This page is part of the ICHOM FHIR Implementation Guide: Breast Cancer (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
ClinicalResponseAnnualUpdate |
Clinical response questionnaire at annual post-treatment follow-up |
ClinicalResponseBaseline |
Clinical response questionnaire at baseline (first doctors’ visit) |
ClinicalResponseSixMonths |
Clinical response questionnaire at 6 months post-treatment follow-up |
PatientReportedBaseline |
Patient-reported response at baseline (first doctors’ visit) |
PatientReportedFollowUp |
Patient-reported response at every 6 months for first 2 years post-treatment, after 2 years tracked annually for up to 10 years |
These define constraints on FHIR resources for systems conforming to this implementation guide.
Axilla surgery |
Represents if the breast cancer patient received surgery to the axilla during the last year. |
Axillary clearance |
Represents if the breast cancer patient received axillary clearance during the last year. Axilla clearance could be due to lymph node involvement after sentinel lymph node biopsy. |
Best supportive care |
Represents if breast cancer patient received best supportive care during the last year. |
Body height |
Represents the height of a person diagnosed with breast cancer |
Body weight |
Represents the weight of a person diagnosed with breastcancer |
Breast cancer patient |
A patient who has been diagnosed with or is receiving medical treatment for breast cancer. This profile includes the ICHOM patient characteristics and demographic factors. |
Breast cancer surgery |
Represents if the breast cancer patient received surgery during the last year. |
Cancer Stage Group |
A staging system to describe the amount and spread of breast cancer in a patient’s body, using TNM staging (per AJCC 8th Ed.). This profile is in alignment with the mCODE TNM Stage Group Profile. |
Chemotherapy |
Represents if the patient received chemotherapy during the last year. |
Complication |
Represents the type and impact of a complication experienced by a patient |
Death attributable to breast cancer |
Represents if breast cancer was the cause of death |
Endopredict score |
Represents the endopredict score on a scale of 1.1 to 6.2 |
Estrogen receptor status |
Represents if the estrogen receptor status is positive in a patient with breast cancer |
Germline mutation |
Represents if the patient carries a germline mutation predisposing breast cancer |
HER2 receptor status |
Represents if the human epidermal growth factor receptor 2 (HER2) receptor status is positive in a patient with breast cancer |
Histological type of the tumor |
Represents the histological type of the tumor |
Hormonal therapy |
Represents if the patient received hormonal therapy during the last year. |
Immunotherapy |
Represents if the breast cancer patient received immunotherapy during the last year. |
Invasion grade |
Represents the tumor grade of DCIS component of the breast cancer tumor |
Lymph nodes involved |
Represents the number of lymph nodes involved |
Mammaprint score |
Represents the mammaprintscore on a scale of 0.000 to 1.000 |
Menopausal status |
Represents the menopausal status of a patient |
Oncotype Score |
Represents the oncotype score on a scale of 0 to 100 |
Primary Breast Cancer Condition |
Represent the properties of the primary breast cancer diagnosis |
Progesterone receptor status |
Represents if the progesterone receptor status is positive in a patient with breast cancer |
Radiotherapy |
Represents if the breast cancer patient received radiotherapy during the last year. |
Re-operation surgery |
Represents whether the patient has had a re-operation since their surgery for breast cancer and whether it was due to involved margins. |
Real Treatment Plan Followed |
Indicate if the patient followed the multidisciplinary recommended treatment plan |
Reconstruction surgery |
Represents if the breast cancer patient received reconstruction surgery during the last year. |
Recurrence Method |
The method of confirming recurrence breast cancer |
Resected lymph nodes |
Represents the number of lymph nodes resected |
Secondary Breast Cancer Condition |
Represent the properties of the secondary breast cancer diagnosis |
Size of invasive tumor |
Represents the size of the invasive tumor |
TNM Distant Metastases |
Represents the extent of a tumor metastasis in remote anatomical locations (per AJCC 8th Ed.). This profile is in alignment with mCODE TNM Distant Metastases Category Profile. |
TNM Primary Tumor Stage |
Represents the stage of the primary tumor (per AJCC 8th Ed.). This profile is in alignment with mCODE TNM Primary Tumor Category Profile. |
TNM Regional Nodal Stage |
Represents the presence or absence of metastases in regional lymph nodes (per AJCC 8th Ed.). This profile is in alignment with mCODE TNM Regional Nodes Category Profile. |
Targeted therapy |
Type and duration of targeted therapy |
Treatment Plan Not Followed |
Indicate why the multidisciplinary recommended treatment plan was not followed |
Treatment recommended by a multidisciplinary team |
Represents the treatment that a multidisciplinary team recommended during a multidisciplinary meeting |
Tumor grade |
Represents the grade of the breast cancer tumor |
These define constraints on FHIR data types for systems conforming to this implementation guide.
Education Level Extension |
Represents the level of education of a patient. |
Ethnicity Extension |
Represents the ethnicity of a patient. This extension is aligned with USCore |
Race Extension |
Represents the race of a patient. This extension is aligned with USCore. |
These define sets of codes used by systems conforming to this implementation guide.
