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-HER2byISH-model
HER2 receptor status as determined by In Situ Hybridization (ISH).
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 HER2byISHProfile profile.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  oncology-HER2byISH-model | 0..* | |||
  evaluationResultTopic | 1..1 | BackboneElement | The base class, independent of context, for evaluations (measurements, tests, or questions) and a value containing the result (answer). | |
  value[x] | 0..1 | QuantityModel, Coding, string, boolean, RangeModel, RatioModel, time, dateTime, TimePeriodModel | Choice of types representing the base class, independent of context, for evaluations (measurements, tests, or questions) and a value containing the result (answer). | |
 topicCode | 1..1 | TopicCodeModel | The concept representing the finding or action that is the topic of the statement. | |
 value | 1..1 | Coding | HER2 Presence in Tissue by Immunoassay | |
  system | Σ | 1..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 | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 72383-3 |
| 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: HER2ISHMethodVS (required) | |
| interpretation | 0..1 | InterpretationModel | A clinical interpretation of a finding. | |
| value | 1..1 | Coding | Code representing a clinical interpretation of a finding. Binding: PositiveNegativeEquivocalVS (required) | |
| 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 | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/observation-category |
| 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: laboratory |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| breastSpecimen | 0..1 | BreastSpecimenModel | Specimen resulting from biopsy or excision of breast and surrounding tissue. | |
| deltaFlag | 0..1 | DeltaFlagModel | Indicator of significant change (delta) from the last or previous measurement. | |
| referenceRange | 0..* | ReferenceRangeModel | The usual or acceptable range for a test result. | |
| evaluationComponent | 0..1 | A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. | ||
| averageHER2SignalsPerCell | 0..1 | AverageHER2SignalsPerCellModel | Average number of HER2 signals per cell | |
| averageCEP17SignalsPerCell | 0..1 | AverageCEP17SignalsPerCellModel | Average number CEP17 signals per cell (dual probe only) | |
| hER2toCEP17Ratio | 0..1 | HER2toCEP17RatioModel | HER2 to CEP17 Ratio (dual probe only) | |
| recordedContext | 1..1 | RecordedContextModel | Context for an evaluation result, used to indicate an evaluation has been made. | |
| 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. | |
| members | 0..1 | MembersModel | Members represent the elements of a group of a related but independent evaluations. | |
| diagnosticService | 0..* | DiagnosticServiceModel | 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. | |
| value | 1..1 | Coding | Code 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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/breastcancer/CodeSystem/cimi-statement-DiagnosticServiceCS |
| 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: pathology |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| oncology-HER2byISH-model.evaluationResultTopic.findingMethod.value | HER2ISHMethodVS | required | HER2ISHMethodVS |
| oncology-HER2byISH-model.evaluationResultTopic.interpretation.value | PositiveNegativeEquivocalVS | required | PositiveNegativeEquivocalVS |