ICHOM FHIR Implementation Guide: Breast Cancer
1.0.0-ballot - ballot
ICHOM FHIR Implementation Guide: Breast Cancer
1.0.0-ballot - ballot
This page is part of the ICHOM FHIR Implementation Guide: Breast Cancer (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
Bundle DebugBundleClinical-01-Baseline of type transaction
Entry 1
Request:
PUT ValueSet/LateralityVS
Resource ValueSet:
- Include these codes as defined in
http://snomed.info/sct
Code Display 80248007 Left breast structure 73056007 Right breast structure 63762007 Both breasts
Entry 2
Request:
PUT ValueSet/NoYesUnknownVS
Resource ValueSet:
- Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v2-0532
Code Display Definition Y Yes Yes N No No UNK Unknown unknown
Entry 3
Request:
PUT ValueSet/LateralityNewCancerVS
Resource ValueSet:
- Include these codes as defined in
http://snomed.info/sct
Code Display 255208005 Ipsilateral 255209002 Contralateral
Entry 4
Request:
PUT ValueSet/HistologicalTypeVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 399935008 Ductal carcinoma in situ - category 373395001 Invasive ductal carcinoma with an extensive intraductal component 722524005 Primary invasive pleomorphic lobular carcinoma of breast - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition OTH other **Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).
**Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.
With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 5
Request:
PUT ValueSet/GermlineMutationVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 445180002 Breast cancer genetic marker of susceptibility negative (finding) 412734009 BRCA1 gene mutation positive (finding) 412738007 BRCA2 gene mutation positive (finding) 416237000 Procedure not done - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition OTH other **Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).
**Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.
With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
Entry 6
Request:
PUT ValueSet/GradingVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 399415002 Low grade histologic differentiation (finding) 405986005 Intermediate grade histologic differentiation (finding) 399611001 High grade histologic differentiation (finding) - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition NI No information **Description:**The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.
Entry 7
Request:
PUT ValueSet/TNMPrimaryTumorVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 1222604002 American Joint Committee on Cancer cTX 1228882005 American Joint Committee on Cancer cT0 1228885007 American Joint Committee on Cancer cTis(DCIS) 1228888009 American Joint Committee on Cancer cTis(Paget) 1228889001 American Joint Committee on Cancer cT1 1228929004 American Joint Committee on Cancer cT2 1228938002 American Joint Committee on Cancer cT3 1228944003 American Joint Committee on Cancer cT4 1228950008 American Joint Committee on Cancer pTX 1228951007 American Joint Committee on Cancer pT0 1228954004 American Joint Committee on Cancer pTis(DCIS) 1228956002 American Joint Committee on Cancer pTis(Paget) 1228957006 American Joint Committee on Cancer pT1 1229852009 American Joint Committee on Cancer pT2 1229859000 American Joint Committee on Cancer pT3 1229864001 American Joint Committee on Cancer pT4 - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 8
Request:
PUT ValueSet/TNMRegionalNodesVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 1229966003 American Joint Committee on Cancer cNX 1229967007 American Joint Committee on Cancer cN0 1229973008 American Joint Committee on Cancer cN1 1229978004 American Joint Committee on Cancer cN2 1229984001 American Joint Committee on Cancer cN3 1229945006 American Joint Committee on Cancer pNX 1229947003 American Joint Committee on Cancer pN0 1229951001 American Joint Committee on Cancer pN1 1229957002 American Joint Committee on Cancer pN2 1229962001 American Joint Committee on Cancer pN3 - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 9
Request:
PUT ValueSet/TNMDistantMetastasesVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 1229901006 American Joint Committee on Cancer cM0 1229903009 American Joint Committee on Cancer cM1 1229916009 American Joint Committee on Cancer pM1 - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 10
Request:
PUT ValueSet/EstrogenStatusVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 373572006 Clinical finding absent 416053008 Estrogen receptor positive tumor 416237000 Procedure not done - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 11
Request:
PUT ValueSet/ProgesteroneStatusVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 441118006 Progesterone receptor negative neoplasm 416561008 Progesterone receptor positive tumor 416237000 Procedure not done - Include these codes as defined in
http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Code Display Definition UNK unknown **Description:**A proper value is applicable, but not known.
