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


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-context-StatementContext-model"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.context.StatementContext"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="StatementContextModel"/>
  <title value="BC StatementContext 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="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 &#39;absent&#39;, 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 value="logical"/>
  <abstract value="false"/>
  <type value="cimi-context-StatementContext-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-context-StatementContext-model">
      <path value="cimi-context-StatementContext-model"/>
      <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 &#39;absent&#39;, 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="cimi-context-StatementContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-StatementContext-model.contextCode">
      <path value="cimi-context-StatementContext-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"/>
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      <base>
        <path value="cimi-context-StatementContext-model.contextCode"/>
        <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-StatementContext-model.encounter">
      <path value="cimi-context-StatementContext-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."/>
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      <base>
        <path value="cimi-context-StatementContext-model.encounter"/>
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      </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>
  </snapshot>
  <differential>
    <element id="cimi-context-StatementContext-model">
      <path value="cimi-context-StatementContext-model"/>
      <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 &#39;absent&#39;, 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"/>
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        <path value="cimi-context-StatementContext-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-context-StatementContext-model.contextCode">
      <path value="cimi-context-StatementContext-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"/>
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      <base>
        <path value="cimi-context-StatementContext-model.contextCode"/>
        <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-StatementContext-model.encounter">
      <path value="cimi-context-StatementContext-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-StatementContext-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>
  </differential>
</StructureDefinition>