FHIR IG analytics
| Package | hl7.fhir.uv.symptoms |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-SymptomLogicalModel.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/HL7/fhir-symptoms-ig/StructureDefinition-SymptomLogicalModel.html |
| URL | http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel |
| Version | 1.0.0-ballot |
| Status | active |
| Date | 2026-02-03T20:41:50+00:00 |
| Name | SymptomLogicalModel |
| Title | Symptom Logical Model |
| Realm | uv |
| Authority | hl7 |
| Description | A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange. |
| Type | http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel |
| Kind | logical |
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
Source1
{
"resourceType": "StructureDefinition",
"id": "SymptomLogicalModel",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cic"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"
}
]
}
}
],
"url": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel",
"version": "1.0.0-ballot",
"name": "SymptomLogicalModel",
"title": "Symptom Logical Model",
"status": "active",
"date": "2026-02-03T20:41:50+00:00",
"publisher": "HL7 International / Clinical Interoperability Council",
"contact": [
{
"name": "HL7 International / Clinical Interoperability Council",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/cic"
}
]
}
],
"description": "A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "Symptom",
"uri": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation",
"name": "Symptom Logical Model mapping to Symptom Observation",
"comment": "This table maps the Symptom Observation elements to the Symptom Logical Model"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "logical",
"abstract": false,
"type": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "SymptomLogicalModel",
"path": "SymptomLogicalModel",
"short": "Symptom Logical Model",
"definition": "A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange.",
"min": 0,
"max": "*",
"base": {
"path": "Element",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"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"
}
],
"isModifier": false,
"mapping": [
{
"identity": "Symptom",
"map": "SymptomObservation"
},
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "SymptomLogicalModel.id",
"path": "SymptomLogicalModel.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": "SymptomLogicalModel.extension",
"path": "SymptomLogicalModel.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": "SymptomLogicalModel.identifier",
"path": "SymptomLogicalModel.identifier",
"short": "A unique string that identifies this instance of a symptom",
"definition": "A unique string that identifies this instance of a symptom",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.identifier",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "SymptomLogicalModel.symptomCode",
"path": "SymptomLogicalModel.symptomCode",
"short": "Coded description of symptom",
"definition": "Coded description of symptom",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.symptomCode",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "category[symptomCode]"
}
]
},
{
"id": "SymptomLogicalModel.absentOrPresentFlag",
"path": "SymptomLogicalModel.absentOrPresentFlag",
"short": "Whether the symptom is present or absent",
"definition": "Whether the symptom is present or absent",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.absentOrPresentFlag",
"min": 1,
"max": "1"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "SymptomLogicalModel.affectedPatient",
"path": "SymptomLogicalModel.affectedPatient",
"short": "The patient who is experiencing the symptom",
"definition": "The patient who is experiencing the symptom",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.affectedPatient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Patient"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "subject"
}
]
},
{
"id": "SymptomLogicalModel.reporter[x]",
"path": "SymptomLogicalModel.reporter[x]",
"short": "The person who is reporting the symptom information",
"definition": "The person who is reporting the symptom information",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.reporter[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Patient"
},
{
"code": "RelatedPerson"
}
]
},
{
"id": "SymptomLogicalModel.symptomDescription",
"path": "SymptomLogicalModel.symptomDescription",
"short": "Textual description of symptom as provided by patient or care team member",
"definition": "Textual description of symptom as provided by patient or care team member",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.symptomDescription",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.location",
"path": "SymptomLogicalModel.location",
"short": "Where the patient feels the symptom in the body.",
"definition": "Where the patient feels the symptom in the body.",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.location",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "bodySite"
}
]
},
{
"id": "SymptomLogicalModel.associatedSymptoms",
"path": "SymptomLogicalModel.associatedSymptoms",
"short": "Other symptoms associated with this symptom",
"definition": "Other symptoms associated with this symptom",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.associatedSymptoms",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "extension[associatedSymptomOrCondition]"
}
]
},
{
"id": "SymptomLogicalModel.associatedConditions",
"path": "SymptomLogicalModel.associatedConditions",
"short": "Condition associated with this symptom",
"definition": "Condition associated with this symptom",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.associatedConditions",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Condition"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "extension[associatedSymptomOrCondition]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures",
"path": "SymptomLogicalModel.keyFeatures",
"short": "Key Features",
"definition": "The key features of the symptom",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures",
"min": 1,
"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": "SymptomLogicalModel.keyFeatures.id",
