Standard Health Record

HER2ReceptorStatusProfile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/shr-oncology-HER2ReceptorStatus

HER2 receptor status. HER2 is a member of the human epidermal growth factor receptor family of proteins and is encoded by the ERBB2 oncogene. HER2 is overexpressed in 20-30% of breast tumors, and is associated with an aggressive clinical course and poor prognosis. HER2 status (positive=present or overexpressed; negative=absent) is a factor in determining prognosis and treatment options.

We are seeking feedback if it is better to put the positive/negative status in Value or Interpretation. The current approach is that positive/negative designation is a value, even though that value is (in fact) an interpretation of evidence from HER2 by IHC and/or HER2 by ISH tests, not a direct observation.

This profile builds on US Core Results Profile.

This profile was published on Wed Aug 22 00:00:00 EDT 2018 as a draft by The MITRE Corporation: Standard Health Record Collaborative.

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 8 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.extension.valueCodeableConcept.coding is sliced based on the value of value:code
  • The element Observation.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.value[x] is sliced based on the value of type:$this
  • The element Observation.related is sliced based on the value of profile:target.reference.resolve()

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.oncology.HER2ReceptorStatus maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PanelTopic.Category maps to category
  PanelTopic.FindingMethod maps to method
  PanelTopic.TopicCode maps to code
  PanelTopic.AnatomicalLocation maps to bodySite
  PanelTopic.Specimen maps to specimen
  EvaluationResultRecordedContext.ResultValue maps to value[x]
  EvaluationResultRecordedContext.ExceptionValue maps to dataAbsentReason
  EvaluationResultRecordedContext.Interpretation maps to interpretation
  EvaluationResultRecordedContext.RelevantTime maps to effective[x]
  EvaluationResultRecordedContext.FindingStatus maps to status
  PanelTopic.ReferenceRange maps to referenceRange
  PanelTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  PanelTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  PanelTopic.ReferenceRange.Type maps to referenceRange.type
  PanelTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  PanelTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  PanelTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  PanelTopic.EvaluationComponent._Concept maps to component.code
  PanelTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  PanelTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  PanelTopic.EvaluationComponent.Interpretation maps to component.interpretation
  PanelTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelTopic.PanelMembers.EvaluationResultRecorded maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR HER2ReceptorStatus Profile
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
.... valueCodeableConcept
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1CodingProfile
...... system Fixed Value: http://standardhealthrecord.org/cimi/statement/cs/DiagnosticServiceCS
...... code Fixed Value: pathology
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: laboratory
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileHER2 [Interpretation] in Tissue
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 48676-1
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodSlice: Unordered, Open by type:$this
... valueCodeableConcept CodeableConceptProfileBinding: SHR PositiveNegativeEquivocalVS ValueSet (required)
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfile
... bodySite 0..0
... method 0..0
... specimen Reference(SHR BreastSpecimen Profile)
... referenceRange 0..0
... related Slice: Unordered, Open by profile:target.reference.resolve()
... related HER2byIHC
.... type Fixed Value: has-member
.... target Reference(SHR HER2byIHC Profile)
... related HER2byISH
.... type Fixed Value: has-member
.... target Reference(SHR HER2byISH Profile)
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR HER2ReceptorStatus Profile
us-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension"
.... valueCodeableConcept 1..1CodeableConceptProfileValue of extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1CodingProfile
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://standardhealthrecord.org/cimi/statement/cs/DiagnosticServiceCS
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: pathology
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*CodeableConceptProfileClassification of type of observation
Binding: Observation Category Codes (extensible)
us-core-5: Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileHER2 [Interpretation] in Tissue
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 48676-1
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] SΣI0..1dateTime, PeriodClinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣIQuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
Slice: Unordered, Open by type:$this
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... valueCodeableConcept Σ0..1CodeableConceptProfileResult Value
Binding: SHR PositiveNegativeEquivocalVS ValueSet (required)
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... specimen 0..1Reference(SHR BreastSpecimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... related ΣIBackboneElementResource related to this observation
Slice: Unordered, Open by profile:target.reference.resolve()
... related ΣI0..*BackboneElementHER2byIHC
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-member
.... target 1..1Reference(SHR HER2byIHC Profile)Resource that is related to this one
... related ΣI0..*BackboneElementHER2byISH
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-member
.... target 1..1Reference(SHR HER2byISH Profile)Resource that is related to this one

doco Documentation for this format

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 8 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.extension.valueCodeableConcept.coding is sliced based on the value of value:code
  • The element Observation.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.value[x] is sliced based on the value of type:$this
  • The element Observation.related is sliced based on the value of profile:target.reference.resolve()

