HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)
This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions 
The official URL for this logical model is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-LaboratoryObservationTopic-model
The 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.
This logical model was published on Fri Aug 17 00:00:00 AEST 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
This IG does not define a corresponding profile for this logical model.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  cimi-topic-LaboratoryObservationTopic-model | 0..* | |||
  topicCode | 1..1 | Coding | The concept representing the finding or action that is the topic of the statement. | |
| findingMethod | 0..1 | Coding | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. Binding: http://loinc.org/vs (preferred) | |
 details | 0..1 | string | A 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-model | A file that contains audio, video, image, or similar content. | |
| category | 1..* | Coding | A class or division of people or things having particular shared characteristics | |
  extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/observation-category |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
 device | 0..1 | Reference(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..1 | Reference(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. | |
 precondition | 0..* | Coding, Reference(BC Observation Logical Model) | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
| referenceRange | 0..* | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ReferenceRange-model | The usual or acceptable range for a test result. | |
| evaluationComponent | 0..* | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-EvaluationComponent-model | A 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. | |
| panelMembers | 0..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-PanelMembers-model | PanelMembers represent the elements of a group of a related but independent evaluations. | |
| diagnosticService | 0..* | Coding | The service completing the observations, e.g. biochemistry, microbiology, blood bank. Binding: Diagnostic Service Section Codes (extensible) | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| cimi-topic-LaboratoryObservationTopic-model.findingMethod | ?ext | preferred | http://loinc.org/vs |
| cimi-topic-LaboratoryObservationTopic-model.diagnosticService | Diagnostic Service Section Codes | extensible | Diagnostic Service Section Codes |