Agreement response ValueSet |
Valueset used in a Patient Reported Outcomes Instrument to express the degree of agreement |
Axilla surgery ValueSet |
Valueset of surgery types of the axilla |
Education level of patient ValueSet |
Valueset of the education level of a patient |
Estrogen receptor status ValueSet |
Valueset of the Estrogen receptor status |
Germline Mutation ValueSet |
Valueset of the genetic mutation predisposing breast cancer |
Grading of tumor ValueSet |
Valueset of the grade of the tumor |
HER2 receptor status ValueSet |
Valueset of the HER2 receptor status |
Histological type of the tumor ValueSet |
Valueset of the histological types of tumors |
Impact of complication ValueSet |
ValueSet of the impact of a complication experienced by the breast cancer patient |
Intent of therapy ValueSet |
Valueset of intent of therapy |
Laterality of breast cancer ValueSet |
Valueset of the laterality of breast cancer |
Laterality of new cancer ValueSet |
Valueset of the laterality of new breast cancer |
Location of the implant ValueSet |
Valueset of the location of the implant during reconstruction surgery |
Menopausal status of patient ValueSet |
Valueset of the menopausal status of a patient |
Molecular profiling |
Valueset indicating if a molecular profiling tool was used |
Observation identifiers for treatment plan non-compliance reason ValueSet |
Valueset of reason for why the treatment plan was not followed |
Patient Treatment Education ValueSet |
Valueset covering if the patient received sufficient information about the treatment options |
Patient treatment preference ValueSet |
Valueset of reason for why the treatment plan was not followed |
Progesterone receptor status ValueSet |
Valueset of the Progesterone receptor status |
Re-operation due to involved margins ValueSet |
Kind of re-operation due to involved margins |
Real Treatment Plan Followed ValueSet |
Valueset of if the patient followed the multidisciplinary recommended treatment plan |
Reasoncode of the re-operation |
Valueset of the reasons of a re-operation |
Recommended treatment types ValueSet |
Valueset of the kind of treatment that the multidisciplinary team recommended |
Recurrence method ValueSet |
Valueset of the methods used to confirm recurrence of breast cancer |
Recurrence of neoplasm ValueSet |
Valueset about whether there is evidence of local, regional or distant recurrence of neoplasm |
Relationship status of patient ValueSet |
Valueset of the relationship status of a patient |
SACQ Patient's comorbidity history ValueSet |
Patient’s documented history of comorbidities |
Satisfaction response ValueSet |
Valueset used in a Patient Reported Outcomes Instrument to express the statisfation response |
Staging Type for Stage Group ValueSet |
Valueset indicating the type of staging, clinical or pathological, of breast cancer. |
TNM Distant Metastases ValueSet |
Valueset of the TNM stage for the M category, according to TNM staging rules |
TNM Primary Tumor ValueSet |
Valueset of the TNM stage for the T category, according to TNM staging rules |
TNM Regional Nodes ValueSet |
Valueset of the TNM stage for the N category, according to TNM staging rules |
Targeted axilla surgery ValueSet |
Valueset of targeted surgery types of the axilla |
The location of radiotherapy ValueSet |
Valueset of the location of radiotherapy |
Treatment Plan Not Followed ValueSet |
Valueset of reason for the treatment plan not being followed |
Type of chemotherapy ValueSet |
Valueset of the types of chemotherapy |
Type of complication ValueSet |
ValueSet of the type of complication experienced by the breast cancer patient |
Type of hormonal therapy ValueSet |
Valueset of the types of hormonal therapy |
Type of re-operation |
Valueset of the types of re-operation |
Type of reconstruction surgery ValueSet |
Valueset of the type of reconstruction surgery that is performed |
Type of targeted therapy ValueSet |
Valueset of the types of targeted therapy |
Type of treatments ValueSet |
Valueset of the kind of treatment a patient with breastcancer underwent |
Types of breast surgery ValueSet |
Valueset of the types of breast surgery a patient underwent |
Units of patient's body weight ValueSet |
Valueset of the unit of the patient’s body weight |
Yes, No and Unknown Valueset |
Valueset with yes, no and unknown answers |
These define new code systems used by systems conforming to this implementation guide.
