HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)

This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions

ConditionPresenceContextModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-context-ConditionPresenceContext-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC ConditionPresenceContext Logical Model</b></p>
  <p>The context for a condition that is known, suspected, or possibly present.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ConditionPresenceContext-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.context.ConditionPresenceContext"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="ConditionPresenceContextModel"/>
  <title value="BC ConditionPresenceContext Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="The context for a condition that is known, suspected, or possibly present."/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="cimi-context-ConditionPresenceContext-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-context-ConditionPresenceContext-model">
      <path value="cimi-context-ConditionPresenceContext-model"/>
      <definition
                  value="The context for a condition that is known, suspected, or possibly present."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.contextCode">
      <path value="cimi-context-ConditionPresenceContext-model.contextCode"/>
      <short
             value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/>
      <definition
                  value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: &#39;Finding context (attribute)&#39; (SCTID: 408729009) and &#39;Procedure context (attribute)&#39; (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.contextCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.encounter">
      <path value="cimi-context-ConditionPresenceContext-model.encounter"/>
      <short
             value="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."/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.verificationStatus">
      <path
            value="cimi-context-ConditionPresenceContext-model.verificationStatus"/>
      <short
             value="Whether an assessment has been confirmed by testing or observation."/>
      <definition
                  value="Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.verificationStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.onset">
      <path value="cimi-context-ConditionPresenceContext-model.onset"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="85585-8"/>
      </code>
      <short
             value="The beginning or first appearance of a mental or physical disorder."/>
      <definition
                  value="The beginning or first appearance of a mental or physical disorder."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.onset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.abatement">
      <path value="cimi-context-ConditionPresenceContext-model.abatement"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="88878-4"/>
      </code>
      <short value="The end, remission or resolution."/>
      <definition value="The end, remission or resolution."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.abatement"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.certainty">
      <path value="cimi-context-ConditionPresenceContext-model.certainty"/>
      <short value="The degree of confidence in a conclusion or assertion."/>
      <definition value="The degree of confidence in a conclusion or assertion."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.clinicalStatus">
      <path value="cimi-context-ConditionPresenceContext-model.clinicalStatus"/>
      <short
             value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <definition
                  value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.clinicalStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-clinical"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized">
      <path
            value="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized"/>
      <short
             value="The time at which a condition or condition was first identified in a healthcare context."/>
      <definition
                  value="The time at which a condition or condition was first identified in a healthcare context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.presentOnAdmission">
      <path
            value="cimi-context-ConditionPresenceContext-model.presentOnAdmission"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="89251-3"/>
        <display value="Condition present on admission"/>
      </code>
      <short
             value="If the problem or condition existed before the current episode of care."/>
      <definition
                  value="If the problem or condition existed before the current episode of care."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.presentOnAdmission"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.severity">
      <path value="cimi-context-ConditionPresenceContext-model.severity"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0392364"/>
      </code>
      <short
             value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <definition
                  value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.severity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-severity"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.stage">
      <path value="cimi-context-ConditionPresenceContext-model.stage"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0699749"/>
      </code>
      <short
             value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.stage"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Stage-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="cimi-context-ConditionPresenceContext-model">
      <path value="cimi-context-ConditionPresenceContext-model"/>
      <definition
                  value="The context for a condition that is known, suspected, or possibly present."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.contextCode">
      <path value="cimi-context-ConditionPresenceContext-model.contextCode"/>
      <short
             value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/>
      <definition
                  value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: &#39;Finding context (attribute)&#39; (SCTID: 408729009) and &#39;Procedure context (attribute)&#39; (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.contextCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.encounter">
      <path value="cimi-context-ConditionPresenceContext-model.encounter"/>
      <short
             value="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."/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.verificationStatus">
      <path
            value="cimi-context-ConditionPresenceContext-model.verificationStatus"/>
      <short
             value="Whether an assessment has been confirmed by testing or observation."/>
      <definition
                  value="Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.verificationStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.onset">
      <path value="cimi-context-ConditionPresenceContext-model.onset"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="85585-8"/>
      </code>
      <short
             value="The beginning or first appearance of a mental or physical disorder."/>
      <definition
                  value="The beginning or first appearance of a mental or physical disorder."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.onset"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.abatement">
      <path value="cimi-context-ConditionPresenceContext-model.abatement"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="88878-4"/>
      </code>
      <short value="The end, remission or resolution."/>
      <definition value="The end, remission or resolution."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.abatement"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.certainty">
      <path value="cimi-context-ConditionPresenceContext-model.certainty"/>
      <short value="The degree of confidence in a conclusion or assertion."/>
      <definition value="The degree of confidence in a conclusion or assertion."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.clinicalStatus">
      <path value="cimi-context-ConditionPresenceContext-model.clinicalStatus"/>
      <short
             value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <definition
                  value="A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.clinicalStatus"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-clinical"/>
        </valueSetReference>
      </binding>
    </element>
    <element
             id="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized">
      <path
            value="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized"/>
      <short
             value="The time at which a condition or condition was first identified in a healthcare context."/>
      <definition
                  value="The time at which a condition or condition was first identified in a healthcare context."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.presentOnAdmission">
      <path
            value="cimi-context-ConditionPresenceContext-model.presentOnAdmission"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="89251-3"/>
        <display value="Condition present on admission"/>
      </code>
      <short
             value="If the problem or condition existed before the current episode of care."/>
      <definition
                  value="If the problem or condition existed before the current episode of care."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="cimi-context-ConditionPresenceContext-model.presentOnAdmission"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.severity">
      <path value="cimi-context-ConditionPresenceContext-model.severity"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0392364"/>
      </code>
      <short
             value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <definition
                  value="Degree of harshness or extent of a symptom, disorder, or condition."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.severity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-severity"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="cimi-context-ConditionPresenceContext-model.stage">
      <path value="cimi-context-ConditionPresenceContext-model.stage"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0699749"/>
      </code>
      <short
             value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <definition
                  value="The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-context-ConditionPresenceContext-model.stage"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Stage-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>