> For the complete documentation index, see [llms.txt](https://docs.snomed.org/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.snomed.org/education/snomed-ct-education-editorial-guide/readme/authoring/domain-specific-modeling/situation-with-explicit-context.md).
# Situation with Explicit Context
**This Editorial Guide is used for Education Purposes Only. It is used in the Authoring Courses and Certifications. It is based on the January 2026 Editorial Guide.**
Definition
Examples
Concepts that include context information; a subtype of the situation to which it applies, with an attribute associating it with the relevant clinical finding or procedure
183982006 | Herniotomy planned (situation)|
1269455000 | Caregiver able to administer subcutaneous injection (situation)|
## Variable meanings according to context
Depending on context, concepts can be used in many different ways with various meanings.
A *disorder* concept can represent:
* Possible diagnosis or part of a differential diagnosis
* Diagnosis applied to a family member or some other contact person
* Diagnosis explicitly excluded
* Diagnosis, now known to be incorrect, but which was the basis for a particular course of treatment
* Absent feature of a related disorder
* Diagnosis that the patient believes or fears they have
A *procedure* concept can represent:
* Requested, recommended or planned procedure
* Procedure for which consent has been given or withheld
* Procedure that is contraindicated
* Procedure that has been canceled or postponed
* Procedure for which follow up is now being arranged
* Procedure which caused a complication
A *symptom* concept can represent:
* Confirmed absence of a symptom
* Symptom deduced and reported by a third party as a witness of a clinical event
* Inability or failure to obtain information about a symptom
* Symptom which the patient is advised to respond to in a particular manner
A *finding* concept can represent:
* Absence of a finding
* Inability or failure to check for a finding
* Finding which, if present, is to trigger a particular change in clinical management
* Finding which is the goal or target of a treatment
A *product* concept can represent:
* Allergy or other contraindication to a product
* Assertion that a product caused a particular side effect
* Various therapeutic activities of a product
* Instructions given to a patient for use of a non-prescription medication
* Clinical authorization of a prescription
* Issuing of a prescription for a course of treatment
* Supply (dispensing) of a specified quantity of a product
* Administration of a single dose of a product
* Change of a product dosage
* Discontinuation of a product
* Specialist's recommendation to use a particular product, if certain circumstances apply
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