{
"description": "A guide that details how to capture and exchange Symptoms data in FHIR",
"_filename": "ImplementationGuide-hl7.fhir.uv.symptoms.json",
"package_name": "hl7.fhir.uv.symptoms",
"definition": {
"page": {
"page": [ {
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"nameUrl": "index.html",
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"generation": "markdown"
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"title": "Symptom/Diagnosis Relationship",
"nameUrl": "diagnosis.html",
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"title": "Logical Model, OpenEHR Archetype, and FHIR Profile",
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"generation": "markdown"
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"title": "Conformance Expectations",
"nameUrl": "conformance.html",
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"generation": "markdown"
}, {
"title": "Exchange Patterns",
"nameUrl": "exchange.html",
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"valueCode": "informative"
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"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "exchange.html"
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"generation": "markdown"
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"title": "Artifact Overview",
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"title": "Change Log",
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"title": "Table of Contents",
"nameUrl": "toc.html",
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},
"resource": [ {
"name": "AbdominalDiscomfortSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/AbdominalDiscomfortSymptom"
},
"description": "Abdominal Discomfort",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "AbdominalPainSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/AbdominalPainSymptom"
},
"description": "Abdominal pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "AdmissionsPerson",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
} ],
"reference": {
"reference": "Practitioner/AdmissionsPerson"
},
"description": "Admission to Hospital",
"exampleBoolean": true
}, {
"name": "Affective Grade",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/AffectiveGrade"
},
"description": "Set of codes from LOINC that describe a patient's affective grade",
"exampleBoolean": false
}, {
"name": "Alleviating Factor Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/AlleviatingFactorCodes"
},
"description": "Set of SNOMED codes to describe factors which alleviate the symptom.",
"exampleBoolean": false
}, {
"name": "AppetiteFunctionalAssessmentCollection",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/AppetiteFunctionalAssessmentCollection"
},
"description": "Collection of appetite assessment",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessmentCollection"
}, {
"name": "AppetiteFunctionalAssessmentScale",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/AppetiteFunctionalAssessmentScale"
},
"description": "Rating of appetite loss",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessmentObservation"
}, {
"name": "Assessment Scale Collection Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/AssessmentScaleCollection"
},
"description": "A point in time collection of observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g., assessment tool, instrument, or screen) with multiple questions. NOTE: This profile is a universal flavour of the PACIO PFE Personal Functioning and Engagement Collection Observation profile.",
"exampleBoolean": false
}, {
"name": "Assessment Scale Information",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/AssessmentScaleInformation"
},
"description": "Information about the specific scale or assessment used to determine the value. This can be either just a code that represents the assessment scale or can be a reference to an Assessment Scale Collection.",
"exampleBoolean": false
}, {
"name": "Assessment Scale Single Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/AssessmentScaleObservation"
},
"description": "An exchange of post-acute care observation for a patient. This profile is used for exchanging an observation for a single question generally included in a structured resource (e.g., assessment tool, instrument, or screen). NOTE: This profile is a universal flavour of the PACIO PFE Personal Functioning and Engagement Single Observation profile.",
"exampleBoolean": false
}, {
"name": "ChestPainSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/ChestPainSymptom"
},
"description": "Chest pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "ChillSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/ChillSymptomAbsence"
},
"description": "Absence of chills",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "Clinical Course Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/ClinicalCourseCodes"
},
"description": "Set of SNOMED codes to describe the clinical course of the symptom.",
"exampleBoolean": false
}, {
"name": "Common Set of Symptom Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/CommonSymptomCodes"
},
"description": "An initial set of Symptom Codes representing the most common symptoms.",
"exampleBoolean": false
}, {
"name": "ConstipationSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/ConstipationSymptom"
},
"description": "Constipation",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "CoughSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/CoughSymptom"
},
"description": "Cough",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "DizzinessSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/DizzinessSymptom"
},
"description": "Dizziness",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "FaintingSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/FaintingSymptomAbsence"
},
"description": "No fainting",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "FatigueSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/FatigueSymptom"
},
