HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)

AssertionStatementModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-statement-AssertionStatement-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC AssertionStatement Logical Model</b></p>
  <p>A clinical statement that asserts presence or absence.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-AssertionStatement-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.statement.AssertionStatement"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="AssertionStatementModel"/>
  <title value="BC AssertionStatement Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+00:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description value="A clinical statement that asserts presence or absence."/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="cimi-statement-AssertionStatement-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="cimi-statement-AssertionStatement-model">
      <path value="cimi-statement-AssertionStatement-model"/>
      <definition value="A clinical statement that asserts presence or absence."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.personOfRecord">
      <path value="cimi-statement-AssertionStatement-model.personOfRecord"/>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.personOfRecord"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.findingTopic">
      <path value="cimi-statement-AssertionStatement-model.findingTopic"/>
      <short
             value="Base class - independent of context - for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings."/>
      <definition
                  value="Base class - independent of context - for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings.
The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.findingTopic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-FindingTopic-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.statementContext">
      <path value="cimi-statement-AssertionStatement-model.statementContext"/>
      <short
             value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement."/>
      <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 &#39;absent&#39;, 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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.statementContext"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="cimi-statement-AssertionStatement-model">
      <path value="cimi-statement-AssertionStatement-model"/>
      <definition value="A clinical statement that asserts presence or absence."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.personOfRecord">
      <path value="cimi-statement-AssertionStatement-model.personOfRecord"/>
      <short value="The person this entry belongs to."/>
      <definition value="The person this entry belongs to."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.personOfRecord"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.findingTopic">
      <path value="cimi-statement-AssertionStatement-model.findingTopic"/>
      <short
             value="Base class - independent of context - for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings."/>
      <definition
                  value="Base class - independent of context - for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings.
The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.findingTopic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-FindingTopic-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="cimi-statement-AssertionStatement-model.statementContext">
      <path value="cimi-statement-AssertionStatement-model.statementContext"/>
      <short
             value="Compositional and reusable grouping of clinical statement attributes that provides the context for the topic of a clinical statement."/>
      <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 &#39;absent&#39;, 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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="cimi-statement-AssertionStatement-model.statementContext"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-StatementContext-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>