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-FindingContext-model
The FindingContext class provides the context for the EvaluationResultTopic and AssertionTopic in a clinical statement.
For instance, a statement about findings may state that the finding was observed to be present or absent. This class aligns with the SNOMED Situation with Explicit Context.The base class for representing the ontological status of a finding, e.g., present, absent, goal, risk, expectation, etc.
CIMI Alignment: In CIMI V0.0.4, FindingContext included a ‘status’ attribute. However, there are several problems with this. (1) To align with FHIR, the datatype of status should be Concept, not Attribution. (2) In FHIR, different types of status with different shades of meaning are found in different subclasses, for example, clinicalStatus and verificationStatus in Condition, and status in Observation. (3) Status will not be uniform in meaning across all CIMI finding contexts. For example, in GoalContext, the relevant status might be the progress toward the goal, which does not have the same meaning as the status of an EvaluationResult.
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-FindingContext-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. | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL)