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 
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="cimi-context-PresenceContext-extension"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BC PresenceContext Extension</b></p> <p>PresenceContext indicates that the finding in question exists or is present to some level of certainty. For 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> </div> </text> <url value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension"/> <identifier> <system value="http://hl7.org/fhir/us/breastcancer"/> <value value="cimi.context.PresenceContext"/> </identifier> <version value="0.2.0"/> <name value="PresenceContextExtension"/> <title value="BC PresenceContext Extension"/> <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="PresenceContext indicates that the finding in question exists or is present to some level of certainty. For 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."/> <fhirVersion value="3.0.1"/> <kind value="complex-type"/> <abstract value="false"/> <contextType value="resource"/> <context value="*"/> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension"/> <derivation value="constraint"/> <snapshot> <element id="Extension:presencecontext"> <path value="Extension"/> <short value="BC PresenceContext Extension"/> <definition value="PresenceContext indicates that the finding in question exists or is present to some level of certainty. For 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."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="1"/> </base> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="children().count() > id.count()"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> </element> <element id="Extension:presencecontext.id"> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension"> <path value="Extension.extension"/> <slicing id="1"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:presencecontext.extension:contextcode"> <path value="Extension.extension"/> <sliceName value="contextcode"/> <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: '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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:contextcode.id"> <path value="Extension.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:contextcode.extension:extension"> <path value="Extension.extension.extension"/> <sliceName value="extension"/> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Extension:presencecontext.extension:contextcode.url"> <path value="Extension.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment 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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:contextcode.valueCodeableConcept"> <path value="Extension.extension.valueCodeableConcept"/> <short value="Value of extension"/> <definition 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)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:encounter"> <path value="Extension.extension"/> <sliceName value="encounter"/> <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="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:verificationstatus"> <path value="Extension.extension"/> <sliceName value="verificationstatus"/> <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="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-VerificationStatus-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:onset"> <path value="Extension.extension"/> <sliceName value="onset"/> <definition value="The beginning or first appearance of a mental or physical disorder."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Onset-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:abatement"> <path value="Extension.extension"/> <sliceName value="abatement"/> <definition value="The end, remission or resolution."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Abatement-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.extension:certainty"> <path value="Extension.extension"/> <sliceName value="certainty"/> <definition value="The degree of confidence in a conclusion or assertion."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.extension"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Certainty-extension"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.url"> <path value="Extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment 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."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:presencecontext.value[x]"> <path value="Extension.value[x]"/> <short value="Value of extension"/> <definition 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)."/> <min value="0"/> <max value="0"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="base64Binary"/> </type> <type> <code value="boolean"/> </type> <type> <code value="code"/> </type> <type> <code value="date"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="decimal"/> </type> <type> <code value="id"/> </type> <type> <code value="instant"/> </type> <type> <code value="integer"/> </type> <type> <code value="markdown"/> </type> <type> <code value="oid"/> </type> <type> <code value="positiveInt"/> </type> <type> <code value="string"/> </type> <type> <code value="time"/> </type> <type> <code value="unsignedInt"/> </type> <type> <code value="uri"/> </type> <type> <code value="Address"/> </type> <type> <code value="Age"/> </type> <type> <code value="Annotation"/> </type> <type> <code value="Attachment"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="Coding"/> </type> <type> <code value="ContactPoint"/> </type> <type> <code value="Count"/> </type> <type> <code value="Distance"/> </type> <type> <code value="Duration"/> </type> <type> <code value="HumanName"/> </type> <type> <code value="Identifier"/> </type> <type> <code value="Money"/> </type> <type> <code value="Period"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="Reference"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="Signature"/> </type> <type> <code value="Timing"/> </type> <type> <code value="Meta"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension:presencecontext"> <path value="Extension"/> <short value="BC PresenceContext Extension"/> <definition value="PresenceContext indicates that the finding in question exists or is present to some level of certainty. For 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."/> <min value="0"/> <max value="*"/> </element> <element id="Extension:presencecontext.extension:contextcode"> <path value="Extension.extension"/> <sliceName value="contextcode"/> <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: '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."/> <min value="1"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ContextCode-extension"/> </type> </element> <element id="Extension:presencecontext.extension:contextcode.valueCodeableConcept"> <path value="Extension.extension.valueCodeableConcept"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-PresenceContextVS"/> </valueSetReference> </binding> </element> <element id="Extension:presencecontext.extension:encounter"> <path value="Extension.extension"/> <sliceName value="encounter"/> <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"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-extension"/> </type> </element> <element id="Extension:presencecontext.extension:verificationstatus"> <path value="Extension.extension"/> <sliceName value="verificationstatus"/> <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"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-VerificationStatus-extension"/> </type> </element> <element id="Extension:presencecontext.extension:onset"> <path value="Extension.extension"/> <sliceName value="onset"/> <definition value="The beginning or first appearance of a mental or physical disorder."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Onset-extension"/> </type> </element> <element id="Extension:presencecontext.extension:abatement"> <path value="Extension.extension"/> <sliceName value="abatement"/> <definition value="The end, remission or resolution."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Abatement-extension"/> </type> </element> <element id="Extension:presencecontext.extension:certainty"> <path value="Extension.extension"/> <sliceName value="certainty"/> <definition value="The degree of confidence in a conclusion or assertion."/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Certainty-extension"/> </type> </element> <element id="Extension:presencecontext.url"> <path value="Extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-PresenceContext-extension"/> </element> <element id="Extension:presencecontext.value[x]"> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> </element> </differential> </StructureDefinition>