<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Details about findings that support a clinical assertion." /> <purpose value="To record an explicit finding in support of a clinical assertion, such as a problem/diagnosis, adverse reaction risk, health risk assessment, or contraindication." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Clinical_evidence"> <path value="Clinical_evidence" /> <short value="Clinical evidence" /> <definition value="Details about findings that support a clinical assertion." /> <min value="1" /> <max value="1" /> <base> <path value="Clinical_evidence" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Finding"> <path value="Clinical_evidence.Finding" /> <short value="Finding" /> <definition value="Identification of the finding that supports the assertion." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Finding" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Clinical_evidence.Finding.value"> <path value="Clinical_evidence.Finding.value" /> <short value="Finding" /> <definition value="Identification of the finding that supports the assertion." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Finding.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Finding_description"> <path value="Clinical_evidence.Finding_description" /> <short value="Finding description" /> <definition value="Narrative description of the finding." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Finding_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Clinical_evidence.Finding_description.value"> <path value="Clinical_evidence.Finding_description.value" /> <short value="Finding description" /> <definition value="Narrative description of the finding." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Finding_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Result"> <path value="Clinical_evidence.Result" /> <short value="Result" /> <definition value="Measurement or value associated with the finding." /> <min value="0" /> <max value="*" /> <base> <path value="Clinical_evidence.Result" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Clinical_evidence.Date_identified"> <path value="Clinical_evidence.Date_identified" /> <short value="Date identified" /> <definition value="The date on which the finding was clinically identified." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Date_identified" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Clinical_evidence.Date_identified.value"> <path value="Clinical_evidence.Date_identified.value" /> <short value="Date identified" /> <definition value="The date on which the finding was clinically identified." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Date_identified.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Citation"> <path value="Clinical_evidence.Citation" /> <short value="Citation" /> <definition value="Detailed data available about the evidence held in another part of the health record." /> <min value="0" /> <max value="*" /> <base> <path value="Clinical_evidence.Citation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Method"> <path value="Clinical_evidence.Method" /> <short value="Method" /> <definition value="Type of examination or investigation used to identify the evidence." /> <min value="0" /> <max value="*" /> <base> <path value="Clinical_evidence.Method" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Clinical_evidence.Method.value"> <path value="Clinical_evidence.Method.value" /> <short value="Method" /> <definition value="Type of examination or investigation used to identify the evidence." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Method.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Method_description"> <path value="Clinical_evidence.Method_description" /> <short value="Method description" /> <definition value="Narrative description of the method/s used to identify the evidence." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Method_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Clinical_evidence.Method_description.value"> <path value="Clinical_evidence.Method_description.value" /> <short value="Method description" /> <definition value="Narrative description of the method/s used to identify the evidence." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Method_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Multimedia_representation"> <path value="Clinical_evidence.Multimedia_representation" /> <short value="Multimedia representation" /> <definition value="Digital image, video or diagram representing the clinical evidence." /> <min value="0" /> <max value="*" /> <base> <path value="Clinical_evidence.Multimedia_representation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Additional_details"> <path value="Clinical_evidence.Additional_details" /> <short value="Additional details" /> <definition value="Additional structured details about the finding." /> <min value="0" /> <max value="*" /> <base> <path value="Clinical_evidence.Additional_details" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Clinical_evidence.Comment"> <path value="Clinical_evidence.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the finding not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Clinical_evidence.Comment.value"> <path value="Clinical_evidence.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the finding not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Clinical_evidence.Comment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>