Common
Class ClinicalStatement

This abstract class provides properties and behaviors common to all medical records, or in terms of the HL7 QIDAM, to all "statements of occurance" as well as "statements of non-occurance". This class allows for common representations data provenance, including the Author, the Data Enterer, the Verifier, etc.

Attributes
ClinicalDataSource clinicalDataSource clinicalDataSource
«CS» Code contextCode contextCode

"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." - HL7 CIMI, StatementContext.contextCode

Attribution cosigned cosigned

"Provenance information specific to the cosigning of the clinical statement." - HL7 CIMI, InformationEntry.cosigned

«EntryPoint» EncounterEvent encounter encounter

"Encounter associated with this clinical statement." - HL7 CIMI, ClinicalStatement.encounter
"The encounter during which the procedure was performed." - HL7 FHIR, Procedure.context

RelatedClinicalInformation relatedClinicalInformation relatedClinicalInformation

Pointer to other Clinical Information record(s) to which this Clinical Information record is related in some manner.

"Related observations - either components, or previous observations, or statements of derivation." - HL7 FHIR, Observation.related.

Attribution signed signed

"The healthcare professional responsible for authorizing the initial prescription." - HL7 FHIR, MedicationRequest.requester.agent
"Provenance information specific to the signing of the clinical statement." - HL7 CIMI InformationEntry.signed

«CS» Code temporalContext temporalContext

"Whether the topic is prospective or retrospective. E.g., action occurred in the past. This attribute is aligned with the SNOMED Situation With Explicit Context temporal context attribute." - HL7 CIMI, StatementContext.temporalContext

«CS» Code topicCode topicCode

This property represents the kind of finding or action that is being described by the Clinical Statement. It has its origin in CIMI's notion of assembling clinical statements from a topic and a context, so that each might be treated more consistently across medical records. It has the additional benefit of the topic being a pointer into the appropriate terminology (e.g., SNOMED). The separation of topic and context allow one to build the equivalent Situation with Explicit Context construct using SNOMED. In practical terms, this means that every observation (e.g., serum sodium, heart rate, etc.) will use this property to define what is being observed. Similarly, every procedure (e.g., appendectomy proposed, appendectomy performed) will also use this property to define the procedure (i.e., appendectomy).

"The concept representing the finding or action that is the topic of the statement. For actions, the key represents the action being described. For findings, the key represents the "question" or property being investigated. For evaluation result findings, the key contains a concept for an observable entity, such as systolic blood pressure. For assertion findings (which by nature lack an explicit question), the key contains a default concept signifying that an assertion is being made. In all cases, the key describes the topic independent of the context of the action or the finding." - HL7 CIMI, StatementTopic.topicCode
"Describes what was observed. Sometimes this is called the observation "name"." - HL7 FHIR, Observation.code
"The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g., Laparoscopic Appendectomy)." - HL7 FHIR, Procedure.code

Attribution verified verified

"Provenance information specific to the verification process associated with this statement (e.g., verifier, verification method, when verified, etc.)" - HL7 CIMI InformationEntry.verified

Attributes inherited from FHIM::Common::InformationEntry FHIM::Common::InformationEntry
comment comment, contentVersion contentVersion, identifier identifier, recordStatus recordStatus, sourceRecordType sourceRecordType, sourceSystem sourceSystem, recorded recorded, subjectOfInformation subjectOfInformation, subjectOfRecord subjectOfRecord

Properties:

Alias
Classifier Behavior
Is Abstracttrue
Is Activefalse
Is Leaffalse
Keywords
NameClinicalStatement
Name Expression
NamespaceCommon
Owned Template Signature
OwnerCommon
Owning Template Parameter
PackageCommon
Qualified NameFHIM::Common::ClinicalStatement
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 clinicalDataSource
Public ClinicalDataSource clinicalDataSource
Constraints:
Properties:

AggregationNone
Alias
AssociationclinicalInformation_clinicalDataSource
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameclinicalDataSource
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::clinicalDataSource
Stereotype
Template Parameter
TypeClinicalDataSource
Upper1
Upper Value(1)
VisibilityPublic


 contextCode
Public «CS» Code contextCode

"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." - HL7 CIMI, StatementContext.contextCode

