CIMI_Clinical.ClinicalStatement

Class InformationEntry

Documentation:

An entry in a patient record or in a report, generally used for the documentation of clinical information about a subject of information such as a patient or a relative of the patient, asserted by a particular source, recorded, and potentially verified.

Ancestors:

• Locatable
• • Independent
• • • Content
• • • • Entry
• • • • • InformationEntry

Descendants:

• AdverseEventEntry,
• AdverseEventReportEntry,
• AdverseFindingAdverseEvent,
• ClinicalStatement,
• ClinicalStudyAdverseFinding,
• DetailedEncounter,
• DurableEncounter,
• EmergencyEncounter,
• Encounter,
• OutpatientVisit,
• ReportedActivity,
• WorkflowBreachAdverseEvent

Property Summary

Properties

Property Name	Type and Description	Existence	Cardinality
identifier	List<Identifier> A unique identifier(s) for this clinical statement. Some identifiers may include version information.	0..1	0..*
subjectOfInformation	SubjectOfInformation The subject of the entry, which is unusually the patient, but may also be a relative of the patient, a a cohort, a device, etc. When the subject of information is the same as the subject of record, the relationship 'self' is used. In cases such as family history or descriptions of device (mal)function, the relationship type is something other than 'self'. This attribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) and is bound to the SNOMED attribute: 'Subject relationship context (attribute)' (SCTID: 408732007).	0..1	N/A
additionalText	List<Annotation> An unstructured note appended to the information entry.	0..1	0..*
recordStatus	Concept Concept indicating the state of this record, e.g., 'entered in error'.	0..1	N/A
recorded	Attribution The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.	0..1	N/A
signed	Attribution Provenance information specific to the signing of the clinical statement.	0..1	N/A
cosigned	List<Attribution> Provenance information specific to the cosigning of the clinical statement.	0..1	0..*
verified	List<Attribution> Provenance information specific to the verification process associated with this statement (e.g., verifier, when verified, etc.)	0..1	0..*

Properties inherited from class Entry

Properties inherited from class Content

Properties inherited from class Independent

Properties inherited from class Locatable

archetype_node_id, name, archetype_details