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 
The official URL for this profile is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement
A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement classes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model. A clinical statement is composed of the StatementTopic class (grouping of attributes for capturing information about a procedure or a clinical finding) and the StatementContext class (grouping of attributes providing the context for the statement topic such as whether a procedure was performed, requested, not performed or whether a finding is suspected present or absent in the patient). At the archetype level, the topic and context components are coordinated to form the clinical statement. For instance, the composition of the ProcedureTopic with the NotPerformed context indicates that the given procedure was not performed.
This profile builds on DomainResource.
This profile was published on Fri Aug 17 00:00:00 AEST 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
View the corresponding ClinicalStatementModel logical model.
Summary
Mandatory: 0 element (2 nested mandatory elements)
Extensions
This structure refers to these extensions:
BC Mapping Source
This structure represents the following BC mapping definition:
cimi.statement.ClinicalStatement maps to DomainResource:
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DomainResource | BC ClinicalStatement Profile | |||
  extension | 2..* | |||
| cimi-core-PersonOfRecord-extension | 0..1 | Reference(US Core Patient Profile) | BC PersonOfRecord Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-extension | |
 cimi-topic-StatementTopic-extension | 1..1 | (Complex) | BC StatementTopic Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-StatementTopic-extension | |
 cimi-context-StatementContext-extension | 1..1 | (Complex) | BC StatementContext Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DomainResource | I | 0..* | BC ClinicalStatement Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | |
 id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
| extension | 2..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| cimi-core-PersonOfRecord-extension | 0..1 | Reference(US Core Patient Profile) | BC PersonOfRecord Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-extension | |
| cimi-topic-StatementTopic-extension | 1..1 | (Complex) | BC StatementTopic Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-StatementTopic-extension | |
| cimi-context-StatementContext-extension | 1..1 | (Complex) | BC StatementContext Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (2 nested mandatory elements)
Extensions
This structure refers to these extensions:
BC Mapping Source
This structure represents the following BC mapping definition:
cimi.statement.ClinicalStatement maps to DomainResource:
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DomainResource | BC ClinicalStatement Profile | |||
| extension | 2..* | |||
| cimi-core-PersonOfRecord-extension | 0..1 | Reference(US Core Patient Profile) | BC PersonOfRecord Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-extension | |
| cimi-topic-StatementTopic-extension | 1..1 | (Complex) | BC StatementTopic Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-StatementTopic-extension | |
| cimi-context-StatementContext-extension | 1..1 | (Complex) | BC StatementContext Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DomainResource | I | 0..* | BC ClinicalStatement Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource | |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 2..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| cimi-core-PersonOfRecord-extension | 0..1 | Reference(US Core Patient Profile) | BC PersonOfRecord Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-extension | |
| cimi-topic-StatementTopic-extension | 1..1 | (Complex) | BC StatementTopic Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-StatementTopic-extension | |
| cimi-context-StatementContext-extension | 1..1 | (Complex) | BC StatementContext Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Name | Conformance | ValueSet |
| DomainResource.language | Common Languages | extensible | Common Languages |
| Id | Path | Details | Requirements |
| dom-2 | DomainResource | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | DomainResource | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | DomainResource | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-3 | DomainResource | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() |