"description": "Fatigue",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "FeverSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/FeverSymptom"
},
"description": "Fever",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "FeverSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/FeverSymptomAbsence"
},
"description": "Absence of fever",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "Frequency Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/FrequencyCodes"
},
"description": "Set of SNOMED codes to describe the frequency of experiencing the symptom.",
"exampleBoolean": false
}, {
"name": "Functional Assessment",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/FunctionalAssessment"
},
"description": "Reference to a complete functional assessment collection.",
"exampleBoolean": false
}, {
"name": "Functional Assessment Collection",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/FunctionalAssessmentCollection"
},
"description": "A collection of observations related to a functional assessment of a patient. This profile is used for exchanging a set of functional data.",
"exampleBoolean": false
}, {
"name": "Functional Assessment Single Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/FunctionalAssessmentObservation"
},
"description": "A single observation related to a functional assessment of a patient. This profile is used for exchanging an observatoin for a single question.",
"exampleBoolean": false
}, {
"name": "Functional Classification Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/FunctionalClassification"
},
"description": "The set of codes from WHO's International Classification of Functioning, Disability, and Health code system.",
"exampleBoolean": false
}, {
"name": "HearingLossSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/HearingLossSymptom"
},
"description": "Hearing Loss",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "InitialPainAssessmentCollection",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/InitialPainAssessmentCollection"
},
"description": "Collection of rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleCollection"
}, {
"name": "InitialPainAssessmentScale",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/InitialPainAssessmentScale"
},
"description": "Rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleObservation"
}, {
"name": "IVMorphineDoseage",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "MedicationStatement"
} ],
"reference": {
"reference": "MedicationStatement/IVMorphineDoseage"
},
"description": "Dose of IV morphine",
"exampleBoolean": true
}, {
"name": "JaneDoe",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/JaneDoe"
},
"description": "Jane Doe - shortness of breath",
"exampleBoolean": true
}, {
"name": "JohnDoe",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/JohnDoe"
},
"description": "John Doe - dizziness",
"exampleBoolean": true
}, {
"name": "MedicatedAbdominalPainSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/MedicatedAbdominalPainSymptom"
},
"description": "Abdominal pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "MedicatedPainAssessmentCollection",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/MedicatedPainAssessmentCollection"
},
"description": "Collection of rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleCollection"
}, {
"name": "MedicatedPainAssessmentScale",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/MedicatedPainAssessmentScale"
},
"description": "Rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleObservation"
}, {
"name": "MrDoe",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/MrDoe"
},
"description": "Mr. Doe - Oncology",
"exampleBoolean": true
}, {
"name": "NauseaSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/NauseaSymptomAbsence"
},
"description": "Absense of nausea",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "Other Event Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/OtherEventCodes"
},
"description": "Set of SNOMED codes to describe other events which were occurring at the same time as the symptom.",
"exampleBoolean": false
}, {
"name": "Quality Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/QualityCodes"
},
"description": "Set of SNOMED codes to describe the symptom quality.",
"exampleBoolean": false
}, {
"name": "RectalBleedingSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/RectalBleedingSymptomAbsence"
},
"description": "Absence of rectal bleeding",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "Severity Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/SeverityCodes"
},
"description": "Set of SNOMED codes to describe the symptom severity.",
"exampleBoolean": false
}, {
"name": "ShortnessOfBreathPHSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/ShortnessOfBreathPHSymptom"
},
"description": "Shortness of breath",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "ShortnessOfBreathSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/ShortnessOfBreathSymptom"
},
"description": "Shortness of breath",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "Speed of Onset",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/SpeedOfOnset"
},
"description": "Set of codes from SNOMED that describe the speed of onset of a patient's symptom",
"exampleBoolean": false
}, {
"name": "Surrounding Event Medication",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/SurroundingEventMedication"
},
"description": "Medication that when taken affecting the factor",
"exampleBoolean": false
}, {
"name": "Symptom Absent Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/SymptomAbsentObservation"
},
"description": "Used to record the absence of a Symptom as reported by a patient or their caregiver.",
"exampleBoolean": false
}, {
"name": "Symptom Logical Model",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"reference": {
"reference": "StructureDefinition/SymptomLogicalModel"
},
"description": "A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange.",
"exampleBoolean": false
}, {
"name": "Symptom Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/SymptomObservation"
