HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1 (Standard for Trial Use)
This page is part of the Occupational Data for Health (ODH) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "StructureDefinition",
"id" : "cimi-statement-ClinicalNote-model",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml">
<p><b>ODH ClinicalNote Logical Model</b></p>
<p>An entry concerning a patient where the result is a narrative text.</p>
</div>"
},
"url" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-statement-ClinicalNote-model",
"identifier" : [
{
"system" : "http://hl7.org/fhir/us/odh",
"value" : "cimi.statement.ClinicalNote"
}
],
"version" : "0.1.0",
"name" : "ClinicalNoteModel",
"title" : "ODH ClinicalNote Logical Model",
"status" : "draft",
"date" : "2018-08-17T00:00:00+10:00",
"publisher" : "HL7",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://standardhealthrecord.org"
}
]
}
],
"description" : "An entry concerning a patient where the result is a narrative text.",
"keyword" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0747978",
"display" : "Progress Note"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "cimi-statement-ClinicalNote-model",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "cimi-statement-ClinicalNote-model",
"path" : "cimi-statement-ClinicalNote-model",
"definition" : "An entry concerning a patient where the result is a narrative text.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-statement-ClinicalNote-model",
"min" : 0,
"max" : "*"
},
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.personOfRecord",
"path" : "cimi-statement-ClinicalNote-model.personOfRecord",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0027361"
}
],
"short" : "The person this entry belongs to.",
"definition" : "The person this entry belongs to.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.personOfRecord",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-entity-Person-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.recorded",
"path" : "cimi-statement-ClinicalNote-model.recorded",
"short" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.recorded",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.signed",
"path" : "cimi-statement-ClinicalNote-model.signed",
"short" : "Provenance information specific to the signing of the clinical statement.",
"definition" : "Provenance information specific to the signing of the clinical statement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.signed",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.additionalText",
"path" : "cimi-statement-ClinicalNote-model.additionalText",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0947611"
}
],
"short" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"definition" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.additionalText",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode",
"path" : "cimi-statement-ClinicalNote-model.contextCode",
"short" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"definition" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.contextCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.id",
"path" : "cimi-statement-ClinicalNote-model.contextCode.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"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" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.extension",
"path" : "cimi-statement-ClinicalNote-model.contextCode.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. In order 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 is allowed to 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.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.system",
"path" : "cimi-statement-ClinicalNote-model.contextCode.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://snomed.info/sct",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.version",
"path" : "cimi-statement-ClinicalNote-model.contextCode.version",
"short" : "Version of the system - if relevant",
"definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.code",
"path" : "cimi-statement-ClinicalNote-model.contextCode.code",
"short" : "Symbol in syntax defined by the system",
"definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "424975005",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "cimi-statement-ClinicalNote-model.contextCode.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.userSelected",
"path" : "cimi-statement-ClinicalNote-model.contextCode.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.statementTopic",
"path" : "cimi-statement-ClinicalNote-model.statementTopic",
"short" : "Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.",
"definition" : "Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.
StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.statementTopic",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-topic-StatementTopic-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.encounter",
"path" : "cimi-statement-ClinicalNote-model.encounter",
"short" : "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
"definition" : "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Encounter-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.interpretation",
"path" : "cimi-statement-ClinicalNote-model.interpretation",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0420833"
}
],
"short" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"definition" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.interpretation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "extensible",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
}
}
},
{
"id" : "cimi-statement-ClinicalNote-model.relevantTime",
"path" : "cimi-statement-ClinicalNote-model.relevantTime",
"short" : "The time or time period that the finding addresses.",
"definition" : "The time or time period that the finding addresses.
