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cimi.context

The Context Package defines the high-level clinical statement context classes. Three types of contexts are currently defined in CIMI (1) Finding Contexts, (2) Action Contexts, and (3) Event Concepts. Finding contexts are used to specify whether a finding was observed to be present or absent. Action contexts are used to specify whether a clinical activity was performed, ordered, planned, or perhaps not performed. The Event context is experimental and has not yet been formally modeled.

Abatement

The end, remission or resolution. C1880019

Value:  Choice required
         |  dateTime
         |  Age How long something has existed in time.
         |  boolean
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.
         |  Range An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same.
         |  string

AbsenceContext

Indicates the finding in question is either known absent (ruled out), not suspected, or unknown.

Based On FindingContext

ContextCode must be from AbsenceContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Encounter optional 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.

ActionContext

The ontological status of the intervention, e.g., performed/not performed, requested/not requested.

Based On StatementContext

Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

AssertionContext

The parent class of contexts that can associate with AssertionTopic and its subclasses.

Based On FindingContext

Encounter optional 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.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

AtRiskContext

At risk indicates the finding should be interpreted as a future possibility or expectation. 410519009

Based On FindingContext

ContextCode must be from AtRiskContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Encounter optional 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.

Certainty

The degree of confidence in a conclusion or assertion.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

ClinicalStatus

A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).

Value:  code

CommunicationMethod

This is the method the provider used to communicate. Examples include: Written, Telephoned, Verbal, Electronically Entered, Policy, Service Correction, Duplicate, etc. 'Code indicating the origin of the prescription.' - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104). Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

ConditionPresenceContext

The context for a condition that is known, suspected, or possibly present.

Based On PresenceContext

ClinicalStatus must be from http://hl7.org/fhir/ValueSet/condition-clinical
required A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition).
WhenClinicallyRecognized optional The time at which a condition or condition was first identified in a healthcare context.
Preexisting optional If the problem or condition existed before the current episode of care.
Severity must be from http://hl7.org/fhir/ValueSet/condition-severity
optional Degree of harshness or extent of a symptom, disorder, or condition.
Criticality must be from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality
optional The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
Stage optional 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.
ContextCode must be from PresenceContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
VerificationStatus required Whether an assessment has been confirmed by testing or observation. CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code.
Onset optional The beginning or first appearance of a mental or physical disorder.
Abatement optional The end, remission or resolution.
Certainty optional The degree of confidence in a conclusion or assertion.
Encounter optional 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.

ContextCode

A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

Criticality

The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. Criticality (C3858539)

Value:  code

DeltaFlag

Indicator of significant change (delta) from the last or previous measurement. C1705241

Value:  CodeableConcept must be from DeltaFlagVS
A set of codes drawn from different coding systems, representing the same concept.

EvaluationResultRecordedContext

Context for recording an evaluation result, used to indicate an evaluation has been made.

Based On RecordedContext

ResultValue optional The finding itself, such as the blood pressure value recorded.
ExceptionValue from ExceptionValueVS
(if covered)
optional Reason that a value associated with a test or other finding is missing.
DeltaFlag optional Indicator of significant change (delta) from the last or previous measurement.
ContextCode is Record Entity (424975005)
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Interpretation optional A clinical interpretation of a finding.
FindingStatus required Indicates whether the finding is preliminary, amended, final, etc.
RelevantTime optional 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).
Encounter optional 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.

ExceptionValue

Reason that a value associated with a test or other finding is missing.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

ExpectationContext

A context indicating the finding is an expectation, prognosis, or likely outcome. 410517006

Based On FindingContext

ContextCode must be from ExpectationContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Encounter optional 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.

ExpectedMethod

The method that should be used to carry out the action.

Value:  Method The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.

ExpectedPerformanceTime

When an action should be done. If the action is a series or recurs (e.g. daily blood sugar testing in the morning) then a Timing can be used to describe the periodicity.

Value:  Choice required
         |  dateTime
         |  date
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.
         |  Timing A timing schedule that specifies an event that may occur multiple times. Timing offers a choice of multiple OccurrenceTime (used is used to specify specific times), or recurrence patterns.

ExpectedPerformer

Who should carry out the tests. For example, the patient or caregiver.

Value:  Choice required
         |  Entity Root class for entities such as people, organizations, and devices that have a separately identifiable existence.
         |  Organization A social or legal structure formed by human beings.