},
"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.",
"exampleBoolean": false
}, {
"name": "Symptom System Capabilities",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/SymptomCapabilities"
},
"description": "Capabilities required for a system exchanging symptoms data.",
"exampleBoolean": false
}, {
"name": "Temporary Symptom Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/SymptomTemporary"
},
"description": "A code system that has codes for use in the IG that will eventually be migrated to other code systems such as LOINC or THO.",
"exampleBoolean": false
}, {
"name": "Trend Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/TrendCodes"
},
"description": "Set of SNOMED codes to describe the trend of the symptom.",
"exampleBoolean": false
}, {
"name": "Triggers or Exacerbating Factor Codes",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/TriggersOrExacerbatingFactorCodes"
},
"description": "Set of SNOMED codes to describe triggers or factors which exacerbate the symptom.",
"exampleBoolean": false
}, {
"name": "TrishDoe",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/TrishDoe"
},
"description": "Trish Doe - Public Health",
"exampleBoolean": true
}, {
"name": "Type2DiabetesMellitus",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
} ],
"reference": {
"reference": "Condition/Type2DiabetesMellitus"
},
"description": "Type 2 Diabetes",
"exampleBoolean": true
}, {
"name": "UnconsciousnessSymptomAbsence",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/UnconsciousnessSymptomAbsence"
},
"description": "No loss of consciousness",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomAbsentObservation"
}, {
"name": "UnmedicatedAbdominalPainSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/UnmedicatedAbdominalPainSymptom"
},
"description": "Abdominal pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "UnmedicatedPainAssessmentCollection",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/UnmedicatedPainAssessmentCollection"
},
"description": "Collection of rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleCollection"
}, {
"name": "UnmedicatedPainAssessmentScale",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/UnmedicatedPainAssessmentScale"
},
"description": "Rating of abdominal cramping pain",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleObservation"
}, {
"name": "WeightLossSymptom",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/WeightLossSymptom"
},
"description": "Constipation",
"exampleCanonical": "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
}, {
"name": "ExclusionSymptomSignV0",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"reference": {
"reference": "StructureDefinition/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0"
},
"description": "Use to record a positive statement to explicitly record that a symptom or sign was reported as not present.\r\nUse to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype.\r\n\r\nThis archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate."
}, {
"name": "ExcludedSymptomVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0.at0002"
},
"description": "ValueSet for Identification of the specific symptom to which the Exclusion Statement applies."
}, {
"name": "SymptomSignV2",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:logical"
} ],
"reference": {
"reference": "StructureDefinition/openEHR-EHR-CLUSTER.symptom-sign.v2"
},
"description": "Use to record details about a single episode of a symptom or reported sign in an individual, as reported by the individual, parent, care-giver or other party. It may be recorded by a clinician as part of a clinical history record as reported to them, observed by the clinician or self-recorded as part of a clinical questionnaire or personal health record. A complete clinical history or patient story may include varying level of details about multiple episodes of an identified symptom or reported sign, as well as multiple symptoms/signs.\n\nThis archetype has been designed to record the positive presence of the symptom or sign as part of history taking using OBSERVATION.story, or in conjunction with a positive response to OBSERVATION.symptom_sign_screening.\n\nIn the purest sense, symptoms are subjective observations of a physical or mental disturbance and signs are objective observations of the same, as experienced by an individual and reported to the history taker by the same individual or another party. From this logic it follows that we will need two archetypes to record clinical history - one for reported symptoms and another for reported signs. In reality this is impractical as it will require clinical data entry into either one of these models which adds signficant overheads to modellers and those entering data. In addition, there is often overlap in clinical concepts - for example, is previous vomiting or bleeding to be categorised as a symptom or reported sign? In response, this archetype has been specifically designed to provide a single information model that allows for recording of the entire continuum between clearly identifiable symptoms and reported signs.\n\nThis archetype has been intended to be used as a generic pattern for all symptoms and reported signs. The 'Specific details' SLOT can be used to extend the archetype to include additional, specific data elements for more complex symptoms or signs. \n\nThis archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes and in the 'Associated symptom/sign' or 'Previous episode' SLOT within other instances of this CLUSTER.symptom_sign archetype."
}, {
"name": "EpisodicityVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.symptom-sign.v2.at0175"
},
"description": "ValueSet for Category of this episode for the identified symptom or sign."
}, {
"name": "EpisodicityCS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/openEHR-EHR-CLUSTER.symptom-sign.v2.at0175"
},
"description": "CodeSystem for Category of this episode for the identified symptom or sign."
