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



The official URL for this logical model is:


Statement that a finding is present.

This logical model was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding AssertionPresenceStatementProfile profile.

NameFlagsCard.TypeDescription & Constraintsdoco
.. cimi-statement-AssertionPresenceStatement-model 0..*
... personOfRecord 1..1Reference(SW Person Logical Model)The person this entry belongs to.
... recorded 0..1AttributionModelThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
... signed 0..1AttributionModelProvenance information specific to the signing of the clinical statement.
... additionalText 0..1stringA text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.
... contextCode 0..1CodingCode representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.
Binding: SW PresenceContextVS ValueSet (required)
... statementTopic 0..1StatementTopicModelCompositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.
... encounter 0..1EncounterModelA 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.
... interpretation 0..1CodingA clinical interpretation of a finding (applies to both assertions and observation).
Binding: Observation Interpretation Codes (extensible)
... relevantTime 0..1dateTime, TimePeriodModelThe time or time period that the finding addresses.
... findingMethod 0..1CodingThe technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.
Binding: SW FindingMethodVS ValueSet (preferred)
... media 0..*MediaModelA file that contains audio, video, image, or similar content.
... verificationStatus 1..1CodingWhether an assessment has been confirmed by testing or observation.
... onset 0..1dateTime, AgeModel, TimePeriodModel, RangeModel, stringThe beginning or first appearance of a mental or physical disorder.
... abatement 0..1dateTime, AgeModel, boolean, TimePeriodModel, RangeModel, stringThe end, remission or resolution.
... certainty 0..1CodingThe degree of confidence in a conclusion or assertion.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL)


Terminology Bindings

cimi-statement-AssertionPresenceStatement-model.contextCodeSW PresenceContextVS ValueSetrequiredPresenceContextVS
cimi-statement-AssertionPresenceStatement-model.interpretationObservation Interpretation CodesextensibleObservation Interpretation Codes
cimi-statement-AssertionPresenceStatement-model.findingMethodSW FindingMethodVS ValueSetpreferredFindingMethodVS