ExpectedPerformerType

What type of party should carry out the testing.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

FindingContext

The base class for representing the ontological status of a finding, e.g., present, absent, goal, risk, expectation, etc. This class aligns with the SNOMED Situation with Explicit Context. 410514004

Based On StatementContext

Encounter optional 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.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

FindingStatus

Indicates whether the finding is preliminary, amended, final, etc.

Value:  code must be from http://hl7.org/fhir/ValueSet/observation-status

GoalContext

A hypothetical or future finding that represents an objective or goal. 410518001

Based On FindingContext

ContextCode must be from GoalContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Encounter optional 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.

Interpretation

A clinical interpretation of a finding. C0420833

Value:  CodeableConcept from http://hl7.org/fhir/ValueSet/observation-interpretation
(if covered)
A set of codes drawn from different coding systems, representing the same concept.

Method

The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

NotPerformedContext

A record that a clinical act was not performed at a certain time or during a stated period of time, particularly when there might be an expectation of performing such an act, for example, if a vaccination is not given because of parental objection. Do not use this context if the act was initiated or started but aborted or cancelled.

Based On ActionContext

RelatedRequest optional The proposal, order, or plan that is partly or wholly fulfilled by the performance of this act.
NonOccurrenceTimeOrPeriod required The point in time or span of time in which something did not happen.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

Onset

The beginning or first appearance of a mental or physical disorder. C0277793

Value:  Choice required
         |  dateTime
         |  Age How long something has existed in time.
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.
         |  Range An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same.
         |  string

Outcome

The result of performing an action or behavior, for example, an adverse reaction or new finding.

Value:  CodeableConcept could be from http://hl7.org/fhir/ValueSet/procedure-outcome
A set of codes drawn from different coding systems, representing the same concept.
ClinicalStatement 0 or more A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement classes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model. A clinical statement is composed of the StatementTopic class (grouping of attributes for capturing information about a procedure or a clinical finding) and the StatementContext class (grouping of attributes providing the context for the statement topic such as whether a procedure was performed, requested, not performed or whether a finding is suspected present or absent in the patient). At the archetype level, the topic and context components are coordinated to form the clinical statement. For instance, the composition of the ProcedureTopic with the NotPerformed context indicates that the given procedure was not performed.

Participant

An entity (usually a Practitioner, Patient, or Organization but potentially a device or other entity) that participates in a healthcare task or activity. C1550369

Value:  EntityOrRole Parent class entity and role.
ParticipationType optional The role played by the participant engaged in the action, for example, as the attending physician, surgical assistant, etc.
ParticipationPeriod optional The point in time or span of time the participant is involved.
OnBehalfOf optional The party represented by the actual participant.

ParticipationPeriod

The point in time or span of time the participant is involved.

Value:  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.

ParticipationType

The role played by the participant engaged in the action, for example, as the attending physician, surgical assistant, etc. C1553854

Value:  CodeableConcept must be from http://hl7.org/fhir/ValueSet/v3-ParticipationType
A set of codes drawn from different coding systems, representing the same concept.

PatientInstructions

Information for the patient, such as, where to get the test, how to prepare for the test, etc.

Value:  string

PerformedContext

ActionContext indicating actual performance or execution of a healthcare-related action, e.g., 3rd dose of Hepatitis B vaccine administered on Dec 4th 2012, appendectomy performed today.

Based On ActionContext

OccurrenceTimeOrPeriod required The point in time or span of time in which something happens.
Participant 0 or more An entity (usually a Practitioner, Patient, or Organization but potentially a device or other entity) that participates in a healthcare task or activity.
Encounter optional 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.
Status should be from http://hl7.org/fhir/ValueSet/event-status
required The current standing or state.
Method optional The technique used to carry out an action, for example, the specific imaging technical or assessment vehicle.
RelatedRequest 0 or more The proposal, order, or plan that is partly or wholly fulfilled by the performance of this act.
Facility optional Services and space and equipment provided for a particular purpose; a building or place that provides a particular service or is used for a particular industry. Could be a clinical site, community site, or a mobile facility.
Outcome optional The result of performing an action or behavior, for example, an adverse reaction or new finding.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

PerformerInstructions

Information for the performer of the test, if needed.

Value:  string

Preexisting

If the problem or condition existed before the current episode of care.

Value:  CodeableConcept must be from YesNoUnknownVS
A set of codes drawn from different coding systems, representing the same concept.

