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/oncology-BreastClinicalLymphNodeInvolvement-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 AEST 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
View the corresponding BreastClinicalLymphNodeInvolvementProfile profile.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  oncology-BreastClinicalLymphNodeInvolvement-model | 0..* | |||
  personOfRecord | 1..1 | Reference(BC PersonOfRecord Logical Model) | The person this entry belongs to. | |
 observationTopic | 1..1 | BackboneElement | The 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..1 | Coding | The concept representing the finding or action that is the topic of the statement. | |
 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://ncimeta.nci.nih.gov |
| 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: C0806692 |
| display | Σ | 0..1 | string | Representation defined by the system |
 userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| findingMethod | 0..1 | Coding | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. Binding: BC LymphNodeClinicalMethodVS ValueSet (extensible) | |
| 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. | |
| category | 1..* | Coding | A class or division of people or things having particular shared characteristics Binding: Observation Category Codes (extensible) | |
 breastLymphNodeBodySite | 0..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastLymphNodeBodySite-model | A body site specific to the lymph node structure. | |
| 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. | |
| evaluationComponent | 0..1 | 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. | ||
 lymphNodeMobility | 0..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-LymphNodeMobility-model | Lymph node palpable | |
| lymphNodeSize | 0..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-LymphNodeSize-model | Size of the lymph node or lymph node group which is being clinically assessed. | |
| observationContext | 1..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ObservationContext-model | Context for recording an evaluation result, used to indicate an evaluation has been made. | |
| contextCode | 1..1 | Coding | A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. | |
| 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://snomed.info/sct |
| 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: 424975005 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| encounter | 0..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model | A 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..1 | Coding | A clinical interpretation of a finding (applies to both assertions and observation). Binding: Observation Interpretation Codes (extensible) | |
| findingStatus | 1..1 | code | Indicates whether the finding is preliminary, amended, final, etc. Binding: ObservationStatus (required) | |
 relevantTime | 0..1 | dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model | The time or time period that the finding addresses. | |
| deltaFlag | 0..1 | Coding | Indicator of significant change (delta) from the last or previous measurement. Binding: BC DeltaFlagVS ValueSet (required) | |
| issued | 0..1 | instant | The 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. | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| oncology-BreastClinicalLymphNodeInvolvement-model.observationTopic.findingMethod | BC LymphNodeClinicalMethodVS ValueSet | extensible | LymphNodeClinicalMethodVS |
| oncology-BreastClinicalLymphNodeInvolvement-model.observationTopic.category | Observation Category Codes | extensible | Observation Category Codes |
| oncology-BreastClinicalLymphNodeInvolvement-model.observationContext.interpretation | Observation Interpretation Codes | extensible | Observation Interpretation Codes |
| oncology-BreastClinicalLymphNodeInvolvement-model.observationContext.findingStatus | ObservationStatus | required | ObservationStatus |
| oncology-BreastClinicalLymphNodeInvolvement-model.observationContext.deltaFlag | BC DeltaFlagVS ValueSet | required | DeltaFlagVS |