HL7 FHIR® Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment)
This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.1.0: 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 logical model is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionPresenceContext-model
The context for a condition that is known, suspected, or possibly present.
CIMI Alignment: In CIMI V0.0.4, this class was called AssertionKnownOrSuspectedPresent. The corresponding CIMI class is ungoing a name change to include the word ‘StatementContext’ and remove the word ‘Assertion’. The presence of terminology bindings (necessary to align with FHIR clinicalStatus, severity, and criticality) means that this class cannot be defined entirely within the CIMI reference model. The constraints could only exist in an archetype derived from the reference model class. The logical model here represents both the class structure and the terminology bindings.
This logical model was published on Sun Apr 01 00:00:00 AEDT 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
This IG does not define a corresponding profile for this logical model.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  cimi-ConditionPresenceContext-model | 0..* | |||
  contextCode | 1..1 | ContextCodeModel | A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. | |
   value | 1..1 | Coding | Code representing a code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Binding: PresenceContextVS (required) | |
| verificationStatus | 1..1 | VerificationStatusModel | Whether an assessment has been confirmed by testing or observation. | |
| value | 1..1 | Coding | Code representing whether an assessment has been confirmed by testing or observation. Binding: ConditionVerificationStatus (required) | |
| onset | 0..1 | OnsetModel | The beginning or first appearance of a mental or physical disorder. | |
| abatement | 0..1 | AbatementModel | The end of the condition, either remission or resolution. This attribute corresponds to dateAbated and hasAbated in CIMI V0.0.4, but includes additional datatypes corresponding to FHIR | |
| certainty | 0..1 | CertaintyModel | The degree of confidence in a conclusion or assertion. | |
| clinicalStatus | 1..1 | ClinicalStatusModel | A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition). | |
 value | 1..1 | code | Code representing a flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition). Binding: Condition Clinical Status Codes (required) | |
| presentOnAdmission | 0..1 | PresentOnAdmissionModel | If the problem or condition existed before the current episode of care. | |
| severity | 0..1 | SeverityModel | Degree of harshness or extent of a symptom, disorder, or condition. | |
| value | 1..1 | Coding | Code representing degree of harshness or extent of a symptom, disorder, or condition. Binding: Condition/Diagnosis Severity (required) | |
| criticality | 0..1 | CriticalityModel | The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. | |
 value | 1..1 | code | Code representing the potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Binding: AllergyIntoleranceCriticality (required) | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)
| Path | Name | Conformance | ValueSet |
| cimi-ConditionPresenceContext-model.contextCode.value | PresenceContextVS | required | PresenceContextVS |
| cimi-ConditionPresenceContext-model.verificationStatus.value | ConditionVerificationStatus | required | ConditionVerificationStatus |
| cimi-ConditionPresenceContext-model.clinicalStatus.value | Condition Clinical Status Codes | required | Condition Clinical Status Codes |
| cimi-ConditionPresenceContext-model.severity.value | Condition/Diagnosis Severity | required | Condition/Diagnosis Severity |
| cimi-ConditionPresenceContext-model.criticality.value | AllergyIntoleranceCriticality | required | AllergyIntoleranceCriticality |