{ "resourceType": "StructureDefinition", "id": "ClinicalImpression", "meta": { "lastUpdated": "2019-10-31T22:29:23.356+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Clinical.Summary" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pc" } ], "url": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "version": "4.0.1", "name": "KR_ClinicalImpression", "status": "draft", "date": "2019-10-31T22:29:23+00:00", "publisher": "Health Level Seven International (Patient Care)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/patientcare/index.cfm" } ] } ], "description": "어떤문제가환자에게영향을미칠수있는지결정하고환자의상태를가장잘관리할수있는치료또는관리전략을계획하기전에수행한임상평가(clinical assessment)의기록. 평가(assessment)는임상상담/대면으로 1:1로진행되는경우가많지만, 이는임상워크플로(workflow)에따라크게달라짐. 이리소스(resource)는 Apgar 점수와같은평가도구의기록과혼동을피하기위해 \"ClinicalAssessment\"가아닌 \"ClinicalImpression\"이라고함.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" } ], "kind": "resource", "abstract": false, "type": "ClinicalImpression", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "derivation": "specialization", "snapshot": { "element": [ { "id": "ClinicalImpression", "path": "ClinicalImpression", "short": "환자에대한치료및관리전략을계획할때수행되는 clinical assessment[]", "definition": "어떤 문제가 환자에게 영향을 미칠 수 있는지 결정하고 환자의 상태를 가장 잘 관리할 수 있는 치료 또는 관리 전략을 계획하기 전에 수행한 임상 평가(clinical assessment)의 기록. 평가(assessment)는 임상 상담/대면으로 1:1로 진행되는 경우가 많지만, 이는 임상 워크플로(workflow)에 따라 크게 달라짐. 이 리소스(resource)는 Apgar 점수와 같은 평가 도구의 기록과 혼동을 피하기 위해 \"ClinicalAssessment\"가 아닌 \"ClinicalImpression\"이라고 함.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "v2", "map": "Partial mapping for problem evaluation" } ] }, { "id": "ClinicalImpression.id", "path": "ClinicalImpression.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isSummary": true }, { "id": "ClinicalImpression.meta", "path": "ClinicalImpression.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.implicitRules", "path": "ClinicalImpression.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.language", "path": "ClinicalImpression.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.text", "path": "ClinicalImpression.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "ClinicalImpression.contained", "path": "ClinicalImpression.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.extension", "path": "ClinicalImpression.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 resource. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.modifierExtension", "path": "ClinicalImpression.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.identifier", "short": "비지니스 식별자(identifier)", "definition": "이 리소스(resource)가 업데이트되고 서버에서 서버로 보내질 때 일정하게 유지되는 수행자(performer) 또는 다른 시스템에 의해, clinical impression[]에 할당된 비즈니스 식별자(identifier)", "comment": "리소스(resource) 식별자(identifier)가 아니라 비즈니스 식별자(identifier)임 (참조 [discussion](resource.html#identifiers)). 식별자가 단일 리소스 인스턴스에만 나타나는 것이 가장 좋은 방법이지만, 비즈니스 관행에 따라 동일한 식별자(identifier)를 가진 여러 리소스 인스턴스가 존재할 수 있음. 예를 들어, 여러 Patient[] 및 Person[] 리소스 인스턴스가 동일한 사회보험번호(social insurance #)를 공유할 수 있음", "requirements": "Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.identifier" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" } ] }, { "id": "ClinicalImpression.identifier.id", "path": "ClinicalImpression.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.identifier.extension", "path": "ClinicalImpression.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.use", "path": "ClinicalImpression.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.identifier.type", "path": "ClinicalImpression.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.identifier.type.id", "path": "ClinicalImpression.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.identifier.type.extension", "path": "ClinicalImpression.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.type.coding", "path": "ClinicalImpression.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.identifier.type.coding.id", "path": "ClinicalImpression.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.identifier.type.coding.extension", "path": "ClinicalImpression.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.type.coding.system", "path": "ClinicalImpression.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.identifier.type.coding.version", "path": "ClinicalImpression.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.identifier.type.coding.code", "path": "ClinicalImpression.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.identifier.type.coding.userSelected", "path": "ClinicalImpression.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.identifier.system", "path": "ClinicalImpression.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.identifier.value", "path": "ClinicalImpression.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.identifier.period", "path": "ClinicalImpression.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.identifier.period.id", "path": "ClinicalImpression.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.identifier.period.extension", "path": "ClinicalImpression.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.period.start", "path": "ClinicalImpression.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.identifier.period.end", "path": "ClinicalImpression.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.identifier.assigner", "path": "ClinicalImpression.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.identifier.assigner.id", "path": "ClinicalImpression.identifier.assigner.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.identifier.assigner.extension", "path": "ClinicalImpression.identifier.assigner.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.assigner.reference", "path": "ClinicalImpression.identifier.assigner.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.assigner.type", "path": "ClinicalImpression.identifier.assigner.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.identifier.assigner.identifier", "path": "ClinicalImpression.identifier.assigner.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.identifier.assigner.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.identifier.assigner.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.status", "path": "ClinicalImpression.status", "short": "in-progress | completed | entered-in-error", "definition": "평가(assessment)의 워크플로우(workflow) 상태를 식별함", "comment": "상태(status)에 clinical impression[]이 현재 유효하지 않음으로 표시하는 entered-in-error 코드(code)가 포함되어 있어 요소(element)는 수정자(modifier)로 레이블됨", "min": 1, "max": "1", "base": { "path": "ClinicalImpression.