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

BreastCancerGeneticAnalysisObservationModel

 

The official URL for this logical model is:

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

The status of genes known or suspected to play a role in breast cancer risk, for example, the tumor suppressor genes, BRCA1 and BRCA2.

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).

View the corresponding BreastCancerGeneticAnalysisObservationProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. oncology-BreastCancerGeneticAnalysisObservation-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.
.... 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
..... 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
.... breastSpecimen 1..1Reference(BC BreastSpecimen Logical Model)Specimen resulting from biopsy or excision of breast and surrounding tissue.
.... referenceRange 0..*http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ReferenceRange-modelThe usual or acceptable range for a test result.
.... evaluationComponent 1..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.
..... bRCA1Variant 1..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BRCA1Variant-modelWhether the patient has a mutation in the BRCA1 gene.
..... bRCA2Variant 1..1http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BRCA2Variant-modelWhether the patient has a mutation in the BRCA2 gene.
.... 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
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: genetics
..... 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)

 

Terminology Bindings

PathNameConformanceValueSet
oncology-BreastCancerGeneticAnalysisObservation-model.observationContext.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
oncology-BreastCancerGeneticAnalysisObservation-model.observationContext.findingStatusObservationStatusrequiredObservationStatus
oncology-BreastCancerGeneticAnalysisObservation-model.observationContext.deltaFlagBC DeltaFlagVS ValueSetrequiredDeltaFlagVS