description: Used to record the presence of a Symptom as reported by the patient or a patient's caregiver. The Symptom observation contains all information given about a patient's symptoms. package_name: hl7.fhir.uv.symptoms derivation: constraint name: SymptomObservation type: Observation elements: category: mustSupport: true index: 6 slicing: rules: open description: Send a category of symptoms discriminator: - {path: $this, type: value} min: 1 slices: symptomCode: match: coding: - {code: symptom, system: 'http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary'} schema: mustSupport: true pattern: type: CodeableConcept value: coding: - {code: symptom, system: 'http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary'} _required: true index: 7 min: 1 max: 1 referenceRange: {index: 25} interpretation: {index: 20} specimen: {index: 23} value: short: Coded description of symptom mustSupport: true choices: [valueCodeableConcept] index: 17 component: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Various information about the symptom index: 26 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, index: 28} elements: extension: index: 27 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: text: match: {url: null} schema: {type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 28} min: 0 max: 1 value: choices: [] index: 30 dataAbsentReason: {index: 31} interpretation: {index: 32} referenceRange: {index: 33} required: [value] slicing: rules: open description: Different symptom component observations discriminator: - {path: code, type: value} min: null slices: affectiveGrade: match: code: coding: - {code: '279116004', system: 'http://snomed.info/sct', display: Affective response to pain} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Emotional or mental impact of a symptom index: 64 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the impact of the symptom, index: 65} elements: extension: type: Extension short: Textual description of the impact of the symptom url: http://hl7.org/fhir/StructureDefinition/note index: 65 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the impact of the symptom, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 65} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: '279116004', system: 'http://snomed.info/sct', display: Affective response to pain} index: 66 value: short: Code that represents the affective grade choices: [valueCodeableConcept] index: 68 valueCodeableConcept: {type: CodeableConcept, short: Code that represents the affective grade, choiceOf: value, index: 69} alleviatingFactors: match: code: coding: - {code: 100753-3, system: 'http://loinc.org', display: Alleviating factors - Reported} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Patient-reported actions, conditions, events, or other factors that decrease the symptoms or condition array: true index: 77 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the event, index: 78} relatedMedication: {url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SurroundingEventMedication', min: 0, type: Extension, index: 79} elements: extension: type: Extension short: Textual description of the event url: http://hl7.org/fhir/StructureDefinition/note index: 78 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the event, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 78} min: 0 max: 1 relatedMedication: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SurroundingEventMedication', index: 79} min: 0 code: short: Code for the specific type of event pattern: type: CodeableConcept value: coding: - {code: 100753-3, system: 'http://loinc.org', display: Alleviating factors - Reported} index: 80 value: short: Code or string describing the specific event choices: [valueCodeableConcept] index: 82 valueCodeableConcept: {type: CodeableConcept, short: Code or string describing the specific event, choiceOf: value, index: 83} trend: match: code: coding: - {code: 89253-9, system: 'http://loinc.org', display: Trend} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Whether a condition is improving, worsening, stable, or resolved. index: 58 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the symptom trend, index: 59} elements: extension: type: Extension short: Textual description of the symptom trend url: http://hl7.org/fhir/StructureDefinition/note index: 59 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the symptom trend, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 59} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 89253-9, system: 'http://loinc.org', display: Trend} index: 60 value: choices: [valueCodeableConcept] index: 62 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 63} functionalImpact: match: {code: null} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 How the symptom affects the patient's daily activities array: true index: 48 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the impact, index: 49} functionalAssessment: {url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessment', min: 0, max: 1, type: Extension, index: 50} elements: extension: type: Extension short: Textual description of the impact url: http://hl7.org/fhir/StructureDefinition/note index: 49 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the impact, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 49} min: 0 max: 1 functionalAssessment: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessment', index: 50} min: 0 max: 1 code: short: Code for the functional impact being described binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/symptoms/ValueSet/FunctionalClassification'} index: 51 triggersOrExacerbatingFactors: match: code: coding: - {code: 100752-5, system: 'http://loinc.org', display: Exacerbating factors - Reported} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Patient reported actions, conditions, events, physical objects or other factors that initiate, increase or worsen symptoms array: true index: 70 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the event, index: 71} relatedMedication: {url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SurroundingEventMedication', min: 0, type: Extension, index: 72} elements: extension: type: Extension short: Textual description of the event url: http://hl7.org/fhir/StructureDefinition/note index: 71 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the event, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 71} min: 0 max: 1 relatedMedication: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SurroundingEventMedication', index: 72} min: 0 code: short: Code for the specific type of event pattern: type: CodeableConcept value: coding: - {code: 100752-5, system: 'http://loinc.org', display: Exacerbating factors - Reported} index: 73 value: short: Code or string describing the specific event choices: [valueCodeableConcept] index: 75 valueCodeableConcept: {type: CodeableConcept, short: Code or string describing the specific event, choiceOf: value, index: 76} frequency: match: code: coding: - {code: 104156-5, system: 'http://loinc.org', display: Condition frequency - Reported} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 How often the patient experiences the symptom. index: 90 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the reported frequency, index: 91} elements: extension: type: Extension short: Textual description of the reported frequency url: http://hl7.org/fhir/StructureDefinition/note index: 91 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the reported frequency, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 91} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 104156-5, system: 'http://loinc.org', display: Condition frequency - Reported} index: 92 value: choices: [valueRatio] index: 101 slicing: slices: valueRatio: match: {} schema: choices: [valueRatio] index: 101 min: 0 max: 1 valueCodeableConcept: type: CodeableConcept choiceOf: value index: 99 slicing: slices: valueCodeableConcept: match: {} schema: {type: CodeableConcept, choiceOf: value, index: 99} min: 0 max: 1 valueRatio: type: Ratio choiceOf: value index: 