<status value="draft" /> <date value="2017-12-20" /> <publisher value="The MITRE Corporation: Standard Health Record Collaborative" /> <contact> <telecom> <system value="url" /> <value value="http://standardhealthrecord.org" /> </telecom> </contact> <description value="Base class for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments." /> <fhirVersion value="3.0.1" /> <kind value="complex-type" /> <abstract value="false" /> <contextType value="resource" /> <context value="*" /> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <snapshot> <element id="Extension:finding"> <path value="Extension" /> <short value="SHR Finding Extension" /> <definition value="Base class for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments." /> <min value="0" /> <max value="*" /> <base> <path value="Extension" /> <min value="0" /> <max value="1" /> </base> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="children().count() > id.count()" /> <xpath value="@value|f:*|h:div" /> <source value="Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="Extension" /> </constraint> </element> <element id="Extension:finding.id"> <path value="Extension.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension"> <path value="Extension.extension" /> <slicing id="23"> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="Extension" /> <definition value="An Extension" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> </element> <element id="Extension:finding.extension:relatedencounter"> <path value="Extension.extension" /> <sliceName value="relatedencounter" /> <definition value="If content was generated during a patient encounter, related encounter is the encounter where the information was gained." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:author"> <path value="Extension.extension" /> <sliceName value="author" /> <definition value="The person or organization who created the entry and is responsible for (and may certify) the content." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:informant"> <path value="Extension.extension" /> <sliceName value="informant" /> <definition value="The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:subject"> <path value="Extension.extension" /> <sliceName value="subject" /> <definition value="The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:focalsubject"> <path value="Extension.extension" /> <sliceName value="focalsubject" /> <definition value="For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubject-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:focalsubjectreference"> <path value="Extension.extension" /> <sliceName value="focalsubjectreference" /> <definition value="For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubjectReference-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:findingmethod"> <path value="Extension.extension" /> <sliceName value="findingmethod" /> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingMethod-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:findingstatus"> <path value="Extension.extension" /> <sliceName value="findingstatus" /> <definition value="Indicates whether the finding is preliminary, amended, final, etc.." /> <min value="0" /> <max value="1" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingStatus-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.extension:evidence"> <path value="Extension.extension" /> <sliceName value="evidence" /> <definition value="A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment." /> <min value="0" /> <max value="*" /> <base> <path value="Extension.extension" /> <min value="0" /> <max value="1" /> </base> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-Evidence-extension" /> </type> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.url"> <path value="Extension.url" /> <representation value="xmlAttr" /> <short value="identifies the meaning of the extension" /> <definition value="Source of the definition for the extension code - a logical name or a URL." /> <comment value="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." /> <min value="1" /> <max value="1" /> <base> <path value="Extension.url" /> <min value="1" /> <max value="1" /> </base> <type> <code value="uri" /> </type> <fixedUri value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-Finding-extension" /> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="Extension:finding.value[x]"> <path value="Extension.value[x]" /> <short value="Value of extension" /> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." /> <min value="0" /> <max value="0" /> <base> <path value="Extension.value[x]" /> <min value="0" /> <max value="1" /> </base> <type> <code value="base64Binary" /> </type> <type> <code value="boolean" /> </type> <type> <code value="code" /> </type> <type> <code value="date" /> </type> <type> <code value="dateTime" /> </type> <type> <code value="decimal" /> </type> <type> <code value="id" /> </type> <type> <code value="instant" /> </type> <type> <code value="integer" /> </type> <type> <code value="markdown" /> </type> <type> <code value="oid" /> </type> <type> <code value="positiveInt" /> </type> <type> <code value="string" /> </type> <type> <code value="time" /> </type> <type> <code value="unsignedInt" /> </type> <type> <code value="uri" /> </type> <type> <code value="Address" /> </type> <type> <code value="Age" /> </type> <type> <code value="Annotation" /> </type> <type> <code value="Attachment" /> </type> <type> <code value="CodeableConcept" /> </type> <type> <code value="Coding" /> </type> <type> <code value="ContactPoint" /> </type> <type> <code value="Count" /> </type> <type> <code value="Distance" /> </type> <type> <code value="Duration" /> </type> <type> <code value="HumanName" /> </type> <type> <code value="Identifier" /> </type> <type> <code value="Money" /> </type> <type> <code value="Period" /> </type> <type> <code value="Quantity" /> </type> <type> <code value="Range" /> </type> <type> <code value="Ratio" /> </type> <type> <code value="Reference" /> </type> <type> <code value="SampledData" /> </type> <type> <code value="Signature" /> </type> <type> <code value="Timing" /> </type> <type> <code value="Meta" /> </type> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> </snapshot> <differential> <element id="Extension:finding"> <path value="Extension" /> <short value="SHR Finding Extension" /> <definition value="Base class for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments." /> <min value="0" /> <max value="*" /> </element> <element id="Extension:finding.extension:relatedencounter"> <path value="Extension.extension" /> <sliceName value="relatedencounter" /> <definition value="If content was generated during a patient encounter, related encounter is the encounter where the information was gained." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension" /> </type> </element> <element id="Extension:finding.extension:author"> <path value="Extension.extension" /> <sliceName value="author" /> <definition value="The person or organization who created the entry and is responsible for (and may certify) the content." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension" /> </type> </element> <element id="Extension:finding.extension:informant"> <path value="Extension.extension" /> <sliceName value="informant" /> <definition value="The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension" /> </type> </element> <element id="Extension:finding.extension:subject"> <path value="Extension.extension" /> <sliceName value="subject" /> <definition value="The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension" /> </type> </element> <element id="Extension:finding.extension:focalsubject"> <path value="Extension.extension" /> <sliceName value="focalsubject" /> <definition value="For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubject-extension" /> </type> </element> <element id="Extension:finding.extension:focalsubjectreference"> <path value="Extension.extension" /> <sliceName value="focalsubjectreference" /> <definition value="For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FocalSubjectReference-extension" /> </type> </element> <element id="Extension:finding.extension:findingmethod"> <path value="Extension.extension" /> <sliceName value="findingmethod" /> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingMethod-extension" /> </type> </element> <element id="Extension:finding.extension:findingstatus"> <path value="Extension.extension" /> <sliceName value="findingstatus" /> <definition value="Indicates whether the finding is preliminary, amended, final, etc.." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-FindingStatus-extension" /> </type> </element> <element id="Extension:finding.extension:evidence"> <path value="Extension.extension" /> <sliceName value="evidence" /> <definition value="A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-Evidence-extension" /> </type> </element> <element id="Extension:finding.url"> <path value="Extension.url" /> <type> <code value="uri" /> </type> <fixedUri value="http://standardhealthrecord.org/fhir/StructureDefinition/shr-finding-Finding-extension" /> </element> <element id="Extension:finding.value[x]"> <path value="Extension.value[x]" /> <min value="0" /> <max value="0" /> </element> </differential> </StructureDefinition>

SHR Finding Extension

Base class for all kinds of determinations: questions/answers, conditions, observations, allergies, and other findings. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.