PresenceContext

PresenceContext indicates that the finding in question exists or is present to some level of certainty. For example, if the finding involves a myocardial infarction, the presence context implies that cardiac arrest has (or may have) taken place. Note that the name Presence is used rather than Present to prevent confusion with the temporal meaning of present. 410515003

Based On AssertionContext

ContextCode must be from PresenceContextVS
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
VerificationStatus required Whether an assessment has been confirmed by testing or observation. CIMI Alignment: This attribute corresponds to FindingContext.status, but has been defined to align with FHIR. In AllergyIntolerance, the type is code.
Onset optional The beginning or first appearance of a mental or physical disorder.
Abatement optional The end, remission or resolution.
Certainty optional The degree of confidence in a conclusion or assertion.
Encounter optional 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.

Reason

The justification for an action or non-action, conclusion, opinion, etc. C0566251

Value:  Choice required
         |  string
         |  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
         |  ClinicalStatement A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement classes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model. A clinical statement is composed of the StatementTopic class (grouping of attributes for capturing information about a procedure or a clinical finding) and the StatementContext class (grouping of attributes providing the context for the statement topic such as whether a procedure was performed, requested, not performed or whether a finding is suspected present or absent in the patient). At the archetype level, the topic and context components are coordinated to form the clinical statement. For instance, the composition of the ProcedureTopic with the NotPerformed context indicates that the given procedure was not performed.

RecordedContext

Context for recording a finding, usually a Panel, used to indicate an evaluation has been made. For example, measurement of blood pressure that has been made simply exists (although the value can be present or absent, accurate or inaccurate). The RecordedContext indicates the information presented stands on its own as presented. It can also apply to clinical notes.

Based On FindingContext

ContextCode is Record Entity (424975005)
required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.
Interpretation optional A clinical interpretation of a finding.
FindingStatus required Indicates whether the finding is preliminary, amended, final, etc.
RelevantTime optional 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).
Encounter optional 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.

RelatedRequest

The proposal, order, or plan that is partly or wholly fulfilled by the performance of this act.

Value:  ActionRequestedStatement Abstract class representing a request for any type of action.

RelevantTime

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).

Value:  Choice required
         |  dateTime
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.

RequestedAgainstContext

Represents a recommendation or order from a practitioner or clinical decision support system to NOT perform an act.

Based On ActionContext

Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

RequestedContext

An order for something to take place. C1705178

Based On ActionContext

Status should be from http://hl7.org/fhir/ValueSet/request-status
required The current standing or state.
Encounter optional 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.
RequestIntent required Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain.
ExpectedPerformanceTime optional When an action should be done. If the action is a series or recurs (e.g. daily blood sugar testing in the morning) then a Timing can be used to describe the periodicity.
ExpectedPerformerType optional What type of party should carry out the testing.
ExpectedPerformer optional Who should carry out the tests. For example, the patient or caregiver.
ExpectedMethod optional The method that should be used to carry out the action.
PriorityRank should be from http://hl7.org/fhir/ValueSet/request-priority
optional An indication of the importance of an action.
PerformerInstructions optional Information for the performer of the test, if needed.
PatientInstructions optional Information for the patient, such as, where to get the test, how to prepare for the test, etc.
CommunicationMethod optional This is the method the provider used to communicate. Examples include: Written, Telephoned, Verbal, Electronically Entered, Policy, Service Correction, Duplicate, etc. 'Code indicating the origin of the prescription.' - NCPDP Telecommunication (Field 419-DJ, Data Dictionary 201104). Possible values include: Written; Telephone; Electronic; Facsimile; Pharmacy; Not Known.
Reason 0 or more The justification for an action or non-action, conclusion, opinion, etc.
ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

RequestIntent

Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain.

Value:  code must be from http://hl7.org/fhir/ValueSet/request-intent

ResultValue

The finding itself, such as the blood pressure value recorded.

Value:  Choice required
         |  Quantity A quantity with units, whose value may be bounded from above or below, as defined in FHIR
         |  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
         |  string
         |  boolean
         |  Range An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same.
         |  Ratio A unit of measurement for the quotient of the amount of one entity to another.
         |  time
         |  dateTime
         |  TimePeriod A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.

Severity

Degree of harshness or extent of a symptom, disorder, or condition. C0392364

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

Stage

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. C0699749

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.
StageDetail optional The full staging information

StageDetail

The full staging information

Value:  EvaluationResultRecorded Represents the result of evaluations (measurements, tests, or questions) that have been performed. EvaluationResultRecorded has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. 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.

StatementContext

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 'absent', 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.

Based On NonIndependent

ContextCode required A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc. Attribute 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.

VerificationStatus

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

Value:  CodeableConcept A set of codes drawn from different coding systems, representing the same concept.

WhenClinicallyRecognized

The time at which a condition or condition was first identified in a healthcare context.

Value:  date