HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1

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
StatementContextModel

{
  "resourceType" : "StructureDefinition",
  "id" : "cimi-context-StatementContext-model",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC StatementContext Logical Model</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>"
  },
  "url" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-model",
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/us/breastcancer",
      "value" : "cimi.context.StatementContext"
    }
  ],
  "version" : "0.2.0",
  "name" : "StatementContextModel",
  "title" : "BC StatementContext Logical Model",
  "status" : "draft",
  "date" : "2018-08-17T00:00:00+10:00",
  "publisher" : "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic/index.cfm"
        }
      ]
    }
  ],
  "description" : "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.",
  "kind" : "logical",
  "abstract" : false,
  "type" : "cimi-context-StatementContext-model",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [
      {
        "id" : "cimi-context-StatementContext-model",
        "path" : "cimi-context-StatementContext-model",
        "definition" : "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" : 0,
        "max" : "*",
        "base" : {
          "path" : "cimi-context-StatementContext-model",
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        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "cimi-context-StatementContext-model.contextCode",
        "path" : "cimi-context-StatementContext-model.contextCode",
        "short" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
        "definition" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "cimi-context-StatementContext-model.contextCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "cimi-context-StatementContext-model.encounter",
        "path" : "cimi-context-StatementContext-model.encounter",
        "short" : "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" : "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.",
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        "base" : {
          "path" : "cimi-context-StatementContext-model.encounter",
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        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "cimi-context-StatementContext-model",
        "path" : "cimi-context-StatementContext-model",
        "definition" : "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" : 0,
        "max" : "*",
        "base" : {
          "path" : "cimi-context-StatementContext-model",
          "min" : 0,
          "max" : "*"
        },
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "cimi-context-StatementContext-model.contextCode",
        "path" : "cimi-context-StatementContext-model.contextCode",
        "short" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
        "definition" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "cimi-context-StatementContext-model.contextCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "cimi-context-StatementContext-model.encounter",
        "path" : "cimi-context-StatementContext-model.encounter",
        "short" : "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" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "cimi-context-StatementContext-model.encounter",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false
      }
    ]
  }
}