StructureDefinition-oncology-EstrogenReceptorStatus-model

Sourcehl7.fhir.us.breastcancer#0.2.0:null (v3.0.2)
resourceTypeStructureDefinition
idoncology-EstrogenReceptorStatus-model
canonicalhttp://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-EstrogenReceptorStatus-model
version0.2.0
statusdraft
publisherThe HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)
nameEstrogenReceptorStatusModel
titleBC EstrogenReceptorStatus Logical Model
date2018-08-17T00:00:00+10:00
descriptionEstrogen receptor alpha is the predominant estrogen receptor expressed in breast tissue and is overexpressed in around 50% of breast carcinomas. ER status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options. The current approach is that positive/negative designation is a value, even though that value is (in fact) an interpretation of evidence (NuclearPositivity and AverageStainingIntensity).
kindlogical
abstractfalse
sdTtypeoncology-EstrogenReceptorStatus-model
derivationspecialization
basehttp://hl7.org/fhir/StructureDefinition/Element
keywordshttp://loinc.org#16112-5: 'Estrogen receptor [Interpretation] in Tissue'
Usages
Name Flags Card. Type Description & Constraints doco
. . oncology-EstrogenReceptorStatus-model 0..* Element This logical model cannot be the target of a reference
. . . personOfRecord 1..1 Reference (BC PersonOfRecord Logical Model) The person this entry belongs to.
. . . laboratoryObservationTopic 1..1 BackboneElement The topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations.
. . . . topicCode 1..1 Coding The concept representing the finding or action that is the topic of the statement.
Binding: BC EstrogenReceptorInterpretationTestsVS ValueSet ( required )
. . . . findingMethod 0..1 Coding The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: todo ( preferred )
. . . . details 0..1 string A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
. . . . media 0 .. 0
. . . . category 1..* Coding A class or division of people or things having particular shared characteristics
. . . . . @id 0..1 string xml:id (or equivalent in JSON)
. . . . . extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
. . . . . 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
. . . . anatomicalLocation 0 .. 0
. . . . device 0 .. 0
. . . . breastSpecimen 1..1 Reference (BC BreastSpecimen Logical Model) Specimen resulting from biopsy or excision of breast and surrounding tissue.
. . . . precondition 0..* A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.
. . . . . precondition Coding
. . . . . precondition Reference (BC Observation Logical Model)
. . . . referenceRange 0 .. 0
. . . . 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. The subject of the evaluation component is the same as in the parent evaluation.
. . . . . estrogenReceptorNuclearPositivity 0..1 oncology-EstrogenReceptorNuclearPositivity-model The percentage of cells that test (stain) positive for the presence of estrogen receptors. We are seeking feedback on whether nuclear positivity should be an exact percentage or a range of percentages. As currently defined, an exact nuclear positivity could be represented by a zero-width range, where the lower and upper bounds would be the same number.
. . . . . estrogenReceptorAverageStainingIntensity 0..1 oncology-EstrogenReceptorAverageStainingIntensity-model The degree or magnitude of staining across positively stained tumor cells on the entire tissue section relative to the intensity of positive controls run with the same batch.
. . . . panelMembers 0 .. 0
. . . . diagnosticService 0..* Coding The service completing the observations, e.g. biochemistry, microbiology, blood bank.
. . . . . @id 0..1 string xml:id (or equivalent in JSON)
. . . . . extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
. . . . . system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/v2/0074
. . . . . 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: PAT
. . . . . display Σ 0..1 string Representation defined by the system
. . . . . userSelected Σ 0..1 boolean If this coding was chosen directly by the user
. . . observationContext 1..1 BackboneElement Context for recording an evaluation result, used to indicate an evaluation has been made.
. . . . contextCode 1..1 Coding A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
. . . . . @id 0..1 string xml:id (or equivalent in JSON)
. . . . . extension 0..* Extension Additional Content defined by implementations
Slice: Unordered, Open by value:url
. . . . . system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
. . . . . 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: 424975005
. . . . . display Σ 0..1 string Representation defined by the system
. . . . . userSelected Σ 0..1 boolean If this coding was chosen directly by the user
. . . . encounter 0..1 cimi-encounter-Encounter-model A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
. . . . interpretation 0..1 Coding A clinical interpretation of a finding (applies to both assertions and observation).
Binding: Observation Interpretation Codes ( extensible )
. . . . findingStatus 1..1 code Indicates whether the finding is preliminary, amended, final, etc.
Binding: Observation Status ( required )
. . . . relevantTime 0..1 The time or time period that the finding addresses.
. . . . . relevantTime dateTime
. . . . . relevantTime shr-core-TimePeriod-model
. . . . resultValue 0..1 Coding The finding itself, such as the blood pressure value recorded.
Binding: BC PositiveNegativeIndeterminateVS ValueSet ( required )
. . . . exceptionValue 0..1 Coding Reason that a value associated with a test or other finding is missing.
Binding: Data Absent Reason ( extensible )
. . . . deltaFlag 0..1 Coding Indicator of significant change (delta) from the last or previous measurement.
Binding: BC DeltaFlagVS ValueSet ( required )
. . . . issued 0..1 instant The date and time this observation was made available to providers, typically after the results have been reviewed and verified.
. . . . observer 0..* Reference (BC Practitioner Logical Model | BC Organization Logical Model | BC Patient Logical Model | BC RelatedPerson Logical Model) The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person.

doco Documentation for this format

Produced 08 Sep 2023