StructureDefinition-oncology-OncotypeDxInvasiveRecurrenceScore-model

Sourcehl7.fhir.us.breastcancer#0.2.0:null (v3.0.2)
resourceTypeStructureDefinition
idoncology-OncotypeDxInvasiveRecurrenceScore-model
canonicalhttp://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-OncotypeDxInvasiveRecurrenceScore-model
version0.2.0
statusdraft
publisherThe HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)
nameOncotypeDxInvasiveRecurrenceScoreModel
titleBC OncotypeDxInvasiveRecurrenceScore Logical Model
date2018-08-17T00:00:00+10:00
descriptionThe 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?
kindlogical
abstractfalse
sdTtypeoncology-OncotypeDxInvasiveRecurrenceScore-model
derivationspecialization
basehttp://hl7.org/fhir/StructureDefinition/Element
keywordshttp://ncimeta.nci.nih.gov#C1709318: 'Oncotype DX Breast Cancer Assay'
Usages(none)
Name Flags Card. Type Description & Constraints doco
. . oncology-OncotypeDxInvasiveRecurrenceScore-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.
. . . . . @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://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 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..* cimi-topic-ReferenceRange-model The usual or acceptable range for a test result.
. . . . evaluationComponent 0 .. 0
. . . . 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: BC RecurrenceRiskScoreInterpretationVS ValueSet ( required )
. . . . 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 shr-core-Quantity-model The finding itself, such as the blood pressure value recorded.
. . . . 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