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Packagejohnmoehrke.ORcoordination.example
Resource TypeStructureDefinition
IdStructureDefinition-Attribution.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/JohnMoehrke/ORcoordination/StructureDefinition-Attribution.html
URLhttp://johnmoehrke.github.io/ORcoordination/StructureDefinition/Attribution
Version0.1.0
Statusdraft
Date2026-03-27T16:45:53+00:00
NameAttribution
TitleAttribution (Economic Layer) Logical Model
Realmuv
DescriptionA conceptual model representing delay and cancellation attribution for a case, including cause classification and preventability. Aligned with pilot metrics and operational tracking: - Delay minutes - Cancellation rates - Vendor-related workflow failures This directly supports: - OR efficiency analysis - Revenue recovery modeling - ROI measurement during pilots
Typehttp://johnmoehrke.github.io/ORcoordination/StructureDefinition/Attribution
Kindlogical

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition Attribution

NameFlagsCard.TypeDescription & Constraintsdoco
.. Attribution 0..*BaseAttribution (Economic Layer) Logical Model
... caseId 1..1IdentifierIdentifier of the related case
... delayMinutes 0..1integerTotal delay in minutes
... delayCause 0..1codeDelay cause: VENDOR | FACILITY | SURGEON | UNKNOWN
... cancellation 0..1BackboneElementCancellation details for the case
.... occurred 1..1booleanWhether cancellation occurred
.... cause 0..1stringCause of cancellation
... preventable 0..1booleanWhether the delay or cancellation was preventable

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "Attribution",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://johnmoehrke.github.io/ORcoordination/StructureDefinition/Attribution",
  "version": "0.1.0",
  "name": "Attribution",
  "title": "Attribution (Economic Layer) Logical Model",
  "status": "draft",
  "date": "2026-03-27T16:45:53+00:00",
  "publisher": "John Moehrke (himself)",
  "contact": [
    {
      "name": "John Moehrke (himself)",
      "telecom": [
        {
          "system": "url",
          "value": "http://MoehrkeResearch.com"
        },
        {
          "system": "email",
          "value": "JohnMoehrke@gmail.com"
        }
      ]
    }
  ],
  "description": "A conceptual model representing delay and cancellation attribution for a case, including cause classification and preventability.\n\nAligned with pilot metrics and operational tracking: \n- Delay minutes \n- Cancellation rates \n- Vendor-related workflow failures\n\nThis directly supports: \n- OR efficiency analysis \n- Revenue recovery modeling \n- ROI measurement during pilots",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": false,
  "type": "http://johnmoehrke.github.io/ORcoordination/StructureDefinition/Attribution",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Attribution",
        "path": "Attribution",
        "short": "Attribution (Economic Layer) Logical Model",
        "definition": "A conceptual model representing delay and cancellation attribution for a case, including cause classification and preventability.\n\nAligned with pilot metrics and operational tracking: \n- Delay minutes \n- Cancellation rates \n- Vendor-related workflow failures\n\nThis directly supports: \n- OR efficiency analysis \n- Revenue recovery modeling \n- ROI measurement during pilots",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Attribution.caseId",
        "path": "Attribution.caseId",
        "short": "Identifier of the related case",
        "definition": "Identifier of the related case",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Attribution.caseId",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Attribution.delayMinutes",
        "path": "Attribution.delayMinutes",
        "short": "Total delay in minutes",
        "definition": "Total delay in minutes",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attribution.delayMinutes",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "Attribution.delayCause",
        "path": "Attribution.delayCause",
        "short": "Delay cause: VENDOR | FACILITY | SURGEON | UNKNOWN",
        "definition": "Delay cause: VENDOR | FACILITY | SURGEON | UNKNOWN",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attribution.delayCause",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Attribution.cancellation",
        "path": "Attribution.cancellation",
        "short": "Cancellation details for the case",
        "definition": "Cancellation details for the case",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attribution.cancellation",
          "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": "Attribution.cancellation.id",
        "path": "Attribution.cancellation.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": "Attribution.cancellation.extension",
        "path": "Attribution.cancellation.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": "Attribution.cancellation.modifierExtension",
        "path": "Attribution.cancellation.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": "Attribution.cancellation.occurred",
        "path": "Attribution.cancellation.occurred",
        "short": "Whether cancellation occurred",
        "definition": "Whether cancellation occurred",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Attribution.cancellation.occurred",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Attribution.cancellation.cause",
        "path": "Attribution.cancellation.cause",
        "short": "Cause of cancellation",
        "definition": "Cause of cancellation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attribution.cancellation.cause",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Attribution.preventable",
        "path": "Attribution.preventable",
        "short": "Whether the delay or cancellation was preventable",
        "definition": "Whether the delay or cancellation was preventable",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Attribution.preventable",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Attribution",
        "path": "Attribution",
        "short": "Attribution (Economic Layer) Logical Model",
        "definition": "A conceptual model representing delay and cancellation attribution for a case, including cause classification and preventability.\n\nAligned with pilot metrics and operational tracking: \n- Delay minutes \n- Cancellation rates \n- Vendor-related workflow failures\n\nThis directly supports: \n- OR efficiency analysis \n- Revenue recovery modeling \n- ROI measurement during pilots"
      },
      {
        "id": "Attribution.caseId",
        "path": "Attribution.caseId",
        "short": "Identifier of the related case",
        "definition": "Identifier of the related case",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "Attribution.delayMinutes",
        "path": "Attribution.delayMinutes",
        "short": "Total delay in minutes",
        "definition": "Total delay in minutes",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ]
      },
      {
        "id": "Attribution.delayCause",
        "path": "Attribution.delayCause",
        "short": "Delay cause: VENDOR | FACILITY | SURGEON | UNKNOWN",
        "definition": "Delay cause: VENDOR | FACILITY | SURGEON | UNKNOWN",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "Attribution.cancellation",
        "path": "Attribution.cancellation",
        "short": "Cancellation details for the case",
        "definition": "Cancellation details for the case",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "Attribution.cancellation.occurred",
        "path": "Attribution.cancellation.occurred",
        "short": "Whether cancellation occurred",
        "definition": "Whether cancellation occurred",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Attribution.cancellation.cause",
        "path": "Attribution.cancellation.cause",
        "short": "Cause of cancellation",
        "definition": "Cause of cancellation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Attribution.preventable",
        "path": "Attribution.preventable",
        "short": "Whether the delay or cancellation was preventable",
        "definition": "Whether the delay or cancellation was preventable",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  }
}