologicalReportInfo.typeOfNecrosis
                                                Definition

                                                Type of necrosis

                                                ShortType of necrosis
                                                Comments

                                                coagulative necrosis, caseous necrosis, liquefactive necrosis, fat necrosis, fibrinoid necrosis, and gangrenous necrosis Coagulative necrosis - 4138252 Caseous necrosis - 4144966 Liquefactive necrosis - 4219751 Fat necrosis - 4195121 Fibrinoid necrosis - 4179476 Gangrenous necrosis -

                                                Control0..1
                                                TypeCodeableConcept
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handle
                                                  14. PathologicalReportInfo.expressionOfErPr
                                                  Definition

                                                  Expression of ER/PR

                                                  ShortExpression of ER/PR
                                                  Control0..1
                                                  TypeBackboneElement
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handle
                                                    16. PathologicalReportInfo.vascularIntrusionOrInvasion
                                                    Definition

                                                    vascular intrusion or invasion

                                                    Shortvascular intrusion or invasion
                                                    Comments

                                                    True;False Vascular invasion by tumor present - 4163142

                                                    Control0..1
                                                    Typeboolean
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handle
                                                      18. PathologicalReportInfo.p16AndP53Expression
                                                      Definition

                                                      p16 and p53 expression

                                                      Shortp16 and p53 expression
                                                      Control0..1
                                                      TypeBackboneElement
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handle