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


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-FindingTopic-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC FindingTopic Logical Model</b></p>
  <p>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.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-FindingTopic-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.FindingTopic"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="FindingTopicModel"/>
  <title value="BC FindingTopic Logical Model"/>
  <status value="draft"/>
  <date value="2018-04-01T00:00:00+11:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://standardhealthrecord.org"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="cimi-FindingTopic-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-FindingTopic-model">
      <path value="cimi-FindingTopic-model"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-FindingTopic-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.topicCode">
      <path value="cimi-FindingTopic-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.

CIMI Alignment: TopicCode is the new CIMI name for the attribute formerly called &#39;key&#39; in CIMI V0.0.4."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-TopicCode-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.findingMethod">
      <path value="cimi-FindingTopic-model.findingMethod"/>
      <short
             value="The technique used to create the finding; for example, the specific imaging technique, lab test code, or assessment vehicle."/>
      <definition
                  value="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 &#39;method&#39;. The value set binding reflects CIMI&#39;s preference for LOINC codes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-FindingMethod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.interpretation">
      <path value="cimi-FindingTopic-model.interpretation"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0420833"/>
      </code>
      <short value="A clinical interpretation of a finding."/>
      <definition
                  value="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.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.interpretation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Interpretation-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="cimi-FindingTopic-model">
      <path value="cimi-FindingTopic-model"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-FindingTopic-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.topicCode">
      <path value="cimi-FindingTopic-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.

CIMI Alignment: TopicCode is the new CIMI name for the attribute formerly called &#39;key&#39; in CIMI V0.0.4."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.topicCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-TopicCode-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.findingMethod">
      <path value="cimi-FindingTopic-model.findingMethod"/>
      <short
             value="The technique used to create the finding; for example, the specific imaging technique, lab test code, or assessment vehicle."/>
      <definition
                  value="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 &#39;method&#39;. The value set binding reflects CIMI&#39;s preference for LOINC codes."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.findingMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-FindingMethod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-FindingTopic-model.interpretation">
      <path value="cimi-FindingTopic-model.interpretation"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0420833"/>
      </code>
      <short value="A clinical interpretation of a finding."/>
      <definition
                  value="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.)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-FindingTopic-model.interpretation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Interpretation-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>