"path": "SymptomLogicalModel.keyFeatures.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": "SymptomLogicalModel.keyFeatures.extension",
"path": "SymptomLogicalModel.keyFeatures.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": "SymptomLogicalModel.keyFeatures.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.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": "SymptomLogicalModel.keyFeatures.quality",
"path": "SymptomLogicalModel.keyFeatures.quality",
"short": "The patient's internal perception of the symptom.",
"definition": "The patient's internal perception of the symptom.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.quality",
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.id",
"path": "SymptomLogicalModel.keyFeatures.quality.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": "SymptomLogicalModel.keyFeatures.quality.extension",
"path": "SymptomLogicalModel.keyFeatures.quality.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": "SymptomLogicalModel.keyFeatures.quality.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.quality.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": "SymptomLogicalModel.keyFeatures.quality.note",
"path": "SymptomLogicalModel.keyFeatures.quality.note",
"short": "Textual description of the symptom quality",
"definition": "Textual description of the symptom quality",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.quality.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.quality.scaleCode",
"short": "Code for the specific scale or assessment (if any) used to determine the quality",
"definition": "Code for the specific scale or assessment (if any) used to determine the quality",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.quality.scaleCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality].scaleCode"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.value",
"path": "SymptomLogicalModel.keyFeatures.quality.value",
"short": "Code that represents the symptom quality",
"definition": "Code that represents the symptom quality",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.quality.value",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity",
"path": "SymptomLogicalModel.keyFeatures.severity",
"short": "The intensity with which the patient experiences the symptom.",
"definition": "The intensity with which the patient experiences the symptom.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.severity",
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.id",
"path": "SymptomLogicalModel.keyFeatures.severity.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": "SymptomLogicalModel.keyFeatures.severity.extension",
"path": "SymptomLogicalModel.keyFeatures.severity.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": "SymptomLogicalModel.keyFeatures.severity.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.severity.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": "SymptomLogicalModel.keyFeatures.severity.note",
"path": "SymptomLogicalModel.keyFeatures.severity.note",
"short": "Textual description of the symptom severity",
"definition": "Textual description of the symptom severity",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.severity.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.severity.scaleCode",
"short": "Code for the specific scale or assessment if any used to determine the severity",
"definition": "Code for the specific scale or assessment if any used to determine the severity",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.severity.scaleCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity].scaleCode"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.value",
"path": "SymptomLogicalModel.keyFeatures.severity.value",
"short": "Code that represents the symptom severity",
"definition": "Code that represents the symptom severity",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.severity.value",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact",
"short": "How the symptom affects the patient's daily activities.",
"definition": "How the symptom affects the patient's daily activities.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.functionalImpact",
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.id",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.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": "SymptomLogicalModel.keyFeatures.functionalImpact.extension",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.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": "SymptomLogicalModel.keyFeatures.functionalImpact.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.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": "SymptomLogicalModel.keyFeatures.functionalImpact.note",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.note",
"short": "Textual description of the impact",
"definition": "Textual description of the impact",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.scaleCode",
"short": "Code for the specific scale or assessment (if any) used to determine the impact",
"definition": "Code for the specific scale or assessment (if any) used to determine the impact",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.scaleCode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact].functionalAssessment"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.value",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.value",
"short": "Code that represents the functional impact",
"definition": "Code that represents the functional impact",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.value",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade",
"short": "Emotional or mental impact of a symptom.",
"definition": "Emotional or mental impact of a symptom.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade",
