HL7 FHIR® Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment)

This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.1.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions

FindingTopicModel - Detailed Descriptions

Definitions for cimi-FindingTopic-model.

cimi-FindingTopic-model
Definition

Base class - independent of context - for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings.

The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.

CIMI Alignment: In CIMI V0.0.4, FindingTopic has four attributes: result, description, multimedia, and intepretation. Here, result is represented by EvaluationResultTopic.Value and AssertionTopic.Value. Description and Multimedia have been omitted for brevity.

Control0..*
cimi-FindingTopic-model.topicCode
Definition

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 'question' 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.

CIMI Alignment: TopicCode is the new CIMI name for the attribute formerly called 'key' in CIMI V0.0.4.

Control1..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-TopicCode-model
cimi-FindingTopic-model.findingMethod
Definition

The technique used to create the finding; for example, the specific imaging technique, lab test code, or assessment vehicle.

CIMI Alignment: In CIMI V0.0.4, this attribute was called 'method'. The value set binding reflects CIMI's preference for LOINC codes.

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-FindingMethod-model
cimi-FindingTopic-model.interpretation
Definition

A clinical interpretation of a finding.

CIMI Alignment: The value set binding has been chosen to align with FHIR. (Note: it is not clear if Interpretation belongs in FindingTopic, rather than a context class, but that is how CIMI has modeled it.)

Control0..1
Typehttp://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Interpretation-model