Generated Narrative: StructureDefinition ext-R5-ResearchSubject.progress Name Flags Card. Type Description & Constraints Extension 0..* Extension(4.0.1) R5: Subject status (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 0..1 Extension R5: state | milestone (new) #xD; url 1..1 uri "type" #xD; value[x] 0..1 CodeableConcept state | milestone Binding: R5ResearchSubjectStateTypeForR4 (0.1.0) (example): Identifies the kind of state being refered to. #xD; extension:subjectState 0..1 Extension R5: candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn (new) #xD; url 1..1 uri "subjectState" #xD; value[x] 0..1 CodeableConcept candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn Binding: R5ResearchSubjectStateForR4 (0.1.0) (required): Indicates the progression of a study subject through a study. #xD; extension:milestone 0..1 Extension R5: SignedUp | Screened | Randomized (new) #xD; url 1..1 uri "milestone" #xD; value[x] 0..1 CodeableConcept SignedUp | Screened | Randomized Binding: R5ResearchSubjectMilestoneForR4 (0.1.0) (example): Indicates the progression of a study subject through the study milestones. #xD; extension:reason 0..1 Extension R5: State change reason (new) #xD; url 1..1 uri "reason" #xD; value[x] 0..1 CodeableConcept State change reason Binding: R5StateChangeReasonForR4 (0.1.0) (example): Indicates why the state of the subject changed. #xD; extension:startDate 0..1 Extension R5: State change date (new) #xD; url 1..1 uri "startDate" #xD; value[x] 0..1 dateTime State change date #xD; extension:endDate 0..1 Extension R5: State change date (new) #xD; url 1..1 uri "endDate" #xD; value[x] 0..1 dateTime State change date #xD; url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ResearchSubject.progress" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
R5: `ResearchSubject.progress` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `ResearchSubject.progress` as defined in FHIR R5 in FHIR R4. The source element is defined as: `ResearchSubject.progress` 0..* `BackboneElement` Across FHIR versions, the element set has been mapped as: * R5: `ResearchSubject.progress` 0..* `BackboneElement` Following are the generation technical comments: Element `ResearchSubject.progress` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `ResearchSubject.progress` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is intended to deal with the confusion routinely created by haing two conflated concepts of being in a particular state and having achieved a particular milestone. In strict terms a milestone is a point of time event that results in a change from one state to another. The state before the milestone is achieved is often given the same name as the milestone, and sometimes the state may have the same description. For instance "Randomised" and "Visit 1" may be different milestones but the state remains at "on study" after each of them. It is likely that more than one "state" pattern will be recorded for a subject and a type has been introduced to allow this simultaneous recording.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
R5: `ResearchSubject.progress.type` (new:CodeableConcept)
Element `ResearchSubject.progress.type` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.type` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Identifies the aspect of the subject's journey that the state refers to.
Identifies the kind of state being refered to.
R5: candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn (new)
R5: `ResearchSubject.progress.subjectState` (new:CodeableConcept)
Element `ResearchSubject.progress.subjectState` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.subjectState` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.subjectState` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn
Indicates the progression of a study subject through a study.
R5: SignedUp | Screened | Randomized (new)
R5: `ResearchSubject.progress.milestone` (new:CodeableConcept)
Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). There can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.
Element `ResearchSubject.progress.milestone` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.milestone` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.milestone` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The milestones the subject has passed through.
There can be multiple entries but it is also valid to just have the most recent. This should npt be rlied upon as the full path the subject has taken.
Indicates the progression of a study subject through the study milestones.
R5: `ResearchSubject.progress.reason` (new:CodeableConcept)
Element `ResearchSubject.progress.reason` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.reason` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
The reason for the state change. If coded it should follow the formal subject state model.
Indicates why the state of the subject changed.
R5: `ResearchSubject.progress.startDate` (new:dateTime)
Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is NOT the date the change in state was recorded.
This was originally defined as the date when the change in status occurred. This assumed all states were recorded which is not true. Hence the need to track the end of the state. Element `ResearchSubject.progress.startDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.startDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.startDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
This is NOT the date the change in state was recorded.
R5: `ResearchSubject.progress.endDate` (new:dateTime)
Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
See the requirement on the start date. Element `ResearchSubject.progress.endDate` is part of an existing definition because parent element `ResearchSubject.progress` requires a cross-version extension. Element `ResearchSubject.progress.endDate` has a context of ResearchSubject based on following the parent source element upwards and mapping to `ResearchSubject`. Element `ResearchSubject.progress.endDate` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).