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

BreastSpecimenModel

Definitions for oncology-BreastSpecimen-model.

oncology-BreastSpecimen-model
Definition

Specimen resulting from biopsy or excision of breast and surrounding tissue.

Control0..*
oncology-BreastSpecimen-model.accessionIdentifier
Definition

Identifier assigned by the lab

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-AccessionIdentifier-model
oncology-BreastSpecimen-model.specimenStatus
Definition

State of the specimen, such as obtained, processed, used.

Control0..1
BindingThe codes SHALL be taken from SpecimenStatus
TypeCoding
oncology-BreastSpecimen-model.type
Definition

The most specific code (lowest level term) describing the kind or sort of thing being represented.

Control1..1
BindingThe codes SHALL be taken from BreastSpecimenTypeVS
TypeCoding
oncology-BreastSpecimen-model.collectionSource
Definition

The person or thing the sample was obtained from.

Control0..1
TypeReference(PatientModel | GroupModel | DeviceModel | SubstanceModel)
oncology-BreastSpecimen-model.collectionTime
Definition

When the sample was obtained, as a specific time or time period.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model
oncology-BreastSpecimen-model.collectionMethod
Definition

How the specimen was obtained.

Control0..1
BindingThe codes SHALL be taken from BreastSpecimenCollectionMethodVS
TypeCoding
oncology-BreastSpecimen-model.collectionSite
Definition

The body site where specimen was collected

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model
oncology-BreastSpecimen-model.sourceSpecimen
Definition

Identifier for the source specimen from which this specimen was derived.

Control0..1
TypeReference(BreastSpecimenModel)
oncology-BreastSpecimen-model.receivedTime
Definition

Time the item was delivered to, or accepted by, the receiving facility or unit.

Control0..1
TypedateTime
oncology-BreastSpecimen-model.specimenContainer
Definition

Direct container of specimen (tube/slide, etc.)

Control0..*
TypeReference(SpecimenContainerModel)
oncology-BreastSpecimen-model.specimenTreatment
Definition

Treatment performed on the specimen.

Control0..*
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-SpecimenTreatment-model
oncology-BreastSpecimen-model.handlingRisk
Definition

Cautions on the handling of this specimen.

Control0..*
TypeCoding
oncology-BreastSpecimen-model.specialHandling
Definition

Information about the proper handling of the specimen.

Control0..*
TypeCoding
oncology-BreastSpecimen-model.tumorIdentifier
Definition

A human-readable identifier for the lesion; e.g., a letter or integer.

Control0..*
Typestring
oncology-BreastSpecimen-model.coldIschemiaTime
Definition

The time period between the chilling of a tissue or tissue sample and the time it is warmed. CIMI Alignment: In CIMI Version 0.0.4, specimen processing is represented as a 'SpecimenProcessingPerformed' clinical statement, mapped to FHIR Procedure. However, specimen processing maps to FHIR Specimen.processing, part of the Specimen resource. It would be a difficult mapping exercise (and beyond the scope of this IG) to express the mapping rule that any CIMI SpecimenProcessingPerformed clinical statement needs to mapped to FHIR by (1) finding the corresponding Specimen entity, and (2) mapping the content of (possibly multiple) SpecimenProcessingPerformed into the FHIR Specimen resource. To avoid this complexity, the breast cancer model expresses the cold ischemia time as an attribute of the BreastSpecimen rather than a separate procedure.

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model