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-BreastTumor-model
An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm. (source: NCI)
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 BreastTumorProfile profile.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  oncology-BreastTumor-model | 0..* | |||
  personOfRecord | 1..1 | Reference(BC PersonOfRecord Logical Model) | The person this entry belongs to. | |
 findingSiteConditionTopic | 1..1 | BackboneElement | Presence (or absence) of a distinct anatomical or pathological morphological feature or organizational pattern, acquired or innate. Examples include tissue types, tumors, and wounds. | |
 topicCode | 1..1 | Coding | The concept representing the finding or action that is the topic of the statement. Binding: Problem Value Set (extensible) | |
| 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 BreastCancerDetectionVS ValueSet (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 Binding: US Core Condition Category Codes (preferred) | |
| breastSite | 1..* | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model | A body site specific to the breast structure. | |
 conditionCause | 0..* | Coding, Reference(BC Entity Logical Model | BC ClinicalStatement Logical Model) | The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives | |
 tumorIdentifier | 0..1 | string | A human-readable identifier for the lesion; e.g., a letter or integer. | |
| conditionPresenceContext | 1..1 | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ConditionPresenceContext-model | The context for a condition that is known, suspected, or possibly present. | |
| contextCode | 1..1 | Coding | A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Binding: BC PresenceContextVS ValueSet (required) | |
| 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. | |
| verificationStatus | 1..1 | Coding | Whether an assessment has been confirmed by testing or observation. | |
| onset | 0..1 | dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model, string | The beginning or first appearance of a mental or physical disorder. | |
| abatement | 0..1 | dateTime, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model, boolean, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model, string | The end, remission or resolution. | |
| certainty | 0..1 | Coding | The degree of confidence in a conclusion or assertion. | |
| clinicalStatus | 1..1 | code | A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition). Binding: Condition Clinical Status Codes (required) | |
| whenClinicallyRecognized | 0..1 | date | The time at which a condition or condition was first identified in a healthcare context. | |
| presentOnAdmission | 0..1 | Coding | If the problem or condition existed before the current episode of care. Binding: BC YesNoUnknownVS ValueSet (required) | |
| 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://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: 395557000 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| category | 1..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: exam |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| oncology-BreastTumor-model.findingSiteConditionTopic.topicCode | Problem Value Set | extensible | Problem Value Set |
| oncology-BreastTumor-model.findingSiteConditionTopic.findingMethod | BC BreastCancerDetectionVS ValueSet | preferred | BreastCancerDetectionVS |
| oncology-BreastTumor-model.findingSiteConditionTopic.category | US Core Condition Category Codes | preferred | US Core Condition Category Codes |
| oncology-BreastTumor-model.conditionPresenceContext.contextCode | BC PresenceContextVS ValueSet | required | PresenceContextVS |
| oncology-BreastTumor-model.conditionPresenceContext.clinicalStatus | Condition Clinical Status Codes | required | Condition Clinical Status Codes |
| oncology-BreastTumor-model.conditionPresenceContext.presentOnAdmission | BC YesNoUnknownVS ValueSet | required | YesNoUnknownVS |