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[affectiveGrade]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade.id",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.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": "SymptomLogicalModel.keyFeatures.affectiveGrade.extension",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.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": "SymptomLogicalModel.keyFeatures.affectiveGrade.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.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": "SymptomLogicalModel.keyFeatures.affectiveGrade.note",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.note",
"short": "Textual description of the grade",
"definition": "Textual description of the grade",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade.value",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.value",
"short": "Code that represents the affective grade",
"definition": "Code that represents the affective grade",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.value",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[affectiveGrade].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents",
"short": "What was occurring at the time of symptom onset.",
"definition": "What was occurring at the time of symptom onset.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents",
"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": "SymptomLogicalModel.keyFeatures.surroundingEvents.id",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.extension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors",
"definition": "Patient reported actions, conditions, events, physical objects or other factors that initiate or worsen symptoms or the condition of interest (pain, nausea, dyspnea, dizziness, or other).",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors",
"min": 0,
"max": "*"
},
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.id",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.extension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.factor",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.factor",
"short": "Reference to the factor",
"definition": "Reference to the factor",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.factor",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors].code"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.relatedMedication",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.relatedMedication",
"short": "Medication that triggers or exacerbates the symptom",
"definition": "Medication that triggers or exacerbates the symptom",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.relatedMedication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Medication"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors].relatedMedication"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.note",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.note",
"short": "Information given about actions, conditions, events, or other factors",
"definition": "Information given about actions, conditions, events, or other factors",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors",
"definition": "Patient-reported actions, conditions, events, or other factors that decrease the symptoms or condition",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors",
"min": 0,
"max": "*"
},
"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"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.id",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.extension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
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"rules": "open"
},
"short": "Additional content defined by implementations",
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"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",
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"human": "All FHIR elements must have a @value or children",
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"xpath": "@value|f:*|h:div",
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},
{
"key": "ext-1",
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"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
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}
],
"isModifier": false,
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"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.modifierExtension",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.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": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.factor",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.factor",
"short": "Reference to the factor",
"definition": "Reference to the factor",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.factor",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors].code"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.note",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.note",
"short": "Information given about actions, conditions, events, or other factors",
"definition": "Information given about actions, conditions, events, or other factors",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.relatedMedication",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.relatedMedication",
"short": "Medication alleviating the symptom",
"definition": "Medication alleviating the symptom",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.relatedMedication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Medication"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors].relatedMedication"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.otherEvents",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.otherEvents",
"short": "Patient-reported actions that were occuring at time of symptom onset",
"definition": "Patient-reported actions that were occuring at time of symptom onset",
"min": 0,
"max": "*",
"base": {
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.otherEvents",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[otherEvents]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.frequency[x]",
"path": "SymptomLogicalModel.keyFeatures.frequency[x]",
"short": "How often the patient experiences the symptom i.e. expressed as 3x/day or 2x/week.",
"definition": "How often the patient experiences the symptom i.e. expressed as 3x/day or 2x/week.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.keyFeatures.frequency[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Ratio"
