HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

AssertionPresenceStatementModel

Definitions for cimi-statement-AssertionPresenceStatement-model.

cimi-statement-AssertionPresenceStatement-model
Definition

Statement that a finding is present.

Control0..*
cimi-statement-AssertionPresenceStatement-model.personOfRecord
Definition

The person this entry belongs to.

Control1..1
TypeReference(PersonModel)
cimi-statement-AssertionPresenceStatement-model.recorded
Definition

The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model
cimi-statement-AssertionPresenceStatement-model.signed
Definition

Provenance information specific to the signing of the clinical statement.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model
cimi-statement-AssertionPresenceStatement-model.additionalText
Definition

A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.

Control0..1
Typestring
cimi-statement-AssertionPresenceStatement-model.contextCode
Definition

Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.

Control0..1
BindingThe codes SHALL be taken from PresenceContextVS
TypeCoding
cimi-statement-AssertionPresenceStatement-model.statementTopic
Definition

Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.

StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-model
cimi-statement-AssertionPresenceStatement-model.encounter
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.

Control0..1
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-model
cimi-statement-AssertionPresenceStatement-model.interpretation
Definition

A clinical interpretation of a finding (applies to both assertions and observation).

Control0..1
BindingThe codes SHALL be taken from Observation Interpretation Codes; other codes may be used where these codes are not suitable
TypeCoding
cimi-statement-AssertionPresenceStatement-model.relevantTime
Definition

The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model
cimi-statement-AssertionPresenceStatement-model.findingMethod
Definition

The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.

Control0..1
BindingThe codes SHOULD be taken from FindingMethodVS
TypeCoding
cimi-statement-AssertionPresenceStatement-model.media
Definition

A file that contains audio, video, image, or similar content.

Control0..*
Typehttp://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-model
cimi-statement-AssertionPresenceStatement-model.verificationStatus
Definition

Whether an assessment has been confirmed by testing or observation. CIMI Alignment: This attribute has been defined to align with FHIR. In AllergyIntolerance, the type is code.

Control1..1
TypeCoding
cimi-statement-AssertionPresenceStatement-model.onset
Definition

The beginning or first appearance of a mental or physical disorder.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Age-model, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Range-model, string
cimi-statement-AssertionPresenceStatement-model.abatement
Definition

The end, remission or resolution.

Control0..1
TypeChoice of: dateTime, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Age-model, boolean, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model, http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Range-model, string
cimi-statement-AssertionPresenceStatement-model.certainty
Definition

The degree of confidence in a conclusion or assertion.

Control0..1
TypeCoding