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-OncotypeDxInvasiveRecurrenceScore-model
The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31.
No LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?
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 OncotypeDxInvasiveRecurrenceScoreProfile profile.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  oncology-OncotypeDxInvasiveRecurrenceScore-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). | |
  valueQuantity | 0..1 | QuantityModel | A quantity with units, whose value may be bounded from above or below, as defined in FHIR. | |
 value | 0..1 | decimal | Decimal representing a quantity with units, whose value may be bounded from above or below, as defined in FHIR. | |
| comparator | 0..1 | ComparatorModel | Comparator | |
 units | 1..1 | UnitsModel | Code for the unit of measure of the quantity. | |
| topicCode | 1..1 | TopicCodeModel | The concept representing the finding or action that is the topic of the statement. | |
| value | 1..1 | Coding | Code representing the concept representing the finding or action that is the topic of the statement. | |
 system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://ncimeta.nci.nih.gov |
| 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: C1709318 |
| 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. | |
| interpretation | 0..1 | InterpretationModel | A clinical interpretation of a finding. | |
| value | 1..1 | Coding | Code representing a clinical interpretation of a finding. Binding: OncotypeDxInvasiveRiskScoreInterpretationVS (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. | |
| 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. | |
| 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-OncotypeDxInvasiveRecurrenceScore-model.evaluationResultTopic.interpretation.value | OncotypeDxInvasiveRiskScoreInterpretationVS | required | OncotypeDxInvasiveRiskScoreInterpretationVS |