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{
  "resourceType": "StructureDefinition",
  "id": "cimi-context-ConditionPresenceContext-model",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>BC ConditionPresenceContext Logical Model</b></p>\n  <p>The context for a condition that is known, suspected, or possibly present.</p>\n</div>"
  },
  "url": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-ConditionPresenceContext-model",
  "identifier": [
    {
      "system": "http://hl7.org/fhir/us/breastcancer",
      "value": "cimi.context.ConditionPresenceContext"
    }
  ],
  "version": "0.2.0",
  "name": "ConditionPresenceContextModel",
  "title": "BC ConditionPresenceContext Logical Model",
  "status": "draft",
  "date": "2018-08-16T14:00:00+00:00",
  "publisher": "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cic/index.cfm"
        }
      ]
    }
  ],
  "description": "The context for a condition that is known, suspected, or possibly present.",
  "kind": "logical",
  "abstract": false,
  "type": "cimi-context-ConditionPresenceContext-model",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "cimi-context-ConditionPresenceContext-model",
        "path": "cimi-context-ConditionPresenceContext-model",
        "definition": "The context for a condition that is known, suspected, or possibly present.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model",
          "min": 0,
          "max": "*"
        },
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.contextCode",
        "path": "cimi-context-ConditionPresenceContext-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.\nAttribute 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.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.contextCode",
          "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-context-PresenceContextVS"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.encounter",
        "path": "cimi-context-ConditionPresenceContext-model.encounter",
        "short": "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
        "definition": "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.verificationStatus",
        "path": "cimi-context-ConditionPresenceContext-model.verificationStatus",
        "short": "Whether an assessment has been confirmed by testing or observation.",
        "definition": "Whether an assessment has been confirmed by testing or observation.\nCIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.verificationStatus",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.onset",
        "path": "cimi-context-ConditionPresenceContext-model.onset",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "85585-8"
          }
        ],
        "short": "The beginning or first appearance of a mental or physical disorder.",
        "definition": "The beginning or first appearance of a mental or physical disorder.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.onset",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"
          },
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.abatement",
        "path": "cimi-context-ConditionPresenceContext-model.abatement",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "88878-4"
          }
        ],
        "short": "The end, remission or resolution.",
        "definition": "The end, remission or resolution.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.abatement",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"
          },
          {
            "code": "boolean"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"
          },
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.certainty",
        "path": "cimi-context-ConditionPresenceContext-model.certainty",
        "short": "The degree of confidence in a conclusion or assertion.",
        "definition": "The degree of confidence in a conclusion or assertion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.certainty",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
        "path": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
        "short": "A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).",
        "definition": "A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-clinical"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
        "path": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
        "short": "The time at which a condition or condition was first identified in a healthcare context.",
        "definition": "The time at which a condition or condition was first identified in a healthcare context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
        "path": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "89251-3",
            "display": "Condition present on admission"
          }
        ],
        "short": "If the problem or condition existed before the current episode of care.",
        "definition": "If the problem or condition existed before the current episode of care.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.severity",
        "path": "cimi-context-ConditionPresenceContext-model.severity",
        "code": [
          {
            "system": "http://ncimeta.nci.nih.gov",
            "code": "C0392364"
          }
        ],
        "short": "Degree of harshness or extent of a symptom, disorder, or condition.",
        "definition": "Degree of harshness or extent of a symptom, disorder, or condition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.severity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-severity"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.stage",
        "path": "cimi-context-ConditionPresenceContext-model.stage",
        "code": [
          {
            "system": "http://ncimeta.nci.nih.gov",
            "code": "C0699749"
          }
        ],
        "short": "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": "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.stage",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Stage-model"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "cimi-context-ConditionPresenceContext-model",
        "path": "cimi-context-ConditionPresenceContext-model",
        "definition": "The context for a condition that is known, suspected, or possibly present.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model",
          "min": 0,
          "max": "*"
        },
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.contextCode",
        "path": "cimi-context-ConditionPresenceContext-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.\nAttribute 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.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.contextCode",
          "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-context-PresenceContextVS"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.encounter",
        "path": "cimi-context-ConditionPresenceContext-model.encounter",
        "short": "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
        "definition": "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.verificationStatus",
        "path": "cimi-context-ConditionPresenceContext-model.verificationStatus",
        "short": "Whether an assessment has been confirmed by testing or observation.",
        "definition": "Whether an assessment has been confirmed by testing or observation.\nCIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.verificationStatus",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.onset",
        "path": "cimi-context-ConditionPresenceContext-model.onset",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "85585-8"
          }
        ],
        "short": "The beginning or first appearance of a mental or physical disorder.",
        "definition": "The beginning or first appearance of a mental or physical disorder.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.onset",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"
          },
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.abatement",
        "path": "cimi-context-ConditionPresenceContext-model.abatement",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "88878-4"
          }
        ],
        "short": "The end, remission or resolution.",
        "definition": "The end, remission or resolution.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.abatement",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Age-model"
          },
          {
            "code": "boolean"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"
          },
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Range-model"
          },
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.certainty",
        "path": "cimi-context-ConditionPresenceContext-model.certainty",
        "short": "The degree of confidence in a conclusion or assertion.",
        "definition": "The degree of confidence in a conclusion or assertion.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.certainty",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
        "path": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
        "short": "A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).",
        "definition": "A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.clinicalStatus",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-clinical"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
        "path": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
        "short": "The time at which a condition or condition was first identified in a healthcare context.",
        "definition": "The time at which a condition or condition was first identified in a healthcare context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.whenClinicallyRecognized",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "date"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
        "path": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "89251-3",
            "display": "Condition present on admission"
          }
        ],
        "short": "If the problem or condition existed before the current episode of care.",
        "definition": "If the problem or condition existed before the current episode of care.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.presentOnAdmission",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/us/breastcancer/ValueSet/shr-core-YesNoUnknownVS"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.severity",
        "path": "cimi-context-ConditionPresenceContext-model.severity",
        "code": [
          {
            "system": "http://ncimeta.nci.nih.gov",
            "code": "C0392364"
          }
        ],
        "short": "Degree of harshness or extent of a symptom, disorder, or condition.",
        "definition": "Degree of harshness or extent of a symptom, disorder, or condition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.severity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-severity"
          }
        }
      },
      {
        "id": "cimi-context-ConditionPresenceContext-model.stage",
        "path": "cimi-context-ConditionPresenceContext-model.stage",
        "code": [
          {
            "system": "http://ncimeta.nci.nih.gov",
            "code": "C0699749"
          }
        ],
        "short": "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": "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "cimi-context-ConditionPresenceContext-model.stage",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-context-Stage-model"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": false
      }
    ]
  }
}

name : ConditionPresenceContextModel

{

}