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 
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="cimi-StatementContext-model"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BC StatementContext Logical Model</b></p> <p>Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm. CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4. The attribute 'temporalContext' that appeared in CIMI V0.0.4 is no longer part of CIMI.</p> </div> </text> <url value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-StatementContext-model"/> <identifier> <system value="http://hl7.org/fhir/us/breastcancer"/> <value value="cimi.StatementContext"/> </identifier> <version value="0.1.0"/> <name value="StatementContextModel"/> <title value="BC StatementContext Logical Model"/> <status value="draft"/> <date value="2018-04-01T00:00:00+11:00"/> <publisher value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/> <contact> <telecom> <system value="url"/> <value value="http://standardhealthrecord.org"/> </telecom> </contact> <description value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm. CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4. The attribute 'temporalContext' that appeared in CIMI V0.0.4 is no longer part of CIMI."/> <kind value="logical"/> <abstract value="false"/> <type value="cimi-StatementContext-model"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="cimi-StatementContext-model"> <path value="cimi-StatementContext-model"/> <definition value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm. CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4. The attribute 'temporalContext' that appeared in CIMI V0.0.4 is no longer part of CIMI."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-StatementContext-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-StatementContext-model.contextCode"> <path value="cimi-StatementContext-model.contextCode"/> <short value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="cimi-StatementContext-model.contextCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ContextCode-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="cimi-StatementContext-model"> <path value="cimi-StatementContext-model"/> <definition value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement. The StatementContext class aligns with the SNOMED CT Situations with Explicit Context (SWEC) Concept Model. The StatementContext provides the expressivity required to specify that an act was performed or not performed or that a finding was asserted to be present or absent for the given subject of information. It also often holds provenance information relevant to the context of the clinical statement. It is important to note that by default the context applies to the conjunction of the attribute specified in the statement. For instance, if a clinical statement has a topic describing a rash on left arm and a context of 'absent', then the statement states that the subject of interest did not have a rash on the left arm but might have had one on the right arm. CIMI Alignment: ContextCode is the new CIMI name for the attribute formerly called 'type' in CIMI V0.0.4. The attribute 'temporalContext' that appeared in CIMI V0.0.4 is no longer part of CIMI."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-StatementContext-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-StatementContext-model.contextCode"> <path value="cimi-StatementContext-model.contextCode"/> <short value="A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc."/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="cimi-StatementContext-model.contextCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ContextCode-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>