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-statement-ConditionPresenceStatement-model"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BC ConditionPresenceStatement Logical Model</b></p> <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. In 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> </div> </text> <url value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ConditionPresenceStatement-model"/> <identifier> <system value="http://hl7.org/fhir/us/breastcancer"/> <value value="cimi.statement.ConditionPresenceStatement"/> </identifier> <version value="0.1.0"/> <name value="ConditionPresenceStatementModel"/> <title value="BC ConditionPresenceStatement 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="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. In 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."/> <kind value="logical"/> <abstract value="false"/> <type value="cimi-statement-ConditionPresenceStatement-model"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="cimi-statement-ConditionPresenceStatement-model"> <path value="cimi-statement-ConditionPresenceStatement-model"/> <definition 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. In 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."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.conditionTopic"> <path value="cimi-statement-ConditionPresenceStatement-model.conditionTopic"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0348080"/> </code> <short 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."/> <definition 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. The value set binding of Value is required to map to US-Core. The value set binding of Category is preferred in US-Core. CIMI 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."/> <alias value="statementTopic"/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.conditionTopic"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionTopic-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"> <path value="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"/> <short value="The context for a condition that is known, suspected, or possibly present."/> <definition value="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."/> <alias value="statementContext"/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionPresenceContext-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.encounter"> <path value="cimi-statement-ConditionPresenceStatement-model.encounter"/> <short 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."/> <definition 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."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.stage"> <path value="cimi-statement-ConditionPresenceStatement-model.stage"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0699749"/> </code> <short 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."/> <definition 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. This 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."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.stage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Stage-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="cimi-statement-ConditionPresenceStatement-model"> <path value="cimi-statement-ConditionPresenceStatement-model"/> <definition 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. In 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."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.conditionTopic"> <path value="cimi-statement-ConditionPresenceStatement-model.conditionTopic"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0348080"/> </code> <short 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."/> <definition 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. The value set binding of Value is required to map to US-Core. The value set binding of Category is preferred in US-Core. CIMI 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."/> <alias value="statementTopic"/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.conditionTopic"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionTopic-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"> <path value="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"/> <short value="The context for a condition that is known, suspected, or possibly present."/> <definition value="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."/> <alias value="statementContext"/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.conditionPresenceContext"/> <min value="1"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-ConditionPresenceContext-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.encounter"> <path value="cimi-statement-ConditionPresenceStatement-model.encounter"/> <short 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."/> <definition 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."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-ConditionPresenceStatement-model.stage"> <path value="cimi-statement-ConditionPresenceStatement-model.stage"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0699749"/> </code> <short 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."/> <definition 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. This 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."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-ConditionPresenceStatement-model.stage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Stage-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>