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-StatementContext-extension"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BC StatementContext Extension</b></p> <p>Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm.</p> </div> </text> <url value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension"/> <identifier> <system value="http://hl7.org/fhir/us/breastcancer"/> <value value="cimi.context.StatementContext"/> </identifier> <version value="0.2.0"/> <name value="StatementContextExtension"/> <title value="BC StatementContext 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="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm."/> <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:statementcontext"> <path value="Extension"/> <short value="BC StatementContext Extension"/> <definition value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm."/> <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:statementcontext.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:statementcontext.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:statementcontext.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:statementcontext.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:statementcontext.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-StatementContext-extension"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension:statementcontext.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:statementcontext"> <path value="Extension"/> <short value="BC StatementContext Extension"/> <definition value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm."/> <min value="0"/> <max value="*"/> </element> <element id="Extension:statementcontext.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:statementcontext.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:statementcontext.url"> <path value="Extension.url"/> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension"/> </element> <element id="Extension:statementcontext.value[x]"> <path value="Extension.value[x]"/> <min value="0"/> <max value="0"/> </element> </differential> </StructureDefinition>