StructureDefinition-oncology-ProgesteroneReceptorStatus-model

Sourcehl7.fhir.us.breastcancer#0.2.0:null (v3.0.2)
resourceTypeStructureDefinition
idoncology-ProgesteroneReceptorStatus-model
canonicalhttp://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-ProgesteroneReceptorStatus-model
version0.2.0
statusdraft
publisherThe HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)
nameProgesteroneReceptorStatusModel
titleBC ProgesteroneReceptorStatus Logical Model
date2018-08-17T00:00:00+10:00
descriptionProgesterone receptor status is a factor in determining prognosis and treatment options. The value is the percentage of cells that test (stain) positive for the presence of a receptor. The interpretation of positive or negative (found in the interpretation property) is based on the staining percentage, and may take into account the staining intensity. Based on discussion with Cancer Interoperability Group subject matter experts, there was insufficient rationale to include the following components in the data model: StainingControl, PrimaryAntibody, Allred Score (both total and component scores). We are seeking feedback on whether or not those components should be included in this model.
kindlogical
abstractfalse
sdTtypeoncology-ProgesteroneReceptorStatus-model
derivationspecialization
basehttp://hl7.org/fhir/StructureDefinition/Element
keywordshttp://loinc.org#16113-3: 'Progesterone receptor [Interpretation] in Tissue'
Usages
Name Flags Card. Type Description & Constraints doco
. . oncology-ProgesteroneReceptorStatus-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 ProgesteroneReceptorInterpretationTestsVS 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..* shr-core-Media-model A file that contains audio, video, image, or similar content.
. . . . 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..1 Reference (BC Device Logical Model) A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients.
. . . . 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.
. . . . . progesteroneReceptorNuclearPositivity 0..1 oncology-ProgesteroneReceptorNuclearPositivity-model The percentage of cells that test (stain) positive for the presence of progesterone 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. 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.
. . . . . progesteroneReceptorAverageStainingIntensity 0..1 oncology-ProgesteroneReceptorAverageStainingIntensity-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