},
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[frequency]"
}
]
},
{
"id": "SymptomLogicalModel.timing",
"path": "SymptomLogicalModel.timing",
"definition": "Timing includes the actual or estimated date/time of onset, character of onset, how often the patient experiences the symptom, and the length of time the symptom persists.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.timing",
"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": "SymptomLogicalModel.timing.id",
"path": "SymptomLogicalModel.timing.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": "SymptomLogicalModel.timing.extension",
"path": "SymptomLogicalModel.timing.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": "SymptomLogicalModel.timing.modifierExtension",
"path": "SymptomLogicalModel.timing.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": "SymptomLogicalModel.timing.speed",
"path": "SymptomLogicalModel.timing.speed",
"short": "The rate at which a physiological symptom became apparent.",
"definition": "The rate at which a physiological symptom became apparent.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.timing.speed",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "SymptomLogicalModel.timing.onset[x]",
"path": "SymptomLogicalModel.timing.onset[x]",
"short": "Clinically relevant time or period for the symptom since first occurance.",
"definition": "Clinically relevant time or period for the symptom since first occurance.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.timing.onset[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
]
},
{
"id": "SymptomLogicalModel.timing.note",
"path": "SymptomLogicalModel.timing.note",
"short": "Free text related to the observation",
"definition": "Free text related to the observation",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.timing.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.timing.duration[x]",
"path": "SymptomLogicalModel.timing.duration[x]",
"short": "The length of time the symptom persists in this instance of occurance.",
"definition": "The length of time the symptom persists in this instance of occurance.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.timing.duration[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Duration"
}
]
},
{
"id": "SymptomLogicalModel.clinicalCourse",
"path": "SymptomLogicalModel.clinicalCourse",
"short": "Character of symptom onset.",
"definition": "Term to represent both the course and onset of a disease. Many conditions with an acute (sudden) onset also have an acute (short duration) course.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.clinicalCourse",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[clinicalCourse]"
}
]
},
{
"id": "SymptomLogicalModel.trend",
"path": "SymptomLogicalModel.trend",
"short": "Intensity of symptom over time",
"definition": "Whether a condition is improving, worsening, stable, or resolved.",
"min": 0,
"max": "1",
"base": {
"path": "SymptomLogicalModel.trend",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[trend]"
}
]
},
{
"id": "SymptomLogicalModel.metadata",
"path": "SymptomLogicalModel.metadata",
"short": "Non clinical information about the symptom",
"definition": "Non clinical information about the symptom",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.metadata",
"min": 1,
"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": "SymptomLogicalModel.metadata.id",
"path": "SymptomLogicalModel.metadata.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": "SymptomLogicalModel.metadata.extension",
"path": "SymptomLogicalModel.metadata.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": "SymptomLogicalModel.metadata.modifierExtension",
"path": "SymptomLogicalModel.metadata.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": "SymptomLogicalModel.metadata.documentationDate",
"path": "SymptomLogicalModel.metadata.documentationDate",
"short": "Date of recorded visit",
"definition": "The date the symptom was entered, edited, or deleted.",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.metadata.documentationDate",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "SymptomLogicalModel.metadata.issued",
"path": "SymptomLogicalModel.metadata.issued",
"short": "Date/time when the current version was made available.",
"definition": "Date/time when the current version was made available.",
"min": 1,
"max": "1",
"base": {
"path": "SymptomLogicalModel.metadata.issued",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
}
]
},
"differential": {
"element": [
{
"id": "SymptomLogicalModel",
"path": "SymptomLogicalModel",
"short": "Symptom Logical Model",
"definition": "A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange.",
"mapping": [
{
"identity": "Symptom",
"map": "SymptomObservation"
}
]
},
{
"id": "SymptomLogicalModel.identifier",
"path": "SymptomLogicalModel.identifier",
"short": "A unique string that identifies this instance of a symptom",
"definition": "A unique string that identifies this instance of a symptom",
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "SymptomLogicalModel.symptomCode",
"path": "SymptomLogicalModel.symptomCode",
"short": "Coded description of symptom",
"definition": "Coded description of symptom",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "category[symptomCode]"
}
]
},
{
"id": "SymptomLogicalModel.absentOrPresentFlag",
"path": "SymptomLogicalModel.absentOrPresentFlag",
"short": "Whether the symptom is present or absent",
"definition": "Whether the symptom is present or absent",
"min": 1,
"max": "1",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "SymptomLogicalModel.affectedPatient",
"path": "SymptomLogicalModel.affectedPatient",
"short": "The patient who is experiencing the symptom",
"definition": "The patient who is experiencing the symptom",
"min": 1,
"max": "1",
"type": [
{
"code": "Patient"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "subject"
}
]
},
{
"id": "SymptomLogicalModel.reporter[x]",
"path": "SymptomLogicalModel.reporter[x]",
"short": "The person who is reporting the symptom information",
