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-topic-ConditionAssertionTopic-model"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BC ConditionAssertionTopic Logical Model</b></p> <p>A condition, independent of context. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context.</p> </div> </text> <url value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ConditionAssertionTopic-model"/> <identifier> <system value="http://hl7.org/fhir/us/breastcancer"/> <value value="cimi.topic.ConditionAssertionTopic"/> </identifier> <version value="0.2.0"/> <name value="ConditionAssertionTopicModel"/> <title value="BC ConditionAssertionTopic 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="A condition, independent of context. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/> <kind value="logical"/> <abstract value="false"/> <type value="cimi-topic-ConditionAssertionTopic-model"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="cimi-topic-ConditionAssertionTopic-model"> <path value="cimi-topic-ConditionAssertionTopic-model"/> <definition value="A condition, independent of context. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.topicCode"> <path value="cimi-topic-ConditionAssertionTopic-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-problem"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.findingMethod"> <path value="cimi-topic-ConditionAssertionTopic-model.findingMethod"/> <short value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.findingMethod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://loinc.org/vs"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.details"> <path value="cimi-topic-ConditionAssertionTopic-model.details"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0947611"/> </code> <short value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <definition value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.details"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.media"> <path value="cimi-topic-ConditionAssertionTopic-model.media"/> <short value="A file that contains audio, video, image, or similar content."/> <definition value="A file that contains audio, video, image, or similar content."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.media"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.category"> <path value="cimi-topic-ConditionAssertionTopic-model.category"/> <short value="A class or division of people or things having particular shared characteristics"/> <definition value="A class or division of people or things having particular shared characteristics"/> <min value="1"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.category"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"> <path value="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"/> <code> <system value="http://loinc.org"/> <code value="72369-2"/> </code> <short value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <definition value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.conditionCause"> <path value="cimi-topic-ConditionAssertionTopic-model.conditionCause"/> <short value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/> <definition value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.conditionCause"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"> <path value="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"/> <code> <system value="http://loinc.org"/> <code value="55258-8"/> </code> <short value="Activities that reduce the severity of the pathology"/> <definition value="Activities that reduce the severity of the pathology"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"> <path value="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"/> <code> <system value="http://loinc.org"/> <code value="55258-8"/> </code> <short value="Activities that increase the severity of the pathology"/> <definition value="Activities that increase the severity of the pathology"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="cimi-topic-ConditionAssertionTopic-model"> <path value="cimi-topic-ConditionAssertionTopic-model"/> <definition value="A condition, independent of context. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble, independent of context."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.topicCode"> <path value="cimi-topic-ConditionAssertionTopic-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-problem"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.findingMethod"> <path value="cimi-topic-ConditionAssertionTopic-model.findingMethod"/> <short value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.findingMethod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://loinc.org/vs"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.details"> <path value="cimi-topic-ConditionAssertionTopic-model.details"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0947611"/> </code> <short value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <definition value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.details"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.media"> <path value="cimi-topic-ConditionAssertionTopic-model.media"/> <short value="A file that contains audio, video, image, or similar content."/> <definition value="A file that contains audio, video, image, or similar content."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.media"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.category"> <path value="cimi-topic-ConditionAssertionTopic-model.category"/> <short value="A class or division of people or things having particular shared characteristics"/> <definition value="A class or division of people or things having particular shared characteristics"/> <min value="1"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.category"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category"/> </valueSetReference> </binding> </element> <element id="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"> <path value="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"/> <code> <system value="http://loinc.org"/> <code value="72369-2"/> </code> <short value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <definition value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.anatomicalLocation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.conditionCause"> <path value="cimi-topic-ConditionAssertionTopic-model.conditionCause"/> <short value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/> <definition value="The cause of the condition. This includes such causes as disease vectors and endogenous states (e.g., macular degeneration due to diabetes), substances, medications, micro-organisms, and forces associated with the occurrence of a Condition from temporal or causative perspectives"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.conditionCause"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Entity-model"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ClinicalStatement-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"> <path value="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"/> <code> <system value="http://loinc.org"/> <code value="55258-8"/> </code> <short value="Activities that reduce the severity of the pathology"/> <definition value="Activities that reduce the severity of the pathology"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.alleviatingFactor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"> <path value="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"/> <code> <system value="http://loinc.org"/> <code value="55258-8"/> </code> <short value="Activities that increase the severity of the pathology"/> <definition value="Activities that increase the severity of the pathology"/> <min value="0"/> <max value="*"/> <base> <path value="cimi-topic-ConditionAssertionTopic-model.exacerbatingFactor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>