The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.relevantTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-TimePeriod-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.findingMethod",
"path" : "cimi-statement-ClinicalNote-model.findingMethod",
"short" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"definition" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.findingMethod",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "preferred",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/odh/ValueSet/cimi-statement-FindingMethodVS"
}
}
},
{
"id" : "cimi-statement-ClinicalNote-model.media",
"path" : "cimi-statement-ClinicalNote-model.media",
"short" : "A file that contains audio, video, image, or similar content.",
"definition" : "A file that contains audio, video, image, or similar content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.media",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-datatypes-Media-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
}
]
},
"differential" : {
"element" : [
{
"id" : "cimi-statement-ClinicalNote-model",
"path" : "cimi-statement-ClinicalNote-model",
"definition" : "An entry concerning a patient where the result is a narrative text.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-statement-ClinicalNote-model",
"min" : 0,
"max" : "*"
},
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.personOfRecord",
"path" : "cimi-statement-ClinicalNote-model.personOfRecord",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0027361"
}
],
"short" : "The person this entry belongs to.",
"definition" : "The person this entry belongs to.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.personOfRecord",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-entity-Person-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.recorded",
"path" : "cimi-statement-ClinicalNote-model.recorded",
"short" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.recorded",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.signed",
"path" : "cimi-statement-ClinicalNote-model.signed",
"short" : "Provenance information specific to the signing of the clinical statement.",
"definition" : "Provenance information specific to the signing of the clinical statement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.signed",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-core-Attribution-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.additionalText",
"path" : "cimi-statement-ClinicalNote-model.additionalText",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0947611"
}
],
"short" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"definition" : "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.additionalText",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode",
"path" : "cimi-statement-ClinicalNote-model.contextCode",
"short" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"definition" : "Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.contextCode",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.id",
"path" : "cimi-statement-ClinicalNote-model.contextCode.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"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" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.extension",
"path" : "cimi-statement-ClinicalNote-model.contextCode.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. In order 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 is allowed to 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.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.system",
"path" : "cimi-statement-ClinicalNote-model.contextCode.system",
"short" : "Identity of the terminology system",
"definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
"comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.system",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"fixedUri" : "http://snomed.info/sct",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.3"
},
{
"identity" : "rim",
"map" : "./codeSystem"
},
{
"identity" : "orim",
"map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.version",
"path" : "cimi-statement-ClinicalNote-model.contextCode.version",
"short" : "Version of the system - if relevant",
"definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.version",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.7"
},
{
"identity" : "rim",
"map" : "./codeSystemVersion"
},
{
"identity" : "orim",
"map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.code",
"path" : "cimi-statement-ClinicalNote-model.contextCode.code",
"short" : "Symbol in syntax defined by the system",
"definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements" : "Need to refer to a particular code in the system.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Coding.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"fixedCode" : "424975005",
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.1"
},
{
"identity" : "rim",
"map" : "./code"
},
{
"identity" : "orim",
"map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.display",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "cimi-statement-ClinicalNote-model.contextCode.display",
"short" : "Representation defined by the system",
"definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.display",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.2 - but note this is not well followed"
},
{
"identity" : "rim",
"map" : "CV.displayName"
},
{
"identity" : "orim",
"map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.contextCode.userSelected",
"path" : "cimi-statement-ClinicalNote-model.contextCode.userSelected",
"short" : "If this coding was chosen directly by the user",
"definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Coding.userSelected",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Sometimes implied by being first"
},
{
"identity" : "rim",
"map" : "CD.codingRationale"
},
{
"identity" : "orim",
"map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"
}
]
},
{
"id" : "cimi-statement-ClinicalNote-model.statementTopic",
"path" : "cimi-statement-ClinicalNote-model.statementTopic",
"short" : "Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.",
"definition" : "Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.
StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.statementTopic",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-topic-StatementTopic-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.encounter",
"path" : "cimi-statement-ClinicalNote-model.encounter",
"short" : "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
"definition" : "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-encounter-Encounter-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.interpretation",
"path" : "cimi-statement-ClinicalNote-model.interpretation",
"code" : [
{
"system" : "http://ncimeta.nci.nih.gov",
"code" : "C0420833"
}
],
"short" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"definition" : "A clinical interpretation of a finding (applies to both assertions and observation).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.interpretation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "extensible",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
}
}
},
{
"id" : "cimi-statement-ClinicalNote-model.relevantTime",
"path" : "cimi-statement-ClinicalNote-model.relevantTime",
"short" : "The time or time period that the finding addresses.",
"definition" : "The time or time period that the finding addresses.
The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.relevantTime",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-TimePeriod-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
},
{
"id" : "cimi-statement-ClinicalNote-model.findingMethod",
"path" : "cimi-statement-ClinicalNote-model.findingMethod",
"short" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"definition" : "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.findingMethod",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Coding"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "preferred",
"valueSetReference" : {
"reference" : "http://hl7.org/fhir/us/odh/ValueSet/cimi-statement-FindingMethodVS"
}
}
},
{
"id" : "cimi-statement-ClinicalNote-model.media",
"path" : "cimi-statement-ClinicalNote-model.media",
"short" : "A file that contains audio, video, image, or similar content.",
"definition" : "A file that contains audio, video, image, or similar content.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "cimi-statement-ClinicalNote-model.media",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.org/fhir/us/odh/StructureDefinition/cimi-datatypes-Media-model"
}
],
"mustSupport" : false,
"isModifier" : false,
"isSummary" : false
}
]
}
}
ODH Version: 0.1.0 ®© FHIR Version: 3.0.1 generated on Tue, Aug 21, 2018 16:12+1000.
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