| Package | hl7.fhir.cz.lab-order |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://hl7.cz/fhir/lab-order/https://build.fhir.org/ig/HL7-cz/lab-order/StructureDefinition-ClinicalInformation.html |
| Url | https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformation |
| Version | 0.0.1 |
| Status | draft |
| Date | 2025-04-10T13:22:41+00:00 |
| Name | LabOrderClinicalInformationCz |
| Title | A.3.1 - Clinical information (anamnesis) |
| Experimental | False |
| Realm | cz |
| Authority | hl7 |
| Description | Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results |
| Type | https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformation |
| Kind | logical |
| StructureDefinition | |
LabOrderBodySpecific  | A.3 Laboratory Order body data elements |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ClinicalInformation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ClinicalInformation | 0..* | Base | A.3.1 - Clinical information (anamnesis) | |
  clinicalInfoText | 0..1 | string | A.3.1.1 - Clinical information in free text | |
 clinicalInfoFormalized | 0..1 | CodeableConcept | A.3.1.2 - Clinical information (medical history) formalized | |
| description | 0..* | CodeableConcept | A.3.1.3 - Description of the problem/diagnosis/condition | |
| medication | 0..* | CodeableConcept | A.3.1.4 - Medications | |
| vaccination | 0..* | CodeableConcept | A.3.1.5 - Vaccinations | |
| finding | 0..* | CodeableConcept | A.3.1.6 - Physical findings | |
| urgentInformation | 0..1 | BackboneElement | A.3.1.7 - Urgent information | |
 allergies | 1..* | CodeableConcept | A.3.1.7.1 - Allergies and intolerances | |
 warnings | 0..* | string | A.3.1.7.2 - Warnings | |
| additionalData | 0..1 | BackboneElement | A.3.1.8 - Additional formalised data | |
 date | 0..1 | date | A.3.1.8.1 - Date | |
| code | 1..1 | CodeableConcept | A.3.1.8.2 - Code | |
| value | 0..1 | Narrative | A.3.1.8.3 - Data value | |
| Documentation for this format | ||||
FHIR{
"resourceType" : "StructureDefinition",
"id" : "ClinicalInformation",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ClinicalInformation</b></p><a name=\"ClinicalInformation\"> </a><a name=\"hcClinicalInformation\"> </a><a name=\"ClinicalInformation-cz-CZ\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation\" title=\"Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results\">ClinicalInformation</a><a name=\"ClinicalInformation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1 - Clinical information (anamnesis)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.clinicalInfoText\" title=\"Clinical information necessary for proper ordering or interpretation of results.\">clinicalInfoText</a><a name=\"ClinicalInformation.clinicalInfoText\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.1 - Clinical information in free text</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.clinicalInfoFormalized\" title=\"Clinical information (medical history) formalized\">clinicalInfoFormalized</a><a name=\"ClinicalInformation.clinicalInfoFormalized\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.2 - Clinical information (medical history) formalized</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.description\" title=\"Diagnosis and other clinical information affecting the course or outcome of the examination.\n- Preferred system(s): MKN-10\n- Preferred system(s): Orphacode\">description</a><a name=\"ClinicalInformation.description\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.3 - Description of the problem/diagnosis/condition<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.medication\" title=\"A medication block containing information about medications that affect the course or result of the test or its interpretation.\n- Preferred system(s): DLP\n- Preferred system(s): ATC\">medication</a><a name=\"ClinicalInformation.medication\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.4 - Medications<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.vaccination\" title=\"Vaccinations\">vaccination</a><a name=\"ClinicalInformation.vaccination\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.5 - Vaccinations<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.finding\" title=\"Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature)\">finding</a><a name=\"ClinicalInformation.finding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.6 - Physical findings<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.urgentInformation\" title=\"Urgent information block in the same structure as other document types (discharge report, patient summary)\">urgentInformation</a><a name=\"ClinicalInformation.urgentInformation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.7 - Urgent information</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.urgentInformation.allergies\" title=\"Allergies and intolerances that may affect order execution or interpretation of results\">allergies</a><a name=\"ClinicalInformation.urgentInformation.allergies\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.7.1 - Allergies and intolerances<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.urgentInformation.warnings\" title=\"Warnings and cautions that may affect order execution or interpretation of results\">warnings</a><a name=\"ClinicalInformation.urgentInformation.warnings\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.7.2 - Warnings<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.additionalData\" title=\"A.3.1.8 - Additional formalised data\">additionalData</a><a name=\"ClinicalInformation.additionalData\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.8 - Additional formalised data</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.additionalData.date\" title=\"Date of discovery of the data, to be indicated if different from the date of the order.