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 
The official URL for this logical model is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastCancerPresenceStatement-model
Diagnosis of cancer originating in the tissues of the breast, and potentially spread to other organs of the body.
The BreastCancerPresenceStatement is a subclass of ConditionPresenceStatement, which is a departure from CIMI. In CIMI, this would be a archetype of ClinicalStatement combining a BreastCancerConditionTopic with the ConditionPresenceContext. This would require definition of BreastCancerConditionTopic in the reference model, follwed by introduction of constraints on Value, Category, Stage, and MorphologyBehavior in the corresponding archetype.
CIMI Alignment (and question for reviewers): The Topic of this statement is ‘Neoplasm of the breast’, not ‘Assertion’, with the logic that the topic of the statement is more specific than ‘Assertion’. The result (the value) gives the particular type (histologic type) of the condition. Does this make sense?
This logical model was published on Sun Apr 01 00:00:00 AEDT 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
View the corresponding BreastCancerPresenceStatementProfile profile.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  oncology-BreastCancerPresenceStatement-model | 0..* | |||
  conditionTopic | 1..1 | BackboneElement | Representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc. | |
 value | 1..1 | Coding | Code representing representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc. Binding: BreastCancerTypeVS (required) | |
 topicCode | 1..1 | TopicCodeModel | The concept representing the finding or action that is the topic of the statement. | |
 value | 1..1 | Coding | Neoplasm of breast (disorder) | |
  system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 126926005 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| findingMethod | 0..1 | FindingMethodModel | The technique used to create the finding; for example, the specific imaging technique, lab test code, or assessment vehicle. | |
| value | 1..1 | Coding | Code representing the technique used to create the finding; for example, the specific imaging technique, lab test code, or assessment vehicle. Binding: BreastCancerDetectionVS (preferred) | |
| interpretation | 0..1 | InterpretationModel | A clinical interpretation of a finding. | |
| category | 1..* | CategoryModel | A class or division of people or things having particular shared characteristics | |
| value | 1..1 | Coding | Code representing a class or division of people or things having particular shared characteristics Binding: US Core Condition Category Codes (preferred) | |
| breastSite | 0..* | BreastSiteModel | A body site specific to the breast structure. | |
| conditionPresenceContext | 1..1 | ConditionPresenceContextModel | The context for a condition that is known, suspected, or possibly present. | |
| encounter | 0..1 | EncounterModel | An abstract class that represents an encounter class. This class has been stubbed out to limit the scope of this implementation guide to classes relevant to this ballot concerning breast cancer. | |
| stage | 0..1 | BackboneElement | The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information. | |
| value | 1..1 | Coding | Code representing the relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information. | |
| stageDetail | 0..1 | BackboneElement | The full staging information | |
 value | 1..1 | Reference(BC BreastCancerStage Logical Model) | The stage of a breast cancer. Different staging systems use different staging groups, so there are currently no terminology bindings associated with this class. | |
| morphologyBehavior | 0..1 | MorphologyBehaviorModel | A description of the morphology and behavioral characteristics of the cancer. | |
| value | 1..1 | Coding | Code representing a description of the morphology and behavioral characteristics of the cancer. Binding: MorphologyBehaviorVS (required) | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| oncology-BreastCancerPresenceStatement-model.conditionTopic.value | BreastCancerTypeVS | required | BreastCancerTypeVS |
| oncology-BreastCancerPresenceStatement-model.conditionTopic.findingMethod.value | BreastCancerDetectionVS | preferred | BreastCancerDetectionVS |
| oncology-BreastCancerPresenceStatement-model.conditionTopic.category.value | US Core Condition Category Codes | preferred | US Core Condition Category Codes |
| oncology-BreastCancerPresenceStatement-model.morphologyBehavior.value | MorphologyBehaviorVS | required | MorphologyBehaviorVS |