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context

context

The circumstances that form the setting in which a concept can be appropriately interpreted.

Notes

  • Clear recording and appropriate interpretation of context is essential for safe use and accurate analysis of electronic health records.

  • The context in which a concept is used can be represented in various ways. Some of the possible representation are shown in the examples section below.

  • Appropriate interpretation of different representations of context can be facilitated by terminology binding techniques that resolve multiple models of use into a common model of meaning.

  • A disease such as "asthma" might be referred to in various contexts.

    • A current presenting problem needing treatment

    • A past history recorded during assessment for treatment of another condition

    • A family history recorded routinely during a consultation

: { = }

Family History Record Section )

Family history of asthma can be recorded using SNOMED CT in several ways three of which are illustrated here.

  • Use of a single concept from the situation with explicit context domain:

Examples

160377001 |Family history: Asthma (situation)|
57177007 |Family history with explicit context (situation)|
246090004 |Associated finding (attribute)|
195967001 |Asthma (disorder)|
195967001 |Asthma (disorder|
Provide Feedback
* Application of a context wrapper to the  _concept_ [ 195967001 | Asthma (disorder)|](http://snomed.info/id/195967001 "195967001 | Asthma \(disorder\) |") :
* Use of features of an electronic health record model, such as separate record sections for information with different  _contexts_.
* Based on the definitions of these concepts, a description logic classifier will infer that first two representations above have precisely the same meaning. The third representation can be similarly resolved if the "Family History Record Section" has a  _model or meaning binding_ to the [ 57177007 | Family history with explicit context (situation)|](http://snomed.info/id/57177007 "57177007 | Family history with explicit context \(situation\) |") wrapper.