"definition": "The person who is reporting the symptom information",
"min": 1,
"max": "1",
"type": [
{
"code": "Patient"
},
{
"code": "RelatedPerson"
}
]
},
{
"id": "SymptomLogicalModel.symptomDescription",
"path": "SymptomLogicalModel.symptomDescription",
"short": "Textual description of symptom as provided by patient or care team member",
"definition": "Textual description of symptom as provided by patient or care team member",
"min": 0,
"max": "*",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.location",
"path": "SymptomLogicalModel.location",
"short": "Where the patient feels the symptom in the body.",
"definition": "Where the patient feels the symptom in the body.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "bodySite"
}
]
},
{
"id": "SymptomLogicalModel.associatedSymptoms",
"path": "SymptomLogicalModel.associatedSymptoms",
"short": "Other symptoms associated with this symptom",
"definition": "Other symptoms associated with this symptom",
"min": 0,
"max": "*",
"type": [
{
"code": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "extension[associatedSymptomOrCondition]"
}
]
},
{
"id": "SymptomLogicalModel.associatedConditions",
"path": "SymptomLogicalModel.associatedConditions",
"short": "Condition associated with this symptom",
"definition": "Condition associated with this symptom",
"min": 0,
"max": "*",
"type": [
{
"code": "Condition"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "extension[associatedSymptomOrCondition]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures",
"path": "SymptomLogicalModel.keyFeatures",
"short": "Key Features",
"definition": "The key features of the symptom",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality",
"path": "SymptomLogicalModel.keyFeatures.quality",
"short": "The patient's internal perception of the symptom.",
"definition": "The patient's internal perception of the symptom.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.note",
"path": "SymptomLogicalModel.keyFeatures.quality.note",
"short": "Textual description of the symptom quality",
"definition": "Textual description of the symptom quality",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.quality.scaleCode",
"short": "Code for the specific scale or assessment (if any) used to determine the quality",
"definition": "Code for the specific scale or assessment (if any) used to determine the quality",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality].scaleCode"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.quality.value",
"path": "SymptomLogicalModel.keyFeatures.quality.value",
"short": "Code that represents the symptom quality",
"definition": "Code that represents the symptom quality",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[quality].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity",
"path": "SymptomLogicalModel.keyFeatures.severity",
"short": "The intensity with which the patient experiences the symptom.",
"definition": "The intensity with which the patient experiences the symptom.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.note",
"path": "SymptomLogicalModel.keyFeatures.severity.note",
"short": "Textual description of the symptom severity",
"definition": "Textual description of the symptom severity",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.severity.scaleCode",
"short": "Code for the specific scale or assessment if any used to determine the severity",
"definition": "Code for the specific scale or assessment if any used to determine the severity",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity].scaleCode"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.severity.value",
"path": "SymptomLogicalModel.keyFeatures.severity.value",
"short": "Code that represents the symptom severity",
"definition": "Code that represents the symptom severity",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[severity].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact",
"short": "How the symptom affects the patient's daily activities.",
"definition": "How the symptom affects the patient's daily activities.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.note",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.note",
"short": "Textual description of the impact",
"definition": "Textual description of the impact",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.scaleCode",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.scaleCode",
"short": "Code for the specific scale or assessment (if any) used to determine the impact",
"definition": "Code for the specific scale or assessment (if any) used to determine the impact",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact].functionalAssessment"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.functionalImpact.value",
"path": "SymptomLogicalModel.keyFeatures.functionalImpact.value",
"short": "Code that represents the functional impact",
"definition": "Code that represents the functional impact",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[functionalImpact].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade",
"short": "Emotional or mental impact of a symptom.",
"definition": "Emotional or mental impact of a symptom.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[affectiveGrade]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade.note",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.note",
"short": "Textual description of the grade",
"definition": "Textual description of the grade",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.affectiveGrade.value",
"path": "SymptomLogicalModel.keyFeatures.affectiveGrade.value",
"short": "Code that represents the affective grade",
"definition": "Code that represents the affective grade",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[affectiveGrade].value[x]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents",
"short": "What was occurring at the time of symptom onset.",
"definition": "What was occurring at the time of symptom onset.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors",
