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

FindingSiteConditionTopicModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="shr-condition-FindingSiteConditionTopic-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC FindingSiteConditionTopic Logical Model</b></p>
  <p>Presence (or absence) of a distinct anatomical or pathological morphological feature or organizational pattern, acquired or innate. Examples include tissue types, tumors, and wounds.
The FindingSiteCondition topic provides not only the AnatomicalLocation (as in CIMI FindingSiteAssertionTopic), tbut also the type of structure found at that location, such as a wound or tumor.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-condition-FindingSiteConditionTopic-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="shr.condition.FindingSiteConditionTopic"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="FindingSiteConditionTopicModel"/>
  <title value="BC FindingSiteConditionTopic Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="Presence (or absence) of a distinct anatomical or pathological morphological feature or organizational pattern, acquired or innate. Examples include tissue types, tumors, and wounds.
The FindingSiteCondition topic provides not only the AnatomicalLocation (as in CIMI FindingSiteAssertionTopic), tbut also the type of structure found at that location, such as a wound or tumor."/>
  <keyword>
    <system value="http://ncimeta.nci.nih.gov"/>
    <code value="C1268086"/>
  </keyword>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="shr-condition-FindingSiteConditionTopic-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="shr-condition-FindingSiteConditionTopic-model">
      <path value="shr-condition-FindingSiteConditionTopic-model"/>
      <definition
                  value="Presence (or absence) of a distinct anatomical or pathological morphological feature or organizational pattern, acquired or innate. Examples include tissue types, tumors, and wounds.
The FindingSiteCondition topic provides not only the AnatomicalLocation (as in CIMI FindingSiteAssertionTopic), tbut also the type of structure found at that location, such as a wound or tumor."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.topicCode">
      <path value="shr-condition-FindingSiteConditionTopic-model.topicCode"/>
      <short
             value="The concept representing the finding or action that is the topic of the statement."/>
      <definition
                  value="The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the &#39;question&#39; or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-problem"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.findingMethod">
      <path value="shr-condition-FindingSiteConditionTopic-model.findingMethod"/>
      <short
             value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <definition
                  value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference value="http://loinc.org/vs"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.details">
      <path value="shr-condition-FindingSiteConditionTopic-model.details"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0947611"/>
      </code>
      <short
             value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.media">
      <path value="shr-condition-FindingSiteConditionTopic-model.media"/>
      <short
             value="A file that contains audio, video, image, or similar content."/>
      <definition
                  value="A file that contains audio, video, image, or similar content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.media"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.category">
      <path value="shr-condition-FindingSiteConditionTopic-model.category"/>
      <short
             value="A class or division of people or things having particular shared characteristics"/>
      <definition
                  value="A class or division of people or things having particular shared characteristics"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.category"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="72369-2"/>
      </code>
      <short
             value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/>
      <definition
                  value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.conditionCause">
      <path value="shr-condition-FindingSiteConditionTopic-model.conditionCause"/>
      <short
             value="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"/>
      <definition
                  value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.conditionCause"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that reduce the severity of the pathology"/>
      <definition value="Activities that reduce the severity of the pathology"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that increase the severity of the pathology"/>
      <definition value="Activities that increase the severity of the pathology"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier"/>
      <short
             value="A human-readable identifier for the condition at the finding site, for example, a wound number or tumor identifier."/>
      <definition
                  value="A human-readable identifier for the condition at the finding site, for example, a wound number or tumor identifier."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="shr-condition-FindingSiteConditionTopic-model">
      <path value="shr-condition-FindingSiteConditionTopic-model"/>
      <definition
                  value="Presence (or absence) of a distinct anatomical or pathological morphological feature or organizational pattern, acquired or innate. Examples include tissue types, tumors, and wounds.
The FindingSiteCondition topic provides not only the AnatomicalLocation (as in CIMI FindingSiteAssertionTopic), tbut also the type of structure found at that location, such as a wound or tumor."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.topicCode">
      <path value="shr-condition-FindingSiteConditionTopic-model.topicCode"/>
      <short
             value="The concept representing the finding or action that is the topic of the statement."/>
      <definition
                  value="The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the &#39;question&#39; or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-problem"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.findingMethod">
      <path value="shr-condition-FindingSiteConditionTopic-model.findingMethod"/>
      <short
             value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <definition
                  value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference value="http://loinc.org/vs"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.details">
      <path value="shr-condition-FindingSiteConditionTopic-model.details"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0947611"/>
      </code>
      <short
             value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <definition
                  value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.details"/>
        <min value="0"/>
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      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.media">
      <path value="shr-condition-FindingSiteConditionTopic-model.media"/>
      <short
             value="A file that contains audio, video, image, or similar content."/>
      <definition
                  value="A file that contains audio, video, image, or similar content."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.media"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.category">
      <path value="shr-condition-FindingSiteConditionTopic-model.category"/>
      <short
             value="A class or division of people or things having particular shared characteristics"/>
      <definition
                  value="A class or division of people or things having particular shared characteristics"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="shr-condition-FindingSiteConditionTopic-model.category"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="72369-2"/>
      </code>
      <short
             value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/>
      <definition
                  value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.anatomicalLocation"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="shr-condition-FindingSiteConditionTopic-model.conditionCause">
      <path value="shr-condition-FindingSiteConditionTopic-model.conditionCause"/>
      <short
             value="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"/>
      <definition
                  value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.conditionCause"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that reduce the severity of the pathology"/>
      <definition value="Activities that reduce the severity of the pathology"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.alleviatingFactor"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="55258-8"/>
      </code>
      <short value="Activities that increase the severity of the pathology"/>
      <definition value="Activities that increase the severity of the pathology"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.exacerbatingFactor"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier">
      <path
            value="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier"/>
      <short
             value="A human-readable identifier for the condition at the finding site, for example, a wound number or tumor identifier."/>
      <definition
                  value="A human-readable identifier for the condition at the finding site, for example, a wound number or tumor identifier."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="shr-condition-FindingSiteConditionTopic-model.findingSiteIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>