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionStatus" } ], "strength": "required", "description": "The workflow state of a clinical impression.", "valueSet": "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "v2", "map": "PRB-14" } ] }, { "id": "ClinicalImpression.statusReason", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.statusReason", "short": "현재 상태(current status)에 대한 이유", "definition": "ClinicalImpression[]의 현재 상태(current status)에 대한 이유를 캡처함", "comment": "이것은 보통 \"not-done\", \"suspended\" 또는 \"aborted\" 같은 \"exception\" status에서 사용됨. [범용 바인딩(binding)인 경우 불변성(invariants)을 사용하여 다양한 상태에 대한 뚜렷한 이유 코드(code)를 시행할 수 있음].", "alias": [ "Suspended Reason", "Cancelled Reason" ], "min": 0, "max": "1", "base": { "path": "ClinicalImpression.statusReason", "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionStatusReason" } ], "strength": "example", "description": "Codes identifying the reason for the current state of a clinical impression." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.statusReason" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" } ] }, { "id": "ClinicalImpression.statusReason.id", "path": "ClinicalImpression.statusReason.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.statusReason.extension", "path": "ClinicalImpression.statusReason.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.statusReason.coding", "path": "ClinicalImpression.statusReason.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.statusReason.coding.id", "path": "ClinicalImpression.statusReason.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.statusReason.coding.extension", "path": "ClinicalImpression.statusReason.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.statusReason.coding.system", "path": "ClinicalImpression.statusReason.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.statusReason.coding.version", "path": "ClinicalImpression.statusReason.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.statusReason.coding.code", "path": "ClinicalImpression.statusReason.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.statusReason.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.statusReason.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.statusReason.coding.userSelected", "path": "ClinicalImpression.statusReason.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.statusReason.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.statusReason.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.code", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.code", "short": "수행된 평가(assessment)의 종류", "definition": "수행된 임상 평가 유형(assessment)을 분류함.", "comment": "이것은 place-holder로만 제공되며 피드백/작업 그룹 의견에 따라 제거될 수 있음.", "alias": [ "type" ], "min": 0, "max": "1", "base": { "path": "ClinicalImpression.code", "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionCode" } ], "strength": "example", "description": "Identifies categories of clinical impressions. This is a place-holder only. It may be removed." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.what[x]" } ] }, { "id": "ClinicalImpression.code.id", "path": "ClinicalImpression.code.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.code.extension", "path": "ClinicalImpression.code.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.code.coding", "path": "ClinicalImpression.code.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.code.coding.id", "path": "ClinicalImpression.code.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.code.coding.extension", "path": "ClinicalImpression.code.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.code.coding.system", "path": "ClinicalImpression.code.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.code.coding.version", "path": "ClinicalImpression.code.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.code.coding.code", "path": "ClinicalImpression.code.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.code.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.code.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.code.coding.userSelected", "path": "ClinicalImpression.code.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.code.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.description", "path": "ClinicalImpression.description", "short": "평가(assessment)가 수행된 이유/방법", "definition": "평가(assessment)의 컨텍스트(context) 및/또는 원인 요약 - 왜/어디서 수행했는지, 어떤 환자 이벤트(event)/상태(status)가 평가를 촉발했는지", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.description", "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.subject", "short": "환자 및 그룹 평가(assessment)", "definition": "이 기록의 일부로 평가(assessment)된 환자 및 개인 그룹", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Group is typically for veterinary and/or public health purposes.", "min": 1, "max": "1", "base": { "path": "ClinicalImpression.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "ClinicalImpression.subject.id", "path": "ClinicalImpression.subject.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject.extension", "path": "ClinicalImpression.subject.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.reference", "path": "ClinicalImpression.subject.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.type", "path": "ClinicalImpression.subject.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.identifier", "path": "ClinicalImpression.subject.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.subject.identifier.id", "path": "ClinicalImpression.subject.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject.identifier.extension", "path": "ClinicalImpression.subject.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.identifier.use", "path": "ClinicalImpression.subject.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.subject.identifier.type", "path": "ClinicalImpression.subject.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.subject.identifier.type.id", "path": "ClinicalImpression.subject.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject.identifier.type.extension", "path": "ClinicalImpression.subject.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding", "path": "ClinicalImpression.subject.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.id", "path": "ClinicalImpression.subject.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.extension", "path": "ClinicalImpression.subject.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.system", "path": "ClinicalImpression.subject.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.version", "path": "ClinicalImpression.subject.