This page is part of the FHIR Specification (v4.4.0: R5 Preview #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Concept domain bindings link a resource or an element to a set of SNOMED CT concepts that represent the intended semantics of the instances (whether or not SNOMED CT is used to encode that data element).
This set of concepts is represented using a SNOMED CT expression constraint. Note that the 'Concept domain binding' may be a superset of the 'value set binding'. These bindings help to support:
- Quality checking FHIR resources by ensuring that (a) the intended semantics of the instances matches the valid range of the corresponding SNOMED CT attribute, and (b) the intended value set is appropriate for the intended semantics of the instances
- Semantic checking of data instances by helping to detect potential inconsistencies caused by overlap between the semantics incorporated in two concept domains
Condition | < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|) |
identifier | |
clinicalStatus | < 303105007 |Disease phases| |
verificationStatus | < 410514004 |Finding context value| |
category | < 404684003 |Clinical finding| |
severity | < 272141005 |Severities| |
code | code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|)
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event| |
bodySite | < 442083009 |Anatomical or acquired body structure| |
subject | |
encounter | |
onset[x] | |
abatement[x] | |
recordedDate | |
recorder | |
asserter | |
stage | |
summary | < 254291000 |Staging and scales| |
assessment | |
type | |
evidence | |
code | < 404684003 |Clinical finding| |
detail | |
note | |
Condition | Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis] |
identifier | .id |
clinicalStatus | Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value |
verificationStatus | Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value |
category | .code |
severity | Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value |
code | .value |
bodySite | .targetBodySiteCode |
subject | .participation[typeCode=SBJ].role[classCode=PAT] |
encounter | .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
onset[x] | .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value |
abatement[x] | .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed |
recordedDate | .participation[typeCode=AUT].time |
recorder | .participation[typeCode=AUT].role |
asserter | .participation[typeCode=INF].role |
stage | ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"] |
summary | .value |
assessment | .self |
type | ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"] |
evidence | .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN] |
code | [code="diagnosis"].value |
detail | .self |
note | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value |