Standard Health Record

MammaprintRecurrenceScoreProfile

 

The official URL for this profile is:

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

Breast cancer genomic signature assay for 10-year risk of distant recurrence score calculated by Mammaprint.

In the United States, MammaPrint can only be used on cancers that are stage I or stage II, invasive, smaller than 5 centimeters, and estrogen-receptor-positive or -negative. Scores range from -1.0 to +1.0, with scores less than 0 indicating high risk, and scores greater than 0 indicating low risk.

The is currently no LOINC code for Mammaprint test.

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: 6 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

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.oncology.MammaprintRecurrenceScore maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  EvaluationResultTopic.Category maps to category
  EvaluationResultTopic.FindingMethod maps to method
  EvaluationResultTopic.TopicCode maps to code
  EvaluationResultTopic.AnatomicalLocation maps to bodySite
  EvaluationResultTopic.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
  EvaluationResultTopic.ReferenceRange maps to referenceRange
  EvaluationResultTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  EvaluationResultTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  EvaluationResultTopic.ReferenceRange.Type maps to referenceRange.type
  EvaluationResultTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  EvaluationResultTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  EvaluationResultTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationResultTopic.EvaluationComponent._Concept maps to component.code
  EvaluationResultTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  EvaluationResultTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationResultTopic.EvaluationComponent.Interpretation maps to component.interpretation
  EvaluationResultTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  constrain related to 0..0

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR MammaprintRecurrenceScore 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..1CodingProfile
..... system Fixed Value: http://ncimeta.nci.nih.gov
..... code Fixed Value: C2827401
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, Period
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfileBinding: SHR MammaprintRiskScoreInterpretationVS ValueSet (required)
... bodySite 0..0
... method CodeableConceptProfileBinding: LOINC Codes (preferred)
... specimen Reference(SHR BreastSpecimen Profile)
... referenceRange 0..0
... related 0..0
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR MammaprintRecurrenceScore 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..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://ncimeta.nci.nih.gov
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: C2827401
..... 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] SΣI0..1QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: SHR MammaprintRiskScoreInterpretationVS ValueSet (required)
... comment 0..1stringComments about result
... method 0..1CodeableConceptProfileHow it was done
Binding: LOINC Codes (preferred)
... specimen 0..1Reference(SHR BreastSpecimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device

doco Documentation for this format

Summary

Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 6 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

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.oncology.MammaprintRecurrenceScore maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  EvaluationResultTopic.Category maps to category
  EvaluationResultTopic.FindingMethod maps to method
  EvaluationResultTopic.TopicCode maps to code
  EvaluationResultTopic.AnatomicalLocation maps to bodySite
  EvaluationResultTopic.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
  EvaluationResultTopic.ReferenceRange maps to referenceRange
  EvaluationResultTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  EvaluationResultTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  EvaluationResultTopic.ReferenceRange.Type maps to referenceRange.type
  EvaluationResultTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  EvaluationResultTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  EvaluationResultTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  EvaluationResultTopic.EvaluationComponent._Concept maps to component.code
  EvaluationResultTopic.EvaluationComponent.ComponentResultValue maps to component.value[x]
  EvaluationResultTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  EvaluationResultTopic.EvaluationComponent.Interpretation maps to component.interpretation
  EvaluationResultTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  constrain related to 0..0

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation SHR MammaprintRecurrenceScore 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..1CodingProfile
..... system Fixed Value: http://ncimeta.nci.nih.gov
..... code Fixed Value: C2827401
... value[x] QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, Period
... dataAbsentReason CodeableConceptProfileBinding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation CodeableConceptProfileBinding: SHR MammaprintRiskScoreInterpretationVS ValueSet (required)
... bodySite 0..0
... method CodeableConceptProfileBinding: LOINC Codes (preferred)
... specimen Reference(SHR BreastSpecimen Profile)
... referenceRange 0..0
... related 0..0
... component 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*SHR MammaprintRecurrenceScore 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..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://ncimeta.nci.nih.gov
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: C2827401
..... 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] SΣI0..1QuantityProfile, CodeableConceptProfile, string, boolean, RangeProfile, RatioProfile, time, dateTime, PeriodResult Value
us-core-4: SHOULD use Snomed CT for coded Results
us-core-3: SHALL use UCUM for coded quantity units.
... dataAbsentReason SI0..1CodeableConceptProfileWhy the result is missing
Binding: SHR ExceptionValueVS ValueSet (extensible)
... interpretation 0..1CodeableConceptProfileHigh, low, normal, etc.
Binding: SHR MammaprintRiskScoreInterpretationVS ValueSet (required)
... comment 0..1stringComments about result
... method 0..1CodeableConceptProfileHow it was done
Binding: LOINC Codes (preferred)
... specimen 0..1Reference(SHR BreastSpecimen Profile)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device

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.dataAbsentReasonSHR ExceptionValueVS ValueSetextensibleExceptionValueVS
Observation.interpretationSHR MammaprintRiskScoreInterpretationVS ValueSetrequiredMammaprintRiskScoreInterpretationVS
Observation.methodLOINC CodespreferredLOINC 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.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'