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamecontextCode
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::contextCode
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 cosigned
Public Attribution cosigned

"Provenance information specific to the cosigning of the clinical statement." - HL7 CIMI, InformationEntry.cosigned

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namecosigned
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::cosigned
Stereotype
Template Parameter
TypeAttribution
Upper1
Upper Value(1)
VisibilityPublic


 encounter
Public «EntryPoint» EncounterEvent encounter

"Encounter associated with this clinical statement." - HL7 CIMI, ClinicalStatement.encounter
"The encounter during which the procedure was performed." - HL7 FHIR, Procedure.context

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameencounter
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::encounter
Stereotype
Template Parameter
Type«EntryPoint» EncounterEvent
Upper1
Upper Value(1)
VisibilityPublic


 relatedClinicalInformation
Public RelatedClinicalInformation relatedClinicalInformation

Pointer to other Clinical Information record(s) to which this Clinical Information record is related in some manner.

"Related observations - either components, or previous observations, or statements of derivation." - HL7 FHIR, Observation.related.

Constraints:
Properties:

AggregationNone
Alias
AssociationclinicalInformation_relatedClinicalInformation
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamerelatedClinicalInformation
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::relatedClinicalInformation
Stereotype
Template Parameter
TypeRelatedClinicalInformation
Upper*
Upper Value(*)
VisibilityPublic


 signed
Public Attribution signed

"The healthcare professional responsible for authorizing the initial prescription." - HL7 FHIR, MedicationRequest.requester.agent
"Provenance information specific to the signing of the clinical statement." - HL7 CIMI InformationEntry.signed

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namesigned
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::signed
Stereotype
Template Parameter
TypeAttribution
Upper1
Upper Value(1)
VisibilityPublic


 temporalContext
Public «CS» Code temporalContext

"Whether the topic is prospective or retrospective. E.g., action occurred in the past. This attribute is aligned with the SNOMED Situation With Explicit Context temporal context attribute." - HL7 CIMI, StatementContext.temporalContext

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedtrue
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NametemporalContext
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::temporalContext
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 topicCode
Public «CS» Code topicCode

This property represents the kind of finding or action that is being described by the Clinical Statement. It has its origin in CIMI's notion of assembling clinical statements from a topic and a context, so that each might be treated more consistently across medical records. It has the additional benefit of the topic being a pointer into the appropriate terminology (e.g., SNOMED). The separation of topic and context allow one to build the equivalent Situation with Explicit Context construct using SNOMED. In practical terms, this means that every observation (e.g., serum sodium, heart rate, etc.) will use this property to define what is being observed. Similarly, every procedure (e.g., appendectomy proposed, appendectomy performed) will also use this property to define the procedure (i.e., appendectomy).

"The concept representing the finding or action that is the topic of the statement. For actions, the key represents the action being described. For findings, the key represents the "question" or property being investigated. For evaluation result findings, the key contains a concept for an observable entity, such as systolic blood pressure. For assertion findings (which by nature lack an explicit question), the key contains a default concept signifying that an assertion is being made. In all cases, the key describes the topic independent of the context of the action or the finding." - HL7 CIMI, StatementTopic.topicCode
"Describes what was observed. Sometimes this is called the observation "name"." - HL7 FHIR, Observation.code
"The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g., Laparoscopic Appendectomy)." - HL7 FHIR, Procedure.code

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NametopicCode
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::topicCode
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 verified
Public Attribution verified

"Provenance information specific to the verification process associated with this statement (e.g., verifier, verification method, when verified, etc.)" - HL7 CIMI InformationEntry.verified

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassClinicalStatement
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameverified
Name Expression
NamespaceClinicalStatement
Opposite
OwnerClinicalStatement
Owning Association
Owning Template Parameter
Qualified NameFHIM::Common::ClinicalStatement::verified
Stereotype
Template Parameter
TypeAttribution
Upper1
Upper Value(1)
VisibilityPublic