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 
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><b>BC ConditionPresenceStatement Logical Model</b></p>\n <p>A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\n\nIn CIMI terms, it is an archetype of ClinicalStatement that combines a ConditionTopic with the ConditionPresenceContext context. The core attributes of ClinicalStatement are not included here because of mapping difficulties to FHIR DomainResource.</p>\n</div>" ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ConditionPresenceStatement-model"]; fhir:StructureDefinition.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/us/breastcancer" ]; fhir:Identifier.value [ fhir:value "cimi.statement.ConditionPresenceStatement" ] ]; fhir:StructureDefinition.version [ fhir:value "0.1.0"]; fhir:StructureDefinition.name [ fhir:value "ConditionPresenceStatementModel"]; fhir:StructureDefinition.title [ fhir:value "BC ConditionPresenceStatement Logical Model"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.date [ fhir:value "2018-04-01T00:00:00+11:00"^^xsd:dateTime]; fhir:StructureDefinition.publisher [ fhir:value "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"]; fhir:StructureDefinition.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://standardhealthrecord.org" ] ] ]; fhir:StructureDefinition.description [ fhir:value "A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\n\nIn CIMI terms, it is an archetype of ClinicalStatement that combines a ConditionTopic with the ConditionPresenceContext context. The core attributes of ClinicalStatement are not included here because of mapping difficulties to FHIR DomainResource."]; fhir:StructureDefinition.kind [ fhir:value "logical"]; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean]; fhir:StructureDefinition.type [ fhir:value "cimi-statement-ConditionPresenceStatement-model"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element"]; fhir:StructureDefinition.derivation [ fhir:value "specialization"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.snapshot.element [ fhir:index 0; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.definition [ fhir:value "A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\n\nIn CIMI terms, it is an archetype of ClinicalStatement that combines a ConditionTopic with the ConditionPresenceContext context. The core attributes of ClinicalStatement are not included here because of mapping difficulties to FHIR DomainResource." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0348080" ] ]; fhir:ElementDefinition.short [ fhir:value "Representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc.\n\nThe value set binding of Value is required to map to US-Core. The value set binding of Category is preferred in US-Core.\n\nCIMI Alignment: In CIMI V0.0.4, this class was called ConditionAssertion, but CIMI has recently changed it to ConditionTopic. ConditionAssertion had properties associated with the presence of the condition, including severity, dueTo, diseasePhase, and more. In the current logical model, properties associated with condition occurrence have been moved to ConditionPresenceContext." ]; fhir:ElementDefinition.alias [ fhir:value "statementTopic"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionTopic-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.short [ fhir:value "The context for a condition that is known, suspected, or possibly present." ]; fhir:ElementDefinition.definition [ fhir:value "The context for a condition that is known, suspected, or possibly present.\n\nCIMI 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." ]; fhir:ElementDefinition.alias [ fhir:value "statementContext"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionPresenceContext-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.short [ fhir:value "An abstract class that represents an encounter class. This class has been stubbed out to limit the scope of this implementation guide to classes relevant to this ballot concerning breast cancer." ]; fhir:ElementDefinition.definition [ fhir:value "An abstract class that represents an encounter class. This class has been stubbed out to limit the scope of this implementation guide to classes relevant to this ballot concerning breast cancer." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0699749" ] ]; fhir:ElementDefinition.short [ fhir:value "The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information." ]; fhir:ElementDefinition.definition [ fhir:value "The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information.\n\nThis attribute does not have a direct analogy in CIMI V0.0.4 (the closest being ConditionAssertion.diseasePhase), but is included here for consistency with FHIR and because staging is important in the context of breast cancer and cancer in general." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Stage-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.definition [ fhir:value "A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.\n\nIn CIMI terms, it is an archetype of ClinicalStatement that combines a ConditionTopic with the ConditionPresenceContext context. The core attributes of ClinicalStatement are not included here because of mapping difficulties to FHIR DomainResource." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0348080" ] ]; fhir:ElementDefinition.short [ fhir:value "Representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Representation of a condition, independent of context of being present, absent, risk, expectation etc. 'Condition' is interpreted broadly to include disorder, abnormality, problem, injury, complaint, functionality, concern, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, etc.\n\nThe value set binding of Value is required to map to US-Core. The value set binding of Category is preferred in US-Core.\n\nCIMI Alignment: In CIMI V0.0.4, this class was called ConditionAssertion, but CIMI has recently changed it to ConditionTopic. ConditionAssertion had properties associated with the presence of the condition, including severity, dueTo, diseasePhase, and more. In the current logical model, properties associated with condition occurrence have been moved to ConditionPresenceContext." ]; fhir:ElementDefinition.alias [ fhir:value "statementTopic"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionTopic" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionTopic-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.short [ fhir:value "The context for a condition that is known, suspected, or possibly present." ]; fhir:ElementDefinition.definition [ fhir:value "The context for a condition that is known, suspected, or possibly present.\n\nCIMI 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." ]; fhir:ElementDefinition.alias [ fhir:value "statementContext"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionPresenceContext-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.short [ fhir:value "An abstract class that represents an encounter class. This class has been stubbed out to limit the scope of this implementation guide to classes relevant to this ballot concerning breast cancer." ]; fhir:ElementDefinition.definition [ fhir:value "An abstract class that represents an encounter class. This class has been stubbed out to limit the scope of this implementation guide to classes relevant to this ballot concerning breast cancer." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0699749" ] ]; fhir:ElementDefinition.short [ fhir:value "The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information." ]; fhir:ElementDefinition.definition [ fhir:value "The relative advancement in the course of a disease. The value is the summary stage or stage group. StageDetail optionally contains the full staging information.\n\nThis attribute does not have a direct analogy in CIMI V0.0.4 (the closest being ConditionAssertion.diseasePhase), but is included here for consistency with FHIR and because staging is important in the context of breast cancer and cancer in general." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "cimi-statement-ConditionPresenceStatement-model.stage" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Stage-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.