<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="Findings observed during the macroscopic inspection of sputum." /> <purpose value="To record the findings observed during the macroscopic inspection (including odour) of sputum." /> <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="Inspection_of_sputum"> <path value="Inspection_of_sputum" /> <short value="Inspection of sputum" /> <definition value="Findings observed during the macroscopic inspection of sputum." /> <min value="1" /> <max value="1" /> <base> <path value="Inspection_of_sputum" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Inspection_of_sputum.Fluid_name"> <path value="Inspection_of_sputum.Fluid_name" /> <short value="Fluid name" /> <definition value="The name of the body fluid being examined." /> <min value="1" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Fluid_name" /> <min value="1" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Fluid_name.value"> <path value="Inspection_of_sputum.Fluid_name.value" /> <short value="Fluid name" /> <definition value="The name of the body fluid being examined." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Fluid_name.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="Inspection_of_sputum.Description"> <path value="Inspection_of_sputum.Description" /> <short value="Description" /> <definition value="Narrative description about the fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Description.value"> <path value="Inspection_of_sputum.Description.value" /> <short value="Description" /> <definition value="Narrative description about the fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.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="Inspection_of_sputum.Appearance"> <path value="Inspection_of_sputum.Appearance" /> <short value="Appearance" /> <definition value="The appearance of the sputum." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Appearance" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Appearance.value"> <path value="Inspection_of_sputum.Appearance.value" /> <short value="Appearance" /> <definition value="The appearance of the sputum." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Appearance.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="Inspection_of_sputum.Consistency"> <path value="Inspection_of_sputum.Consistency" /> <short value="Consistency" /> <definition value="The viscosity of the sputum." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Consistency" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Consistency.value"> <path value="Inspection_of_sputum.Consistency.value" /> <short value="Consistency" /> <definition value="The viscosity of the sputum." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Consistency.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="Inspection_of_sputum.Colour"> <path value="Inspection_of_sputum.Colour" /> <short value="Colour" /> <definition value="The colour of the body fluid." /> <min value="0" /> <max value="*" /> <base> <path value="Inspection_of_sputum.Colour" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Inspection_of_sputum.Colour.value"> <path value="Inspection_of_sputum.Colour.value" /> <short value="Colour" /> <definition value="The colour of the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Colour.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="Inspection_of_sputum.Odour"> <path value="Inspection_of_sputum.Odour" /> <short value="Odour" /> <definition value="The smell of the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Odour" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Odour.value"> <path value="Inspection_of_sputum.Odour.value" /> <short value="Odour" /> <definition value="The smell of the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Odour.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="Inspection_of_sputum.Blood"> <path value="Inspection_of_sputum.Blood" /> <short value="Blood" /> <definition value="The qualitative amount of blood observed in the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Blood" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Blood.value"> <path value="Inspection_of_sputum.Blood.value" /> <short value="Blood" /> <definition value="The qualitative amount of blood observed in the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Blood.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="Inspection_of_sputum.Blood_clots"> <path value="Inspection_of_sputum.Blood_clots" /> <short value="Blood clots" /> <definition value="Blood clots are observed within or associated with the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Blood_clots" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Blood_clots.value"> <path value="Inspection_of_sputum.Blood_clots.value" /> <short value="Blood clots" /> <definition value="Blood clots are observed within or associated with the body fluid." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Blood_clots.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="Inspection_of_sputum.Specific_findings"> <path value="Inspection_of_sputum.Specific_findings" /> <short value="Specific findings" /> <definition value="Additional structured details about the body fluid." /> <min value="0" /> <max value="*" /> <base> <path value="Inspection_of_sputum.Specific_findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Inspection_of_sputum.Multimedia_representation"> <path value="Inspection_of_sputum.Multimedia_representation" /> <short value="Multimedia representation" /> <definition value="Digital image, video or diagram representing the inspection findings." /> <min value="0" /> <max value="*" /> <base> <path value="Inspection_of_sputum.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="Inspection_of_sputum.Clinical_interpretation"> <path value="Inspection_of_sputum.Clinical_interpretation" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Inspection_of_sputum.Clinical_interpretation" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Inspection_of_sputum.Clinical_interpretation.value"> <path value="Inspection_of_sputum.Clinical_interpretation.value" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the examination findings." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Clinical_interpretation.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="Inspection_of_sputum.Comment"> <path value="Inspection_of_sputum.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the inspection findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Inspection_of_sputum.Comment.value"> <path value="Inspection_of_sputum.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the inspection findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Inspection_of_sputum.Comment.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="Inspection_of_sputum.Examination_not_done"> <path value="Inspection_of_sputum.Examination_not_done" /> <short value="Examination not done" /> <definition value="Details to explicitly record that this examination was not performed." /> <min value="0" /> <max value="*" /> <base> <path value="Inspection_of_sputum.Examination_not_done" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>