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

PresenceContextExtension

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "cimi-context-PresenceContext-extension"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>BC PresenceContext Extension</b></p>\n  <p>PresenceContext indicates that the finding in question exists or is present to some level of certainty.\nFor example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present.</p>\n</div>"
  ];
  fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension"];
  fhir:StructureDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/us/breastcancer" ];
     fhir:Identifier.value [ fhir:value "cimi.context.PresenceContext" ]
  ];
  fhir:StructureDefinition.version [ fhir:value "0.2.0"];
  fhir:StructureDefinition.name [ fhir:value "PresenceContextExtension"];
  fhir:StructureDefinition.title [ fhir:value "BC PresenceContext Extension"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2018-08-17T00:00:00+10:00"^^xsd:dateTime];
  fhir:StructureDefinition.publisher [ fhir:value "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic/index.cfm" ]     ]
  ];
  fhir:StructureDefinition.description [ fhir:value "PresenceContext indicates that the finding in question exists or is present to some level of certainty.\nFor example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "3.0.1"];
  fhir:StructureDefinition.kind [ fhir:value "complex-type"];
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
  fhir:StructureDefinition.contextType [ fhir:value "resource"];
  fhir:StructureDefinition.context [
     fhir:value "*";
     fhir:index 0
  ];
  fhir:StructureDefinition.type [ fhir:value "Extension"];
  fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension"];
  fhir:StructureDefinition.derivation [ fhir:value "constraint"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Extension:presencecontext" ];
       fhir:ElementDefinition.path [ fhir:value "Extension" ];
       fhir:ElementDefinition.short [ fhir:value "BC PresenceContext Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "PresenceContext indicates that the finding in question exists or is present to some level of certainty.\nFor example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.condition [
         fhir:value "ele-1";
         fhir:index 0       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "children().count() > id.count()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Element" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Extension" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Extension:presencecontext.id" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:Element.id [ fhir:value "1" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "contextcode" ];
       fhir:ElementDefinition.definition [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.\nAttribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode.id" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode.extension:extension" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "extension" ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode.url" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension.valueCodeableConcept" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:encounter" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "encounter" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:verificationstatus" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "verificationstatus" ];
       fhir:ElementDefinition.definition [ fhir:value "Whether an assessment has been confirmed by testing or observation.\nCIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-VerificationStatus-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:onset" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "onset" ];
       fhir:ElementDefinition.definition [ fhir:value "The beginning or first appearance of a mental or physical disorder." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Onset-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:abatement" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "abatement" ];
       fhir:ElementDefinition.definition [ fhir:value "The end, remission or resolution." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Abatement-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:certainty" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "certainty" ];
       fhir:ElementDefinition.definition [ fhir:value "The degree of confidence in a conclusion or assertion." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Certainty-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "Extension:presencecontext.url" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "Extension:presencecontext.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "date" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "decimal" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "markdown" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "oid" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "Address" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "Age" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ], [
         fhir:index 22;
         fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]       ], [
         fhir:index 23;
         fhir:ElementDefinition.type.code [ fhir:value "Count" ]       ], [
         fhir:index 24;
         fhir:ElementDefinition.type.code [ fhir:value "Distance" ]       ], [
         fhir:index 25;
         fhir:ElementDefinition.type.code [ fhir:value "Duration" ]       ], [
         fhir:index 26;
         fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]       ], [
         fhir:index 27;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ], [
         fhir:index 28;
         fhir:ElementDefinition.type.code [ fhir:value "Money" ]       ], [
         fhir:index 29;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ], [
         fhir:index 30;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 31;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 32;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 33;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ]       ], [
         fhir:index 34;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 35;
         fhir:ElementDefinition.type.code [ fhir:value "Signature" ]       ], [
         fhir:index 36;
         fhir:ElementDefinition.type.code [ fhir:value "Timing" ]       ], [
         fhir:index 37;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Extension:presencecontext" ];
       fhir:ElementDefinition.path [ fhir:value "Extension" ];
       fhir:ElementDefinition.short [ fhir:value "BC PresenceContext Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "PresenceContext indicates that the finding in question exists or is present to some level of certainty.\nFor example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "contextcode" ];
       fhir:ElementDefinition.definition [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.\nAttribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:contextcode.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension.valueCodeableConcept" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:encounter" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "encounter" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-extension" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:verificationstatus" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "verificationstatus" ];
       fhir:ElementDefinition.definition [ fhir:value "Whether an assessment has been confirmed by testing or observation.\nCIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-VerificationStatus-extension" ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:onset" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "onset" ];
       fhir:ElementDefinition.definition [ fhir:value "The beginning or first appearance of a mental or physical disorder." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Onset-extension" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:abatement" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "abatement" ];
       fhir:ElementDefinition.definition [ fhir:value "The end, remission or resolution." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Abatement-extension" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Extension:presencecontext.extension:certainty" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "certainty" ];
       fhir:ElementDefinition.definition [ fhir:value "The degree of confidence in a conclusion or assertion." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Certainty-extension" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Extension:presencecontext.url" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.url" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension" ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Extension:presencecontext.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ]     ]
  ].

<http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS> a fhir:us.

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.