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 
Definitions for oncology-BreastSpecimen-model.
| oncology-BreastSpecimen-model | |
| Definition | Specimen resulting from biopsy or excision of breast and surrounding tissue. |
| Control | 0..* |
| oncology-BreastSpecimen-model.type | |
| Definition | The most specific code (lowest level term) describing the kind or sort of thing being represented. |
| Control | 1..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Type-model |
| oncology-BreastSpecimen-model.type.value | |
| Definition | Code representing the most specific code (lowest level term) describing the kind or sort of thing being represented. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from BreastSpecimenTypeVS |
| Type | Coding |
| Alternate Names | codeableConcept |
| oncology-BreastSpecimen-model.sourceSpecimen | |
| Definition | Identifier for the source specimen from which this specimen was derived. CIMI Alignment: In CIMI V0.0.4, this attribute is called parentSpecimenIdentifier (datatype Identifier). The corresponding element in FHIR (Specimen.parent) is type ref(Specimen). It is impossible to map Idenfier to Specimen, so the datatype of this element has been changed to make the mapping feasible. |
| Control | 0..1 |
| Type | BackboneElement |
| oncology-BreastSpecimen-model.sourceSpecimen.value | |
| Definition | Specimen resulting from biopsy or excision of breast and surrounding tissue. |
| Control | 1..1 |
| Type | Reference(BreastSpecimenModel) |
| Alternate Names | specimen, breastSpecimen |
| oncology-BreastSpecimen-model.receivedTime | |
| Definition | Time received by accepting facility or unit. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-ReceivedTime-model |
| oncology-BreastSpecimen-model.collectionTime | |
| Definition | When the sample was obtained, as a specific time or time period. CIMI Alignment: Specimen collection time seems to be missing in CIMI V0.0.4. The time may be in the CollectionProcedure, but if the specimen collection time is recorded in Performance.Attribution (a list of actions), it would be nearly impossible to create a mapping. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-CollectionTime-model |
| oncology-BreastSpecimen-model.collectionMethod | |
| Definition | How the specimen was obtained. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-CollectionMethod-model |
| oncology-BreastSpecimen-model.collectionMethod.value | |
| Definition | Code representing how the specimen was obtained. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from BreastSpecimenCollectionMethodVS |
| Type | Coding |
| Alternate Names | codeableConcept |
| oncology-BreastSpecimen-model.collectionSite | |
| Definition | The body site where specimen was collected |
| Control | 0..1 |
| Type | BackboneElement |
| oncology-BreastSpecimen-model.collectionSite.value | |
| Definition | A body site specific to the breast structure. |
| Control | 1..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model |
| Alternate Names | anatomicalLocation, breastSite |
| oncology-BreastSpecimen-model.coldIschemiaTime | |
| Definition | The time period between the chilling of a tissue or tissue sample and the time it is warmed. CIMI Alignment: In CIMI Version 0.0.4, specimen processing is represented as a 'SpecimenProcessingPerformed' clinical statement, mapped to FHIR Procedure. However, specimen processing should actually map to Specimen.processing, part of the Specimen resource. It would be a difficult mapping exercise (beyond the scope of this IG) to express the mapping rule that any CIMI SpecimenProcessingPerformed clinical statement needs to mapped to FHIR by (1) finding the corresponding Specimen entity, and (2) mapping the content of (possibly multiple) SpecimenProcessingPerformed into the FHIR Specimen resource. To avoid this complexity, the breast cancer model expresses the cold ischemia time as an attribute of the BreastSpecimen rather than a separate procedure. |
| Control | 0..1 |
| Type | http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-ColdIschemiaTime-model |