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

HER2ReceptorStatusModel

 

The official URL for this logical model is:

http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-HER2ReceptorStatus-model

HER2 receptor status. HER2 is a member of the human epidermal growth factor receptor family of proteins and is encoded by the ERBB2 oncogene. HER2 is overexpressed in 20-30% of breast tumors,10 and is associated with an aggressive clinical course and poor prognosis. HER2 status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options.

We are seeking feedback if it is better to put the positive/negative status in Value or Interpretation. The current approach is that positive/negative designation is a value, even though that value is (in fact) an interpretation of evidence from HER2 by IHC and/or HER2 by ISH tests, not a direct observation.

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 HER2ReceptorStatusProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. oncology-HER2ReceptorStatus-model 0..*
... evaluationResultTopic 1..1BackboneElementThe base class, independent of context, for evaluations (measurements, tests, or questions) and a value containing the result (answer).
.... valueCodeableConcept 0..1CodingA set of codes drawn from different coding systems, representing the same concept.
Binding: PositiveNegativeEquivocalVS (required)
.... topicCode 1..1TopicCodeModelThe concept representing the finding or action that is the topic of the statement.
..... value 1..1CodingHER2 [Interpretation] in Tissue
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 48676-1
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... interpretation 0..1InterpretationModelA clinical interpretation of a finding.
.... category 1..*CategoryModelA class or division of people or things having particular shared characteristics
..... value 1..1CodingCode representing a class or division of people or things having particular shared characteristics
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... breastSpecimen 0..1BreastSpecimenModelSpecimen resulting from biopsy or excision of breast and surrounding tissue.
.... deltaFlag 0..1DeltaFlagModelIndicator of significant change (delta) from the last or previous measurement.
... recordedContext 1..1RecordedContextModelContext for an evaluation result, used to indicate an evaluation has been made.
... encounter 0..1EncounterModelAn 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.
... members 0..1BackboneElementMembers represent the elements of a group of a related but independent evaluations.
.... value 0..1EvaluationResultRecorded representing members represent the elements of a group of a related but independent evaluations.
..... hER2byIHC 0..*Reference(BC HER2byIHC Logical Model)HER2 receptor status as determined by Immunohistochemistry (IHC).
..... hER2byISH 0..*Reference(BC HER2byISH Logical Model)HER2 receptor status as determined by In Situ Hybridization (ISH).
... diagnosticService 0..*DiagnosticServiceModelA code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
.... value 1..1CodingCode representing a code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breastcancer/CodeSystem/cimi-statement-DiagnosticServiceCS
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: pathology
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)

 

Terminology Bindings

PathNameConformanceValueSet
oncology-HER2ReceptorStatus-model.evaluationResultTopic.valueCodeableConceptPositiveNegativeEquivocalVSrequiredPositiveNegativeEquivocalVS