Agreement response CodeSystem |
Codes used in a Patient Reported Outcomes Instrument to express the degree of agreement |
Breast surgery types CodeSystem |
Codes indicating the types of breast surgery a patient underwent |
Impact of complication CodeSystem |
Codes indicating the impact of a complication experienced by the breast cancer patient |
Location of the implant CodeSystem |
Codes indicating the location of the implant that was placed during reconstruction surgery |
Molecular Profiling CodeSystem |
Codes used to describe the different types of molecular profiling scoring |
Observation identifiers for treatment plan non-compliance reason CodeSystem |
Codes covering observation identifiers for treatment plan non-compliance reaso |
Patient Treatment Education Codesystem |
Codes covering if the patient received sufficient information about the treatment options |
Patient treatment preference CodeSystem |
Codes covering for why the treatment plan was not followed |
Real Treatment Plan Followed CodeSystem |
Codes covering if the patient followed the multidisciplinary recommended treatment plan |
Real Treatment Plan Not Followed CodeSystem |
Codes covering if the patient has not followed the multidisciplinary recommended treatment plan |
Recurrence method CodeSystem |
Additional code covering combination of radiological and histological diagnosis method |
Recurrence of neoplasm CodeSystem |
Additional code covering whether there is evidence of local, regional or distant recurrence of neoplasm |
Satisfaction response CodeSystem |
Codes used in a Patient Reported Outcomes Instrument to express the statisfation response |
Treatment variables CodeSytem |
Codes defining types of treatment a breast cancer patient could receive |
Type of complication CodeSystem |
Codes indicating the type of a complication experienced by the breast cancer patient |
Type of reconstruction surgery CodeSystem |
Codes indicating the type of reconstruction surgery that is performed |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
AxillaSurgeryPatient147 |
Example of a breast cancer patient who underwent surgery to the axilla |
AxillaryClearancePatient147 |
Example of a breast cancer patient who received axilla clearance |
BestSupportiveCarePatient147 |
Example of a breast cancer patient who received best supportive care |
BodyHeightPatient147 |
Example of the height of a patient diagnosed with breast cancer |
BodyWeightPatient147 |
Example of the weight of a patient diagnosed with breast cancer |
BreastCancerSurgeryPatient147 |
Example of the surgical procedure the breast cancer patient underwent |
ChemotherapyPatient147 |
Example of a breast cancer patient who received chemotherapy |
ClinicalMetastasesPatient147 |
Extended example: example showing clinical TNM staging (M) |
ClinicalNodalStagePatient147 |
Extended example: example showing clinical TNM staging (N) |
ClinicalTNMStagePatient147 |
Example showing TNM staging in patient with breast cancer |
ClinicalTumorStagePatient147 |
Extended example: example showing clinical TNM staging (T) |
ComplicationPatient147 |
Example of a complication in patient with breast cancer |
DeathAttributableBCPatient147 |
Example of death attributable to breast cancer |
ERStatusPatient147 |
Example of the estrogen receptor status in a patient with breast cancer |
EndopredictonPatient147 |
Example of the endopredict score |
Example Real Treatment Plan Followed |
Example of how the real treatment plan was followed |
Example Treatment Plan Not Followed |
Example of why the treatment plan was not followed |
Example of Breast Cancer Patient Cornetet |
The characteristics and demographic factors of an example patient. |
Example of Breast Cancer Patient Letsche |
The characteristics and demographic factors of an example patient. |
Example of Breast Cancer Patient Mortera |
The characteristics and demographic factors of an example patient. |
Example of Targeted therapy |
Example of the targeted therapy for this patient. |
Example of menopausal status |
Example of the menopausal status of a patient |
GermlineMutationPatient147 |
Example of whether a patient carries a germline mutation predisposing breast cancer |
HERStatusPatient147 |
Example of the human epidermal growth factor receptor 2 (HER2) status in a patient with breast cancer |
HistotypePatient147 |
Example of the histological type of the breast cancer tumor |
HormonaltherapyPatient147 |
Example of a breast cancer patient who received hormonal therapy |
ImmunotherapyPatient147 |
Example of a breast cancer patient who received immunotherapy |
InvasionGradePatient147 |
Example of the tumor grade of DCIS component of the breast cancer tumor |
LymphNodesInvolvedPatient147 |
Example of the number of involved lymph nodes in a patient with breast cancer |
LymphNodesResectedPatient147 |
Example of the number of resected lymph nodes in a patient with breast cancer |
MammaprintPatient147 |
Example of the mammaprint score |
OncotypePatient147 |
Example of the oncotype score |
PRStatusPatient147 |
Example of the progesterone receptor status in a patient with breast cancer |
PathologicalMetastasesPatient147 |
Extended example: example showing patholgical TNM staging (M) |
PathologicalNodalStagePatient147 |
Extended example: example showing patholgical TNM staging (N) |
PathologicalTNMStagePatient147 |
Example showing TNM staging in patient with breast cancer |
PathologicalTumorStagePatient147 |
Extended example: example showing patholgical TNM staging (T) |
PrimaryBreastCancerPatient147 |
Example of the primary breast cancer diagnosis of a patient |
RadiotherapyPatient147 |
Example of a breast cancer patient who received radiotherapy |
ReconstructionSurgeryPatient147 |
Example of a breast cancer patient who underwent reconstruction surgery |
RecurrenceMethodPatient147 |
Example of method of confirming recurrence breast cancer |
ReoperationSurgeryPatient147 |
Example of a reoperation due to involved margins after primary surgery |
SecondaryBreastCancerPatient147 |
Example of the secondary condition breast cancer diagnosed in a patient |
TreatmentPlanPatient147 |
Example of the treatment that a multidisciplinary team recommended during a multidisciplinary meeting |
TumorGradePatient147 |
Example of the grade of a breast cancer tumor |
TumorSizePatient147 |
Example of the size of the invasive tumor of a patient with breast cancer |