**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
Entry 12
Request:
PUT ValueSet/HER2ReceptorStatusVS
Resource ValueSet:
- Include these codes as defined in
http://snomed.info/sct
Code Display 431396003 Human epidermal growth factor 2 negative carcinoma of breast 427685000 Human epidermal growth factor 2 positive carcinoma of breast 280414007 Equivocal result 416237000 Procedure not done
Entry 13
Request:
PUT CodeSystem/MolecularProfilingCodeSystem
Resource CodeSystem:
This code system
http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/MolecularProfilingCodeSystemdefines the following codes:
Code Display mammaprint Mammaprint Score oncotype Oncotype Score endopredict Endopredict Score
Entry 14
Request:
PUT ValueSet/MolecularProfilingStatusVS
Resource ValueSet:
- Include these codes as defined in
http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/MolecularProfilingCodeSystem
Code Display mammaprint Mammaprint Score oncotype Oncotype Score endopredict Endopredict Score
Entry 15
Request:
PUT ValueSet/RecommendedTreatmentTypeVS
Resource ValueSet:
This value set includes codes based on the following rules:
- Include these codes as defined in
http://snomed.info/sct
Code Display 387713003 Surgical procedure 108290001 Radiation oncology AND/OR radiotherapy 169413002 Hormone therapy 76334006 Immunotherapy 243114000 Support - Include these codes as defined in
http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
Code Display adjuvant-chemotherapy Adjuvant chemotherapy neoadjuvant-chemotherapy Neoadjuvant chemotherapy targeted-therapy Targeted therapy
Entry 16
Request:
PUT Questionnaire/ClinicalResponseBaseline
Resource Questionnaire:
LinkId Text Cardinality Type Flags Description & Constraints ClinicalResponseBaseline
Questionnaire http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseBaseline General-Information-Clinical
General information 1..1 group NA-Clinical
What is the patient's medical record number? 1..1 string Expressions:
- Initial Value:
%patient.idWhat is the patient's last name? 1..1 string Expressions:
- Initial Value:
%patient.name.first().family.first()Demographic factors 1..1 group Sex
Indicate the sex of the patient at birth: 1..1 choice Value Set: AdministrativeGender
Expressions:
- Initial Value:
%expandedGender.expansion.contains.where(code=%patient.gender)YearOfBirth
In what year was the patient born? 1..1 integer Max Length: 4
Expressions:
- Initial Value:
%patient.birthDate.substring(0,4)Clinical factors 1..1 group Height
Indicate the patient's body height 1..1 quantity Indicate the patient's weight. 1..1 quantity Indicate the laterality of breast cancer 1..1 choice Value Set: Laterality of breast cancer ValueSet Indicate if this is the first breast cancer 1..1 choice Value Set: Yes, No and Unknown Valueset Indicate if this is a new cancer on contralateral or ipsilateral breast 1..1 choice Enable When: FIRSTBC = No (expandedYes-NoIndicator#N)
Value Set: Laterality of new cancer ValueSetTumor factors 1..1 group HistologicalDateKnown
Is the date of histological diagnosis known? 1..1 boolean HistologicalDiagnosisDate
Indicate the initial date of histological diagnosis: 1..1 date Enable When: HistologicalDateKnown = true Indicate the histologic type of the tumor (select all that apply) 1..* choice Value Set: Histological type of the tumor ValueSet Indicate if the patient carries a germline mutation predisposing breast cancer 1..* choice Value Set: Germline Mutation ValueSet Indicate the grade of the invasive component of tumor 1..1 choice Value Set: Grading of tumor ValueSet Indicate the tumor grade of DCIS component of tumor 1..1 choice Value Set: Grading of tumor ValueSet Indicate the clinical tumor stage (per AJCC 8th Ed.): 1..1 choice Value Set: TNM Primary Tumor ValueSet Indicate the clinical nodal stage (per AJCC 8th Ed.): 1..1 choice Value Set: TNM Regional Nodes ValueSet Indicate the clinical distant metastasis (per AJCC 8th Ed.): 1..1 choice Value Set: TNM Distant Metastases ValueSet Indicate if the estrogen receptor status is positive: 1..1 choice Value Set: Estrogen receptor status ValueSet Indicate if the progesterone receptor status is positive: 1..1 choice Value Set: Progesterone receptor status ValueSet Indicate if the HER2 receptor status is positive: 1..1 choice Value Set: HER2 receptor status ValueSet Indicate if a molecular profiling tool was used. If so, which one? 1..1 choice Value Set: Molecular profiling Mammaprint
Indicate the mammaprint score on a scale of 0.000 to 1.000 1..1 decimal Enable When: MolecularProfiling = Mammaprint Score (Molecular Profiling CodeSystem#mammaprint) Indicate the oncotype score on a scale of 0 to 100 1..1 decimal Enable When: MolecularProfiling = Oncotype Score (Molecular Profiling CodeSystem#oncotype) Indicate the endopredict score on a scale of 1.1 to 6.2 1..1 decimal Enable When: MolecularProfiling = Endopredict Score (Molecular Profiling CodeSystem#endopredict) Treatment variables 1..1 group Indicate if a multidisciplinary meeting was conducted 1..1 choice Value Set: Yes, No and Unknown Valueset Which treatments did the multidisciplinary team recommend (select all that apply)? 1..* choice Enable When: MultMeet = Yes (expandedYes-NoIndicator#Y)
Value Set: Recommended treatment types ValueSetDocumentation for this format
IG © 2021+ HL7 International - Clinical Interoperability Council Group. Package hl7.fhir.uv.ichom-breast-cancer#1.0.0-ballot based on FHIR 4.0.1. Generated 2022-12-07
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