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.code", "path": "ClinicalImpression.subject.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.subject.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.subject.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.subject.identifier.type.coding.userSelected", "path": "ClinicalImpression.subject.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.subject.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.subject.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.subject.identifier.system", "path": "ClinicalImpression.subject.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.subject.identifier.value", "path": "ClinicalImpression.subject.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.subject.identifier.period", "path": "ClinicalImpression.subject.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.subject.identifier.period.id", "path": "ClinicalImpression.subject.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.subject.identifier.period.extension", "path": "ClinicalImpression.subject.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.subject.identifier.period.start", "path": "ClinicalImpression.subject.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.subject.identifier.period.end", "path": "ClinicalImpression.subject.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.subject.identifier.assigner", "path": "ClinicalImpression.subject.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.subject.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.subject.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.encounter", "short": "CarePlan[]의 일부로 생성된 인카운터(encounter)", "definition": "ClinicalImpression[]이 생성되었거나 이 기록(record) 생성과 밀접하게 연관된 인카운터(encounter)", "comment": "이것은 일반적으로 이벤트(event)가 발생한 인카운터(encounter)이지만 일부 액티비티(activities)는 인카운터의 공식 완료 전후에 시작될 수 있으며, 여전히 인카운터 컨텍스트(context)에 묶여있음", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.encounter", "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.context" }, { "identity": "w5", "map": "FiveWs.context" } ] }, { "id": "ClinicalImpression.encounter.id", "path": "ClinicalImpression.encounter.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.encounter.extension", "path": "ClinicalImpression.encounter.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.reference", "path": "ClinicalImpression.encounter.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.type", "path": "ClinicalImpression.encounter.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.identifier", "path": "ClinicalImpression.encounter.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.encounter.identifier.id", "path": "ClinicalImpression.encounter.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.encounter.identifier.extension", "path": "ClinicalImpression.encounter.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.identifier.use", "path": "ClinicalImpression.encounter.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.encounter.identifier.type", "path": "ClinicalImpression.encounter.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.id", "path": "ClinicalImpression.encounter.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.extension", "path": "ClinicalImpression.encounter.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding", "path": "ClinicalImpression.encounter.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.id", "path": "ClinicalImpression.encounter.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.extension", "path": "ClinicalImpression.encounter.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.system", "path": "ClinicalImpression.encounter.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.version", "path": "ClinicalImpression.encounter.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.code", "path": "ClinicalImpression.encounter.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.encounter.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.encounter.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.encounter.identifier.type.coding.userSelected", "path": "ClinicalImpression.encounter.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.encounter.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.encounter.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.encounter.identifier.system", "path": "ClinicalImpression.encounter.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.encounter.identifier.value", "path": "ClinicalImpression.encounter.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.encounter.identifier.period", "path": "ClinicalImpression.encounter.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.encounter.identifier.period.id", "path": "ClinicalImpression.encounter.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.encounter.identifier.period.extension", "path": "ClinicalImpression.encounter.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.encounter.identifier.period.start", "path": "ClinicalImpression.encounter.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.encounter.identifier.period.end", "path": "ClinicalImpression.encounter.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.encounter.identifier.assigner", "path": "ClinicalImpression.encounter.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.encounter.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.encounter.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.effective[x]", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.effective[x]", "short": "평가(assessment) 시간", "definition": "피험자(subject)가 평가(assessment)된 시간 또는 기간", "comment": "일부 평가(assessment)의 경우 알려진 날짜만 있지만, 이는 최소한 1분까지 정확해야 함.", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.effective[x]", "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "v2", "map": "PRB-2" } ] }, { "id": "ClinicalImpression.date", "path": "ClinicalImpression.date", "short": "평가(assessment)가 문서화된 시점", "definition": "평가(assessment) 문서가 완료된 시점을 나타냄.", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.date", "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.recorded" } ] }, { "id": "ClinicalImpression.assessor", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.assessor", "short": "평가(assessment)를 수행하는 임상의", "definition": "평가(assessment)를 수행하는 임상의", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.assessor", "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "v2", "map": "ROL-4" } ] }, { "id": "ClinicalImpression.assessor.id", "path": "ClinicalImpression.assessor.