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 profile is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen
Specimen resulting from biopsy or excision of breast and surrounding tissue.
This profile builds on Specimen.
This profile 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 BreastSpecimenModel logical model.
Summary
Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
BC Mapping Source
This structure represents the following BC mapping definition:
oncology.BreastSpecimen maps to Specimen: Type maps to type SourceSpecimen maps to parent ReceivedTime maps to receivedTime CollectionTime maps to collection.collected[x] CollectionMethod maps to collection.method CollectionSite maps to http://hl7.org/fhir/StructureDefinition/body-site-instance ColdIschemiaTime maps to processing (slice on = procedure) ColdIschemiaTime.TimePeriod maps to processing.time[x] ColdIschemiaTime._Concept maps to processing.procedure constrain processing.additive to 0..0
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Specimen | BC BreastSpecimen Profile | |||
  body-site-instance | 0..1 | Reference(BodySite) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/body-site-instance | |
| type | 1..1 | Binding: BreastSpecimenTypeVS (required) | ||
 parent | 0..1 | Reference(BC BreastSpecimen Profile) | ||
| collection | ||||
  method | Binding: BreastSpecimenCollectionMethodVS (required) | |||
 processing | Slice: Unordered, Open by value:procedure | |||
| processing | 0..1 | ColdIschemiaTime | ||
  procedure | ||||
 coding | Slice: Unordered, Open by value:code | |||
 coding | Σ | 1..1 | Coding | |
| system | Fixed Value: http://loinc.org | |||
 code | Fixed Value: 44778-9 | |||
| additive | 0..0 | |||
| timePeriod | Period | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | I | 0..* | BC BreastSpecimen Profile | |
 id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
| body-site-instance | 0..1 | Reference(BodySite) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/body-site-instance | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-CollectionSite-extension" | |
| valueReference | 1..1 | Reference(BC AnatomicalLocation Profile) | Value of extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifier |
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab |
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: BreastSpecimenTypeVS (required) |
| subject | Σ | 1..1 | Reference(Patient | Group | Device | Substance) | Where the specimen came from. This may be from the patient(s) or from the environment or a device |
| receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing |
| parent | 0..1 | Reference(BC BreastSpecimen Profile) | Specimen from which this specimen originated | |
| request | 0..* | Reference(ProcedureRequest) | Why the specimen was collected | |
| collection | I | 0..1 | BackboneElement | Collection details |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| collector | Σ | 0..1 | Reference(Practitioner) | Who collected the specimen |
 collected[x] | Σ | 0..1 | dateTime, Period | Collection time |
| quantity | 0..1 | SimpleQuantity | The quantity of specimen collected | |
| method | 0..1 | CodeableConcept | Technique used to perform collection Binding: BreastSpecimenCollectionMethodVS (required) | |
| bodySite | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMED CT Body Structures (example) | |
| processing | I | BackboneElement | Processing and processing step details Slice: Unordered, Open by value:procedure | |
| processing | I | 0..1 | BackboneElement | ColdIschemiaTime |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| description | 0..1 | string | Textual description of procedure | |
| procedure | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example) | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 44778-9 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| timePeriod | 0..1 | Period | Date and time of specimen processing | |
| container | I | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Id for the container |
| description | 0..1 | string | Textual description of the container | |
| type | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: SpecimenContainer (example) | |
| capacity | 0..1 | SimpleQuantity | Container volume or size | |
| specimenQuantity | 0..1 | SimpleQuantity | Quantity of specimen within container | |
| additive[x] | 0..1 | CodeableConcept, Reference(Substance) | Additive associated with container Binding: v2 Additive/Preservative (example) | |
| note | 0..* | Annotation | Comments | |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (2 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
BC Mapping Source
This structure represents the following BC mapping definition:
oncology.BreastSpecimen maps to Specimen: Type maps to type SourceSpecimen maps to parent ReceivedTime maps to receivedTime CollectionTime maps to collection.collected[x] CollectionMethod maps to collection.method CollectionSite maps to http://hl7.org/fhir/StructureDefinition/body-site-instance ColdIschemiaTime maps to processing (slice on = procedure) ColdIschemiaTime.TimePeriod maps to processing.time[x] ColdIschemiaTime._Concept maps to processing.procedure constrain processing.additive to 0..0