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.oncology.HER2ReceptorStatus maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PanelTopic.Category maps to category
  PanelTopic.FindingMethod maps to method
  PanelTopic.TopicCode maps to code
  PanelTopic.AnatomicalLocation maps to bodySite
  PanelTopic.Specimen maps to specimen
  EvaluationResultRecordedContext.ResultValue maps to value[x]
  EvaluationResultRecordedContext.ExceptionValue maps to dataAbsentReason
  EvaluationResultRecordedContext.Interpretation maps to interpretation
  EvaluationResultRecordedContext.RelevantTime maps to effective[x]
  EvaluationResultRecordedContext.FindingStatus maps to status
  PanelTopic.ReferenceRange maps to referenceRange
  PanelTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  PanelTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  PanelTopic.ReferenceRange.Type maps to referenceRange.type
  PanelTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  PanelTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  PanelTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  PanelTopic.EvaluationComponent._Concept maps to component.code
  PanelTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  PanelTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  PanelTopic.EvaluationComponent.Interpretation maps to component.interpretation
  PanelTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelTopic.PanelMembers.EvaluationResultRecorded maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR HER2ReceptorStatus Profile
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
.... valueCodeableConcept
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1CodingProfile
...... system Fixed Value: http://standardhealthrecord.org/cimi/statement/cs/DiagnosticServiceCS
...... code Fixed Value: pathology
... category CodeableConceptProfileBinding: Observation Category Codes (extensible)
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: laboratory
... code CodeableConceptProfile
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileHER2 [Interpretation] in Tissue
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 48676-1
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodSlice: Unordered, Open by type:$this
... valueCodeableConcept CodeableConceptProfileBinding: SHR PositiveNegativeEquivocalVS ValueSet (required)
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfile
... bodySite 0..0
... method 0..0
... specimen Reference(SHR BreastSpecimen Profile)
... referenceRange 0..0
... related Slice: Unordered, Open by profile:target.reference.resolve()
... related HER2byIHC
.... type Fixed Value: has-member
.... target Reference(SHR HER2byIHC Profile)
... related HER2byISH
.... type Fixed Value: has-member
.... target Reference(SHR HER2byISH Profile)
... component 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR HER2ReceptorStatus Profile
us-core-2: If there is no component or related element then either a value[x] or a data absent reason must be present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-SubjectOfInformation-extension 1..1(Complex)SHR SubjectOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SubjectOfInformation-extension
... cimi-core-SourceOfInformation-extension 0..1(Complex)SHR SourceOfInformation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-SourceOfInformation-extension
... cimi-element-Annotation-extension 0..*AnnotationProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-element-Annotation-extension
... cimi-core-RecordStatus-extension 0..1CodeableConceptProfileSHR RecordStatus Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-RecordStatus-extension
... cimi-core-Recorded-extension 0..1(Complex)SHR Recorded Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SHR Signed Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Signed-extension
... cimi-core-Cosigned-extension 0..*(Complex)SHR Cosigned Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Cosigned-extension
... cimi-core-Verified-extension 0..*(Complex)SHR Verified Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-core-Verified-extension
... cimi-statement-DiagnosticService-extension 0..*CodeableConceptProfileSHR DiagnosticService Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/cimi-statement-DiagnosticService-extension"
.... valueCodeableConcept 1..1CodeableConceptProfileValue of extension
Binding: SHR DiagnosticServiceVS ValueSet (extensible)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1CodingProfile
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://standardhealthrecord.org/cimi/statement/cs/DiagnosticServiceCS
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: pathology
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*CodeableConceptProfileClassification of type of observation
Binding: Observation Category Codes (extensible)
us-core-5: Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfile
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptProfileLaboratory Test Name
Binding: LOINC Codes (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingProfileCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingProfileHER2 [Interpretation] in Tissue
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 48676-1
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what this is about
... context 0..1Reference(Encounter | EpisodeOfCare)Healthcare event during which this observation is made
... effective[x] SΣI0..1dateTime, PeriodClinically relevant time/time-period for observation
us-core-1: Datetime must be at least to day.
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣIQuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
Slice: Unordered, Open by type:$this
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... valueCodeableConcept Σ0..1CodeableConceptProfileResult Value
Binding: SHR PositiveNegativeEquivocalVS ValueSet (required)
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... specimen 0..1Reference(SHR BreastSpecimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... related ΣIBackboneElementResource related to this observation
Slice: Unordered, Open by profile:target.reference.resolve()
... related ΣI0..*BackboneElementHER2byIHC
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-member
.... target 1..1Reference(SHR HER2byIHC Profile)Resource that is related to this one
... related ΣI0..*BackboneElementHER2byISH
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type 0..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-member
.... target 1..1Reference(SHR HER2byISH Profile)Resource that is related to this one

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Observation.languageCommon LanguagesextensibleCommon Languages
Observation.extension.valueCodeableConceptSHR DiagnosticServiceVS ValueSetextensibleDiagnosticServiceVS
Observation.statusObservationStatusrequiredObservationStatus
Observation.categoryObservation Category CodesextensibleObservation Category Codes
Observation.codeLOINC CodesextensibleLOINC Codes
Observation.valueCodeableConceptSHR PositiveNegativeEquivocalVS ValueSetrequiredPositiveNegativeEquivocalVS
Observation.dataAbsentReasonSHR ExceptionValueVS ValueSetextensibleExceptionValueVS
Observation.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToObservation Reference Range Applies To CodesextensibleObservation Reference Range Applies To Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType
Observation.component.codeLOINC CodesexampleLOINC Codes
Observation.component.dataAbsentReasonObservation Value Absent ReasonextensibleObservation Value Absent Reason
Observation.component.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
Observation.component.referenceRange.typeObservation Reference Range Meaning CodesextensibleObservation Reference Range Meaning Codes
Observation.component.referenceRange.appliesToObservation Reference Range Applies To CodesexampleObservation Reference Range Applies To Codes

 

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
obs-7ObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or code!=component.code
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
us-core-2ObservationIf there is no component or related element then either a value[x] or a data absent reason must be present
: (component.empty() and related.empty()) implies (dataAbsentReason or value)
us-core-5Observation.categoryMust have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'
: where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='laboratory').exists()
us-core-1Observation.effective[x]Datetime must be at least to day.
: ($this as dateTime).toString().length() >= 8
us-core-4Observation.value[x]SHOULD use Snomed CT for coded Results
: valueCodeableConcept.coding.system.empty() or valueCodeableConcept.coding.system = 'http://snomed.info/sct'
us-core-3Observation.value[x]SHALL use UCUM for coded quantity units.
: valueQuantity.system.empty() or valueQuantity.system = 'http://unitsofmeasure.org'
ele-1Observation.relatedAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Observation.relatedAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Observation.relatedAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())