HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1 (Standard for Trial Use)

This page is part of the Occupational Data for Health (ODH) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions

ClinicalStatementModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-statement-ClinicalStatement-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>ODH ClinicalStatement Logical Model</b></p>
  <p>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.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-statement-ClinicalStatement-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/odh"/>
    <value value="cimi.statement.ClinicalStatement"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="ClinicalStatementModel"/>
  <title value="ODH ClinicalStatement Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher value="HL7"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://standardhealthrecord.org"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="cimi-statement-ClinicalStatement-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-statement-ClinicalStatement-model">
      <path value="cimi-statement-ClinicalStatement-model"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.personOfRecord">
      <path value="cimi-statement-ClinicalStatement-model.personOfRecord"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0027361"/>
      </code>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.personOfRecord"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-entity-Person-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.recorded">
      <path value="cimi-statement-ClinicalStatement-model.recorded"/>
      <short
             value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <definition
                  value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.recorded"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.signed">
      <path value="cimi-statement-ClinicalStatement-model.signed"/>
      <short
             value="Provenance information specific to the signing of the clinical statement."/>
      <definition
                  value="Provenance information specific to the signing of the clinical statement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.signed"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.additionalText">
      <path value="cimi-statement-ClinicalStatement-model.additionalText"/>
      <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-statement-ClinicalStatement-model.additionalText"/>
        <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-statement-ClinicalStatement-model.contextCode">
      <path value="cimi-statement-ClinicalStatement-model.contextCode"/>
      <short
             value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/>
      <definition
                  value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.contextCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.statementTopic">
      <path value="cimi-statement-ClinicalStatement-model.statementTopic"/>
      <short
             value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement."/>
      <definition
                  value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.

StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.statementTopic"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-topic-StatementTopic-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.encounter">
      <path value="cimi-statement-ClinicalStatement-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-statement-ClinicalStatement-model.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="cimi-statement-ClinicalStatement-model">
      <path value="cimi-statement-ClinicalStatement-model"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.personOfRecord">
      <path value="cimi-statement-ClinicalStatement-model.personOfRecord"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0027361"/>
      </code>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.personOfRecord"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-entity-Person-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.recorded">
      <path value="cimi-statement-ClinicalStatement-model.recorded"/>
      <short
             value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <definition
                  value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.recorded"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.signed">
      <path value="cimi-statement-ClinicalStatement-model.signed"/>
      <short
             value="Provenance information specific to the signing of the clinical statement."/>
      <definition
                  value="Provenance information specific to the signing of the clinical statement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.signed"/>
        <min value="0"/>
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      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.additionalText">
      <path value="cimi-statement-ClinicalStatement-model.additionalText"/>
      <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-statement-ClinicalStatement-model.additionalText"/>
        <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-statement-ClinicalStatement-model.contextCode">
      <path value="cimi-statement-ClinicalStatement-model.contextCode"/>
      <short
             value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/>
      <definition
                  value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-ClinicalStatement-model.contextCode"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.statementTopic">
      <path value="cimi-statement-ClinicalStatement-model.statementTopic"/>
      <short
             value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement."/>
      <definition
                  value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.

StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded)."/>
      <min value="0"/>
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      <base>
        <path value="cimi-statement-ClinicalStatement-model.statementTopic"/>
        <min value="0"/>
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      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-topic-StatementTopic-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-ClinicalStatement-model.encounter">
      <path value="cimi-statement-ClinicalStatement-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-statement-ClinicalStatement-model.encounter"/>
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      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Encounter-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>