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | BC BreastSpecimen Profile | |||
| body-site-instance | 0..1 | Reference(BodySite) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/body-site-instance | |
| type | 1..1 | Binding: BreastSpecimenTypeVS (required) | ||
| parent | 0..1 | Reference(BC BreastSpecimen Profile) | ||
| collection | ||||
| method | Binding: BreastSpecimenCollectionMethodVS (required) | |||
| processing | Slice: Unordered, Open by value:procedure | |||
| processing | 0..1 | ColdIschemiaTime | ||
| procedure | ||||
| coding | Slice: Unordered, Open by value:code | |||
| coding | Σ | 1..1 | Coding | |
| system | Fixed Value: http://loinc.org | |||
| code | Fixed Value: 44778-9 | |||
| additive | 0..0 | |||
| timePeriod | Period | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | I | 0..* | BC BreastSpecimen Profile | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| body-site-instance | 0..1 | Reference(BodySite) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/body-site-instance | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-CollectionSite-extension" | |
| valueReference | 1..1 | Reference(BC AnatomicalLocation Profile) | Value of extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifier |
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab |
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: BreastSpecimenTypeVS (required) |
| subject | Σ | 1..1 | Reference(Patient | Group | Device | Substance) | Where the specimen came from. This may be from the patient(s) or from the environment or a device |
| receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing |
| parent | 0..1 | Reference(BC BreastSpecimen Profile) | Specimen from which this specimen originated | |
| request | 0..* | Reference(ProcedureRequest) | Why the specimen was collected | |
| collection | I | 0..1 | BackboneElement | Collection details |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| collector | Σ | 0..1 | Reference(Practitioner) | Who collected the specimen |
| collected[x] | Σ | 0..1 | dateTime, Period | Collection time |
| quantity | 0..1 | SimpleQuantity | The quantity of specimen collected | |
| method | 0..1 | CodeableConcept | Technique used to perform collection Binding: BreastSpecimenCollectionMethodVS (required) | |
| bodySite | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMED CT Body Structures (example) | |
| processing | I | BackboneElement | Processing and processing step details Slice: Unordered, Open by value:procedure | |
| processing | I | 0..1 | BackboneElement | ColdIschemiaTime |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| description | 0..1 | string | Textual description of procedure | |
| procedure | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example) | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding | Σ | 1..1 | Coding | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 44778-9 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| timePeriod | 0..1 | Period | Date and time of specimen processing | |
| container | I | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Id for the container |
| description | 0..1 | string | Textual description of the container | |
| type | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: SpecimenContainer (example) | |
| capacity | 0..1 | SimpleQuantity | Container volume or size | |
| specimenQuantity | 0..1 | SimpleQuantity | Quantity of specimen within container | |
| additive[x] | 0..1 | CodeableConcept, Reference(Substance) | Additive associated with container Binding: v2 Additive/Preservative (example) | |
| note | 0..* | Annotation | Comments | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Name | Conformance | ValueSet |
| Specimen.language | Common Languages | extensible | Common Languages |
| Specimen.status | SpecimenStatus | required | SpecimenStatus |
| Specimen.type | BreastSpecimenTypeVS | required | BreastSpecimenTypeVS |
| Specimen.collection.method | BreastSpecimenCollectionMethodVS | required | BreastSpecimenCollectionMethodVS |
| Specimen.collection.bodySite | SNOMED CT Body Structures | example | SNOMED CT Body Structures |
| Specimen.processing.procedure | SpecimenProcessingProcedure | example | SpecimenProcessingProcedure |
| Specimen.container.type | SpecimenContainer | example | SpecimenContainer |
| Specimen.container.additive[x] | v2 Additive/Preservative | example | v2 Additive/Preservative |
| Id | Path | Details | Requirements |
| dom-2 | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Specimen | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | Specimen | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-3 | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| ele-1 | Specimen.collection | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Specimen.processing | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Specimen.processing | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Specimen.container | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |