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 
{
"resourceType" : "StructureDefinition",
"id" : "cimi-PresenceContext-model",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>BC PresenceContext Logical Model</b></p>
<p>PresenceContext indicates that the finding in question exists or is present to some level of certainty.
For example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present.
CIMI Alignment: In CIMI V0.0.4, there were two classes, KnownOrSuspectedPresent and AssertionKnownOrSuspectedPresent. CIMI has recently decided to combine these classes and rename it PresenceContext, as represented here.</p>
</div>"
},
"url" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-PresenceContext-model",
"identifier" : [
{
"system" : "http://hl7.org/fhir/us/breastcancer",
"value" : "cimi.PresenceContext"
}
],
"version" : "0.1.0",
"name" : "PresenceContextModel",
"title" : "BC PresenceContext Logical Model",
"status" : "draft",
"date" : "2018-04-01T00:00:00+11:00",
"publisher" : "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://standardhealthrecord.org"
}
]
}
],
"description" : "PresenceContext indicates that the finding in question exists or is present to some level of certainty.
For example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present.
CIMI Alignment: In CIMI V0.0.4, there were two classes, KnownOrSuspectedPresent and AssertionKnownOrSuspectedPresent. CIMI has recently decided to combine these classes and rename it PresenceContext, as represented here.",
"keyword" : [
{
"system" : "http://snomed.info/sct",
"code" : "410515003"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "cimi-PresenceContext-model",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "cimi-PresenceContext-model",
"path" : "cimi-PresenceContext-model",
"definition" : "PresenceContext indicates that the finding in question exists or is present to some level of certainty.
For example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present.
CIMI Alignment: In CIMI V0.0.4, there were two classes, KnownOrSuspectedPresent and AssertionKnownOrSuspectedPresent. CIMI has recently decided to combine these classes and rename it PresenceContext, as represented here.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-PresenceContext-model",
"min" : 0,
"max" : "*"
},
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.contextCode",
"path" : "cimi-PresenceContext-model.contextCode",
"short" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
"definition" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.
CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.contextCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ContextCode-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.contextCode.value",
"path" : "cimi-PresenceContext-model.contextCode.value",
"short" : "Code representing a code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
"definition" : "Code representing a code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.
CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4.",
"alias" : [
"codeableConcept"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-ContextCode-model.value",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-PresenceContextVS"
}
}
},
{
"id" : "cimi-PresenceContext-model.verificationStatus",
"path" : "cimi-PresenceContext-model.verificationStatus",
"short" : "Whether an assessment has been confirmed by testing or observation.",
"definition" : "Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.verificationStatus",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-VerificationStatus-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.onset",
"path" : "cimi-PresenceContext-model.onset",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0277793"
}
],
"short" : "The beginning or first appearance of a mental or physical disorder.",
"definition" : "The beginning or first appearance of a mental or physical disorder.
CIMI Alignment: This attribute aligns with FHIR Condition.onset and with dateOfOnset and ageAtOnset in CIMI V0.0.4, but includes additional datatypes corresponding to FHIR",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.onset",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Onset-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.abatement",
"path" : "cimi-PresenceContext-model.abatement",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C1880019"
}
],
"short" : "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",
"definition" : "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",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.abatement",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Abatement-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.certainty",
"path" : "cimi-PresenceContext-model.certainty",
"short" : "The degree of confidence in a conclusion or assertion.",
"definition" : "The degree of confidence in a conclusion or assertion.
CIMI Alignment: This attribute aligns with KnownOrSuspectedPresent.certainty in CIMI V0.0.4, but with the recent realignment of CIMI classes, this attribute is attached to the correct class, PresenceContext.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.certainty",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Certainty-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
}
]
},
"differential" : {
"element" : [
{
"id" : "cimi-PresenceContext-model",
"path" : "cimi-PresenceContext-model",
"definition" : "PresenceContext indicates that the finding in question exists or is present to some level of certainty.
For example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present.
CIMI Alignment: In CIMI V0.0.4, there were two classes, KnownOrSuspectedPresent and AssertionKnownOrSuspectedPresent. CIMI has recently decided to combine these classes and rename it PresenceContext, as represented here.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-PresenceContext-model",
"min" : 0,
"max" : "*"
},
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.contextCode",
"path" : "cimi-PresenceContext-model.contextCode",
"short" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
"definition" : "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.
CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.contextCode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ContextCode-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.contextCode.value",
"path" : "cimi-PresenceContext-model.contextCode.value",
"short" : "Code representing a code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.",
"definition" : "Code representing a code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.
Attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC.
CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4.",
"alias" : [
"codeableConcept"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-ContextCode-model.value",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "required",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-PresenceContextVS"
}
}
},
{
"id" : "cimi-PresenceContext-model.verificationStatus",
"path" : "cimi-PresenceContext-model.verificationStatus",
"short" : "Whether an assessment has been confirmed by testing or observation.",
"definition" : "Whether an assessment has been confirmed by testing or observation.
CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.verificationStatus",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-VerificationStatus-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.onset",
"path" : "cimi-PresenceContext-model.onset",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0277793"
}
],
"short" : "The beginning or first appearance of a mental or physical disorder.",
"definition" : "The beginning or first appearance of a mental or physical disorder.
CIMI Alignment: This attribute aligns with FHIR Condition.onset and with dateOfOnset and ageAtOnset in CIMI V0.0.4, but includes additional datatypes corresponding to FHIR",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.onset",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Onset-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.abatement",
"path" : "cimi-PresenceContext-model.abatement",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C1880019"
}
],
"short" : "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",
"definition" : "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",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.abatement",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Abatement-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-PresenceContext-model.certainty",
"path" : "cimi-PresenceContext-model.certainty",
"short" : "The degree of confidence in a conclusion or assertion.",
"definition" : "The degree of confidence in a conclusion or assertion.
CIMI Alignment: This attribute aligns with KnownOrSuspectedPresent.certainty in CIMI V0.0.4, but with the recent realignment of CIMI classes, this attribute is attached to the correct class, PresenceContext.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-PresenceContext-model.certainty",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Certainty-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
}
]
}
}