"definition": "Patient reported actions, conditions, events, physical objects or other factors that initiate or worsen symptoms or the condition of interest (pain, nausea, dyspnea, dizziness, or other).",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.factor",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.factor",
"short": "Reference to the factor",
"definition": "Reference to the factor",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors].code"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.relatedMedication",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.relatedMedication",
"short": "Medication that triggers or exacerbates the symptom",
"definition": "Medication that triggers or exacerbates the symptom",
"min": 0,
"max": "*",
"type": [
{
"code": "Medication"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[triggersOrExacerbatingFactors].relatedMedication"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.note",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.triggerOrExacerbatingFactors.note",
"short": "Information given about actions, conditions, events, or other factors",
"definition": "Information given about actions, conditions, events, or other factors",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors",
"definition": "Patient-reported actions, conditions, events, or other factors that decrease the symptoms or condition",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.factor",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.factor",
"short": "Reference to the factor",
"definition": "Reference to the factor",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors].code"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.note",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.note",
"short": "Information given about actions, conditions, events, or other factors",
"definition": "Information given about actions, conditions, events, or other factors",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.relatedMedication",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.alleviatingFactors.relatedMedication",
"short": "Medication alleviating the symptom",
"definition": "Medication alleviating the symptom",
"min": 0,
"max": "*",
"type": [
{
"code": "Medication"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[alleviatingFactors].relatedMedication"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.surroundingEvents.otherEvents",
"path": "SymptomLogicalModel.keyFeatures.surroundingEvents.otherEvents",
"short": "Patient-reported actions that were occuring at time of symptom onset",
"definition": "Patient-reported actions that were occuring at time of symptom onset",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[otherEvents]"
}
]
},
{
"id": "SymptomLogicalModel.keyFeatures.frequency[x]",
"path": "SymptomLogicalModel.keyFeatures.frequency[x]",
"short": "How often the patient experiences the symptom i.e. expressed as 3x/day or 2x/week.",
"definition": "How often the patient experiences the symptom i.e. expressed as 3x/day or 2x/week.",
"min": 0,
"max": "1",
"type": [
{
"code": "Ratio"
},
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[frequency]"
}
]
},
{
"id": "SymptomLogicalModel.timing",
"path": "SymptomLogicalModel.timing",
"definition": "Timing includes the actual or estimated date/time of onset, character of onset, how often the patient experiences the symptom, and the length of time the symptom persists.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "SymptomLogicalModel.timing.speed",
"path": "SymptomLogicalModel.timing.speed",
"short": "The rate at which a physiological symptom became apparent.",
"definition": "The rate at which a physiological symptom became apparent.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "SymptomLogicalModel.timing.onset[x]",
"path": "SymptomLogicalModel.timing.onset[x]",
"short": "Clinically relevant time or period for the symptom since first occurance.",
"definition": "Clinically relevant time or period for the symptom since first occurance.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
]
},
{
"id": "SymptomLogicalModel.timing.note",
"path": "SymptomLogicalModel.timing.note",
"short": "Free text related to the observation",
"definition": "Free text related to the observation",
"min": 0,
"max": "1",
"type": [
{
"code": "Annotation"
}
]
},
{
"id": "SymptomLogicalModel.timing.duration[x]",
"path": "SymptomLogicalModel.timing.duration[x]",
"short": "The length of time the symptom persists in this instance of occurance.",
"definition": "The length of time the symptom persists in this instance of occurance.",
"min": 0,
"max": "1",
"type": [
{
"code": "Duration"
}
]
},
{
"id": "SymptomLogicalModel.clinicalCourse",
"path": "SymptomLogicalModel.clinicalCourse",
"short": "Character of symptom onset.",
"definition": "Term to represent both the course and onset of a disease. Many conditions with an acute (sudden) onset also have an acute (short duration) course.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[clinicalCourse]"
}
]
},
{
"id": "SymptomLogicalModel.trend",
"path": "SymptomLogicalModel.trend",
"short": "Intensity of symptom over time",
"definition": "Whether a condition is improving, worsening, stable, or resolved.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "Symptom",
"map": "component[trend]"
}
]
},
{
"id": "SymptomLogicalModel.metadata",
"path": "SymptomLogicalModel.metadata",
"short": "Non clinical information about the symptom",
"definition": "Non clinical information about the symptom",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "SymptomLogicalModel.metadata.documentationDate",
"path": "SymptomLogicalModel.metadata.documentationDate",
"short": "Date of recorded visit",
"definition": "The date the symptom was entered, edited, or deleted.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "SymptomLogicalModel.metadata.issued",
"path": "SymptomLogicalModel.metadata.issued",
"short": "Date/time when the current version was made available.",
"definition": "Date/time when the current version was made available.",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
}
]
}
}
SymptomLogicalModel 
identifier 
symptomCode 
affectedPatient 
reporter[x] 
FHIR
FHIRsmith