102 slicing: slices: valueRatio: match: {} schema: {type: Ratio, choiceOf: value, index: 102} min: 0 max: 1 value[x]: elements: denominator: elements: unit: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/duration-units'} index: 103 otherEvents: match: code: coding: - {code: OTHEREVENT, system: 'http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary'} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Patient-reported actions that were occuring at time of symptom onset array: true index: 84 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the event, index: 85} elements: extension: type: Extension short: Textual description of the event url: http://hl7.org/fhir/StructureDefinition/note index: 85 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the event, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 85} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: OTHEREVENT, system: 'http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary'} index: 86 value: short: Code or string describing the specific event choices: [valueCodeableConcept] index: 88 valueCodeableConcept: {type: CodeableConcept, short: Code or string describing the specific event, choiceOf: value, index: 89} speedOfOnset: match: code: coding: - {code: 99495-4, system: 'http://loinc.org', display: Speed of condition onset} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 The rate at which a physiological symptom became apparent. index: 104 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the reported speed of onset, index: 105} elements: extension: type: Extension short: Textual description of the reported speed of onset url: http://hl7.org/fhir/StructureDefinition/note index: 105 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the reported speed of onset, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 105} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 99495-4, system: 'http://loinc.org', display: Speed of condition onset} index: 106 value: choices: [valueCodeableConcept] index: 108 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 109} severity: match: code: coding: - {code: 64750-3, system: 'http://loinc.org', display: Severity of symptoms} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 The intensity with which the patient experiences the symptom index: 41 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the symptom severity, index: 42} scaleCode: {url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation', min: 0, max: 1, type: Extension, index: 43} elements: extension: type: Extension short: Textual description of the symptom severity url: http://hl7.org/fhir/StructureDefinition/note index: 42 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the symptom severity, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 42} min: 0 max: 1 scaleCode: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation', index: 43} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 64750-3, system: 'http://loinc.org', display: Severity of symptoms} index: 44 value: choices: [valueCodeableConcept] index: 46 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 47} quality: match: code: coding: - {code: 56823-8, system: 'http://loinc.org', display: Problem quality or description} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 The patient's internal perception of the symptom index: 34 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the symptom quality, index: 35} scaleCode: {url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation', min: 0, max: 1, type: Extension, index: 36} elements: extension: type: Extension short: Textual description of the symptom quality url: http://hl7.org/fhir/StructureDefinition/note index: 35 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the symptom quality, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 35} min: 0 max: 1 scaleCode: match: {} schema: {type: Extension, url: 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation', index: 36} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 56823-8, system: 'http://loinc.org', display: Problem quality or description} index: 37 value: short: Code that represents the symptom quality choices: [valueCodeableConcept] index: 39 valueCodeableConcept: {type: CodeableConcept, short: Code that represents the symptom quality, choiceOf: value, index: 40} clinicalCourse: match: code: coding: - {code: 89261-2, system: 'http://loinc.org', display: Clinical course} schema: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Character of symptom onset index: 52 extensions: text: {url: 'http://hl7.org/fhir/StructureDefinition/note', min: 0, max: 1, type: Extension, short: Textual description of the clinical course of the symptom, index: 53} elements: extension: type: Extension short: Textual description of the clinical course of the symptom url: http://hl7.org/fhir/StructureDefinition/note index: 53 slicing: slices: text: match: {} schema: {type: Extension, short: Textual description of the clinical course of the symptom, url: 'http://hl7.org/fhir/StructureDefinition/note', index: 53} min: 0 max: 1 code: pattern: type: CodeableConcept value: coding: - {code: 89261-2, system: 'http://loinc.org', display: Clinical course} index: 54 value: choices: [valueCodeableConcept] index: 56 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 57} note: {short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Patient or caregiver description of symptom, index: 21} extension: index: 0 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: associatedSymptomOrCondition: match: {url: null} schema: type: Extension url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.2.0 index: 1 elements: value: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Other symptoms or conditions that are associated with this symptom choices: [valueReference] index: 3 valueReference: type: Reference short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Other symptoms or conditions that are associated with this symptom choiceOf: value refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation', 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation'] index: 4 effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 12} status: {mustSupport: true, index: 5} effective: mustSupport: true choices: [effectiveDateTime, effectivePeriod] index: 11 code: mustSupport: true pattern: type: CodeableConcept value: coding: - {code: 75325-1, system: 'http://loinc.org', display: Symptom} index: 8 valueCodeableConcept: {type: CodeableConcept, short: Coded description of symptom, mustSupport: true, choiceOf: value, index: 18} bodySite: short: Where the patient feels the symptom in the body binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'} mustSupport: true index: 22 issued: {short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Instant when symptom recorded, index: 14} device: {index: 24} subject: type: Reference short: The patient who is experiencing the symptom mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Patient'] index: 9 performer: type: Reference short: The person who is reporting the symptom information mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson'] index: 15 dataAbsentReason: {index: 19} effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 13} package_version: 1.0.0-ballot extensions: associatedSymptomOrCondition: url: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.2.0 type: Extension index: 1 elements: value: short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Other symptoms or conditions that are associated with this symptom choices: [valueReference] index: 3 valueReference: type: Reference short: 𝗦𝗛𝗢𝗨𝗟𝗗 𝗦𝗨𝗣𝗣𝗢𝗥𝗧 Other symptoms or conditions that are associated with this symptom choiceOf: value refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation', 'http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation'] index: 4 class: profile kind: resource url: http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.0.0-ballot required: [effectiveDateTime, effectivePeriod, value, subject, valueCodeableConcept, category, effective, performer]