}, {
"name": "OccurrenceVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.symptom-sign.v2.at0186"
},
"description": "ValueSet for Type of occurrence for this symptom or sign?"
}, {
"name": "OccurrenceCS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/openEHR-EHR-CLUSTER.symptom-sign.v2.at0186"
},
"description": "CodeSystem for Type of occurrence for this symptom or sign?"
}, {
"name": "SeverityCategoryVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.symptom-sign.v2.at0021"
},
"description": "ValueSet for Category representing the overall severity of the symptom or sign."
}, {
"name": "SeverityCategoryCS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/openEHR-EHR-CLUSTER.symptom-sign.v2.at0021"
},
"description": "CodeSystem for Category representing the overall severity of the symptom or sign."
}, {
"name": "ProgressionVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.symptom-sign.v2.at0180"
},
"description": "ValueSet for Description progression of the symptom or sign at the time of reporting."
}, {
"name": "ProgressionCS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/openEHR-EHR-CLUSTER.symptom-sign.v2.at0180"
},
"description": "CodeSystem for Description progression of the symptom or sign at the time of reporting."
}, {
"name": "EffectVS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
} ],
"reference": {
"reference": "ValueSet/openEHR-EHR-CLUSTER.symptom-sign.v2.at0017"
},
"description": "ValueSet for Perceived effect of the modifying factor on the symptom or sign."
}, {
"name": "EffectCS",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/openEHR-EHR-CLUSTER.symptom-sign.v2.at0017"
},
"description": "CodeSystem for Perceived effect of the modifying factor on the symptom or sign."
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "copyrightyear"
}, {
"url": "value",
"valueString": "2025+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 Ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "show-inherited-invariants"
}, {
"url": "value",
"valueString": "false"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-contact"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "produce-jekyll-data"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "globals-in-artifacts"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "pin-canonicals"
}, {
"url": "value",
"valueString": "pin-multiples"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "shownav"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "openehr"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/uv/symptoms/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "autoload-resources"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "template/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-liquid"
}, {
"url": "value",
"valueString": "input/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-qa"
}, {
"url": "value",
"valueString": "temp/qa"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-temp"
}, {
"url": "value",
"valueString": "temp/pages"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-output"
}, {
"url": "value",
"valueString": "output"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-suppressed-warnings"
}, {
"url": "value",
"valueString": "input/ignoreWarnings.txt"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-html"
}, {
"url": "value",
"valueString": "template-page.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "template-md"
}, {
"url": "value",
"valueString": "template-page-md.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-context"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-copyright"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-license"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-version"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-wg"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "active-tables"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "fmm-definition"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "propagate-status"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "excludelogbinaryformat"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "tabbed-snapshots"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "i18n-default-lang"
}, {
"url": "value",
"valueString": "en"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
"valueCode": "hl7.fhir.uv.tools.r4#0.9.0"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "copyrightyear"
}, {
"url": "value",
"valueString": "2025+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 Ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "show-inherited-invariants"
}, {
"url": "value",
"valueString": "false"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-contact"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "produce-jekyll-data"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "globals-in-artifacts"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "pin-canonicals"
}, {
"url": "value",
"valueString": "pin-multiples"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "shownav"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "openehr"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-history"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/uv/symptoms/history.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "autoload-resources"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-liquid"
}, {
"url": "value",
"valueString": "template/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-liquid"
}, {
"url": "value",
"valueString": "input/liquid"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-qa"
}, {
"url": "value",
"valueString": "temp/qa"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-temp"
}, {
"url": "value",
"valueString": "temp/pages"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-output"
}, {
"url": "value",
"valueString": "output"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "path-suppressed-warnings"
}, {
"url": "value",
"valueString": "input/ignoreWarnings.txt"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "template-html"
}, {
"url": "value",
"valueString": "template-page.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "template-md"
}, {
"url": "value",
"valueString": "template-page-md.html"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-context"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-copyright"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-license"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-version"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "apply-wg"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "active-tables"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "fmm-definition"
}, {
"url": "value",
"valueString": "http://hl7.org/fhir/versions.html#maturity"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueCode": "propagate-status"
}, {
"url": "value",
"valueString": "true"
} ]
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