\">date</a><a name=\"ClinicalInformation.additionalData.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.8.1 - Date</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.additionalData.code\" title=\"Observation code identifying the significance of the data (height, weight, week of gestation, etc.)\n- Preferred system(s): NČLP\n- Preferred system(s): SNOMED CT\">code</a><a name=\"ClinicalInformation.additionalData.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.8.2 - Code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalInformation-definitions.html#ClinicalInformation.additionalData.value\" title=\"Data value including unit of measurement.\">value</a><a name=\"ClinicalInformation.additionalData.value\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Narrative\">Narrative</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A.3.1.8.3 - Data value</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft"
}
],
"url" : "https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformation",
"version" : "0.0.1",
"name" : "LabOrderClinicalInformationCz",
"title" : "A.3.1 - Clinical information (anamnesis)",
"status" : "draft",
"date" : "2025-04-10T13:22:41+00:00",
"publisher" : "HL7 Czech Republic",
"contact" : [
{
"name" : "HL7 Czech Republic",
"telecom" : [
{
"system" : "url",
"value" : "https://www.hl7.cz/"
}
]
}
],
"description" : "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CZ",
"display" : "Czechia"
}
]
}
],
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : false,
"type" : "https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformation",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "ClinicalInformation",
"path" : "ClinicalInformation",
"short" : "A.3.1 - Clinical information (anamnesis)",
"definition" : "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "ClinicalInformation.clinicalInfoText",
"path" : "ClinicalInformation.clinicalInfoText",
"short" : "A.3.1.1 - Clinical information in free text",
"definition" : "Clinical information necessary for proper ordering or interpretation of results.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.clinicalInfoText",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "ClinicalInformation.clinicalInfoFormalized",
"path" : "ClinicalInformation.clinicalInfoFormalized",
"short" : "A.3.1.2 - Clinical information (medical history) formalized",
"definition" : "Clinical information (medical history) formalized",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.clinicalInfoFormalized",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.description",
"path" : "ClinicalInformation.description",
"short" : "A.3.1.3 - Description of the problem/diagnosis/condition",
"definition" : "Diagnosis and other clinical information affecting the course or outcome of the examination.\n- Preferred system(s): MKN-10\n- Preferred system(s): Orphacode",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.description",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.medication",
"path" : "ClinicalInformation.medication",
"short" : "A.3.1.4 - Medications",
"definition" : "A medication block containing information about medications that affect the course or result of the test or its interpretation.\n- Preferred system(s): DLP\n- Preferred system(s): ATC",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.medication",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.vaccination",
"path" : "ClinicalInformation.vaccination",
"short" : "A.3.1.5 - Vaccinations",
"definition" : "Vaccinations",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.vaccination",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.finding",
"path" : "ClinicalInformation.finding",
"short" : "A.3.1.6 - Physical findings",
"definition" : "Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature)",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.finding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation",
"path" : "ClinicalInformation.urgentInformation",
"short" : "A.3.1.7 - Urgent information",
"definition" : "Urgent information block in the same structure as other document types (discharge report, patient summary)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.urgentInformation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.id",
"path" : "ClinicalInformation.urgentInformation.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.extension",
"path" : "ClinicalInformation.urgentInformation.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.modifierExtension",
"path" : "ClinicalInformation.urgentInformation.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.allergies",
"path" : "ClinicalInformation.urgentInformation.allergies",
"short" : "A.3.1.7.1 - Allergies and intolerances",
"definition" : "Allergies and intolerances that may affect order execution or interpretation of results",
"min" : 1,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.urgentInformation.allergies",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.warnings",
"path" : "ClinicalInformation.urgentInformation.warnings",
"short" : "A.3.1.7.2 - Warnings",
"definition" : "Warnings and cautions that may affect order execution or interpretation of results",
"min" : 0,
"max" : "*",
"base" : {
"path" : "ClinicalInformation.urgentInformation.warnings",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "ClinicalInformation.additionalData",
"path" : "ClinicalInformation.additionalData",
