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

PresenceContextModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-context-PresenceContext-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC PresenceContext Logical Model</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-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.context.PresenceContext"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="PresenceContextModel"/>
  <title value="BC PresenceContext 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="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."/>
  <keyword>
    <system value="http://snomed.info/sct"/>
    <code value="410515003"/>
  </keyword>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="cimi-context-PresenceContext-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-context-PresenceContext-model">
      <path value="cimi-context-PresenceContext-model"/>
      <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="cimi-context-PresenceContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-PresenceContext-model.contextCode">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.encounter">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.verificationStatus">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.onset">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.abatement">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.certainty">
      <path value="cimi-context-PresenceContext-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-PresenceContext-model.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="cimi-context-PresenceContext-model">
      <path value="cimi-context-PresenceContext-model"/>
      <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="cimi-context-PresenceContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-PresenceContext-model.contextCode">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.encounter">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.verificationStatus">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.onset">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.abatement">
      <path value="cimi-context-PresenceContext-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-PresenceContext-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-PresenceContext-model.certainty">
      <path value="cimi-context-PresenceContext-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-PresenceContext-model.certainty"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>