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.assessor.extension", "path": "ClinicalImpression.assessor.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.reference", "path": "ClinicalImpression.assessor.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.type", "path": "ClinicalImpression.assessor.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.identifier", "path": "ClinicalImpression.assessor.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.assessor.identifier.id", "path": "ClinicalImpression.assessor.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.assessor.identifier.extension", "path": "ClinicalImpression.assessor.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.identifier.use", "path": "ClinicalImpression.assessor.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.assessor.identifier.type", "path": "ClinicalImpression.assessor.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.id", "path": "ClinicalImpression.assessor.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.extension", "path": "ClinicalImpression.assessor.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding", "path": "ClinicalImpression.assessor.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.id", "path": "ClinicalImpression.assessor.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.extension", "path": "ClinicalImpression.assessor.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.system", "path": "ClinicalImpression.assessor.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.version", "path": "ClinicalImpression.assessor.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.code", "path": "ClinicalImpression.assessor.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.assessor.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.assessor.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.assessor.identifier.type.coding.userSelected", "path": "ClinicalImpression.assessor.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.assessor.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.assessor.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.assessor.identifier.system", "path": "ClinicalImpression.assessor.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.assessor.identifier.value", "path": "ClinicalImpression.assessor.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.assessor.identifier.period", "path": "ClinicalImpression.assessor.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.assessor.identifier.period.id", "path": "ClinicalImpression.assessor.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.assessor.identifier.period.extension", "path": "ClinicalImpression.assessor.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.assessor.identifier.period.start", "path": "ClinicalImpression.assessor.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.assessor.identifier.period.end", "path": "ClinicalImpression.assessor.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.assessor.identifier.assigner", "path": "ClinicalImpression.assessor.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.assessor.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.assessor.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.previous", "short": "마지막 평가(assessment)에 대한 참조", "definition": "이환자에대해수행된마지막평가(assessment)에대한참조. 평가(assessment)는본질적으로종종/대개진행중임; 의료제공자(주치의(practitioner) 또는팀)는새로운데이터가발생하거나환자의상태가변경될때지속적으로새로운평가(assessment)를수행함.", "comment": "환자에 대해 여러 개의 이전 평가가 존재할 가능성이 항상 있음. 이전 평가를 인용하는 방법은 해당 평가가 관계가 있다고 규정하는 것임 (see resolved).", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.previous", "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "ClinicalImpression.previous.id", "path": "ClinicalImpression.previous.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.previous.extension", "path": "ClinicalImpression.previous.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.reference", "path": "ClinicalImpression.previous.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.type", "path": "ClinicalImpression.previous.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.identifier", "path": "ClinicalImpression.previous.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.previous.identifier.id", "path": "ClinicalImpression.previous.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.previous.identifier.extension", "path": "ClinicalImpression.previous.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.identifier.use", "path": "ClinicalImpression.previous.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.previous.identifier.type", "path": "ClinicalImpression.previous.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.previous.identifier.type.id", "path": "ClinicalImpression.previous.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.previous.identifier.type.extension", "path": "ClinicalImpression.previous.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding", "path": "ClinicalImpression.previous.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.id", "path": "ClinicalImpression.previous.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.extension", "path": "ClinicalImpression.previous.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.system", "path": "ClinicalImpression.previous.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.version", "path": "ClinicalImpression.previous.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.code", "path": "ClinicalImpression.previous.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.previous.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.previous.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.previous.identifier.type.coding.userSelected", "path": "ClinicalImpression.previous.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.previous.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.previous.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.previous.identifier.system", "path": "ClinicalImpression.previous.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.previous.identifier.value", "path": "ClinicalImpression.previous.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.previous.identifier.period", "path": "ClinicalImpression.previous.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.previous.identifier.period.id", "path": "ClinicalImpression.previous.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.previous.identifier.period.extension", "path": "ClinicalImpression.previous.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.previous.identifier.period.start", "path": "ClinicalImpression.previous.