"short" : "A.3.1.8 - Additional formalised data",
"definition" : "A.3.1.8 - Additional formalised data",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.additionalData",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "ClinicalInformation.additionalData.id",
"path" : "ClinicalInformation.additionalData.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalInformation.additionalData.extension",
"path" : "ClinicalInformation.additionalData.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "ClinicalInformation.additionalData.modifierExtension",
"path" : "ClinicalInformation.additionalData.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "ClinicalInformation.additionalData.date",
"path" : "ClinicalInformation.additionalData.date",
"short" : "A.3.1.8.1 - Date",
"definition" : "Date of discovery of the data, to be indicated if different from the date of the order.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.additionalData.date",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "ClinicalInformation.additionalData.code",
"path" : "ClinicalInformation.additionalData.code",
"short" : "A.3.1.8.2 - Code",
"definition" : "Observation code identifying the significance of the data (height, weight, week of gestation, etc.)\n- Preferred system(s): NČLP\n- Preferred system(s): SNOMED CT",
"min" : 1,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.additionalData.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.additionalData.value",
"path" : "ClinicalInformation.additionalData.value",
"short" : "A.3.1.8.3 - Data value",
"definition" : "Data value including unit of measurement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "ClinicalInformation.additionalData.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "ClinicalInformation",
"path" : "ClinicalInformation",
"short" : "A.3.1 - Clinical information (anamnesis)",
"definition" : "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results"
},
{
"id" : "ClinicalInformation.clinicalInfoText",
"path" : "ClinicalInformation.clinicalInfoText",
"short" : "A.3.1.1 - Clinical information in free text",
"definition" : "Clinical information necessary for proper ordering or interpretation of results.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "ClinicalInformation.clinicalInfoFormalized",
"path" : "ClinicalInformation.clinicalInfoFormalized",
"short" : "A.3.1.2 - Clinical information (medical history) formalized",
"definition" : "Clinical information (medical history) formalized",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.description",
"path" : "ClinicalInformation.description",
"short" : "A.3.1.3 - Description of the problem/diagnosis/condition",
"definition" : "Diagnosis and other clinical information affecting the course or outcome of the examination.\n- Preferred system(s): MKN-10\n- Preferred system(s): Orphacode",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.medication",
"path" : "ClinicalInformation.medication",
"short" : "A.3.1.4 - Medications",
"definition" : "A medication block containing information about medications that affect the course or result of the test or its interpretation.\n- Preferred system(s): DLP\n- Preferred system(s): ATC",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.vaccination",
"path" : "ClinicalInformation.vaccination",
"short" : "A.3.1.5 - Vaccinations",
"definition" : "Vaccinations",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.finding",
"path" : "ClinicalInformation.finding",
"short" : "A.3.1.6 - Physical findings",
"definition" : "Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature)",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation",
"path" : "ClinicalInformation.urgentInformation",
"short" : "A.3.1.7 - Urgent information",
"definition" : "Urgent information block in the same structure as other document types (discharge report, patient summary)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.allergies",
"path" : "ClinicalInformation.urgentInformation.allergies",
"short" : "A.3.1.7.1 - Allergies and intolerances",
"definition" : "Allergies and intolerances that may affect order execution or interpretation of results",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.urgentInformation.warnings",
"path" : "ClinicalInformation.urgentInformation.warnings",
"short" : "A.3.1.7.2 - Warnings",
"definition" : "Warnings and cautions that may affect order execution or interpretation of results",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "ClinicalInformation.additionalData",
"path" : "ClinicalInformation.additionalData",
"short" : "A.3.1.8 - Additional formalised data",
"definition" : "A.3.1.8 - Additional formalised data",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "ClinicalInformation.additionalData.date",
"path" : "ClinicalInformation.additionalData.date",
"short" : "A.3.1.8.1 - Date",
"definition" : "Date of discovery of the data, to be indicated if different from the date of the order.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "ClinicalInformation.additionalData.code",
"path" : "ClinicalInformation.additionalData.code",
"short" : "A.3.1.8.2 - Code",
"definition" : "Observation code identifying the significance of the data (height, weight, week of gestation, etc.)\n- Preferred system(s): NČLP\n- Preferred system(s): SNOMED CT",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "ClinicalInformation.additionalData.value",
"path" : "ClinicalInformation.additionalData.value",
"short" : "A.3.1.8.3 - Data value",
"definition" : "Data value including unit of measurement.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Narrative"
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.