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.previous.identifier.period.end", "path": "ClinicalImpression.previous.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.previous.identifier.assigner", "path": "ClinicalImpression.previous.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.previous.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.previous.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.problem", "short": "환자 상태와 관련된 인상(impressions)", "definition": "환자의 관련 문제(problems)/증상(conditions) 목록", "comment": "예) 환자는 임신중이며, 울혈성 심부전이 있고, 선암이 있고, 페니실린에 알레르기가 있음.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.problem" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "v2", "map": "PRB-3 / IAM-7" } ] }, { "id": "ClinicalImpression.problem.id", "path": "ClinicalImpression.problem.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.problem.extension", "path": "ClinicalImpression.problem.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.reference", "path": "ClinicalImpression.problem.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.type", "path": "ClinicalImpression.problem.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.identifier", "path": "ClinicalImpression.problem.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.problem.identifier.id", "path": "ClinicalImpression.problem.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.problem.identifier.extension", "path": "ClinicalImpression.problem.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.identifier.use", "path": "ClinicalImpression.problem.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.problem.identifier.type", "path": "ClinicalImpression.problem.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.problem.identifier.type.id", "path": "ClinicalImpression.problem.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.problem.identifier.type.extension", "path": "ClinicalImpression.problem.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding", "path": "ClinicalImpression.problem.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.id", "path": "ClinicalImpression.problem.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.extension", "path": "ClinicalImpression.problem.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.system", "path": "ClinicalImpression.problem.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.version", "path": "ClinicalImpression.problem.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.code", "path": "ClinicalImpression.problem.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.problem.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.problem.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.problem.identifier.type.coding.userSelected", "path": "ClinicalImpression.problem.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.problem.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.problem.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.problem.identifier.system", "path": "ClinicalImpression.problem.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.problem.identifier.value", "path": "ClinicalImpression.problem.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.problem.identifier.period", "path": "ClinicalImpression.problem.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.problem.identifier.period.id", "path": "ClinicalImpression.problem.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.problem.identifier.period.extension", "path": "ClinicalImpression.problem.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.problem.identifier.period.start", "path": "ClinicalImpression.problem.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.problem.identifier.period.end", "path": "ClinicalImpression.problem.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.problem.identifier.assigner", "path": "ClinicalImpression.problem.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.problem.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.problem.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.investigation", "short": "하나 이상의 검사세트(징후, 증상 등)", "definition": "하나 이상의 검사세트(징후, 증상 등). 검사의 실제 그룹화는 평가의 유형(type)과 맥락(context)에 따라 크게 다름. 이러한 검사에는 평가 프로세스 중에 생성된 데이터 또는 결과와 관련하여 이전에 생성 및 기록된 데이터가 포함될 수 있음", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.investigation" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.id", "path": "ClinicalImpression.investigation.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.extension", "path": "ClinicalImpression.investigation.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.modifierExtension", "path": "ClinicalImpression.investigation.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.code", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.investigation.code", "short": "세트의 이름/코드", "definition": "검사 그룹(\"세트\")의 이름/코드. \"징후\", \"증상\", \"임상\", \"진단\"과 같은 것이지만 목록은 제한되지 않으며, exposure|family|travel|nutritional 이력(history)과 같은 그룹도 사용될 수 있음", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 1, "max": "1", "base": { "path": "ClinicalImpression.investigation.code", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "InvestigationGroupType" } ], "strength": "example", "description": "A name/code for a set of investigations.", "valueSet": "http://hl7.org/fhir/ValueSet/investigation-sets" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "id": "ClinicalImpression.investigation.code.id", "path": "ClinicalImpression.investigation.code.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.code.extension", "path": "ClinicalImpression.investigation.code.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.code.coding", "path": "ClinicalImpression.investigation.code.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.investigation.code.coding.id", "path": "ClinicalImpression.investigation.code.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.code.coding.extension", "path": "ClinicalImpression.investigation.code.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.code.coding.system", "path": "ClinicalImpression.investigation.code.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.investigation.code.coding.version", "path": "ClinicalImpression.investigation.code.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.investigation.code.coding.code", "path": "ClinicalImpression.investigation.code.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.investigation.code.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.investigation.code.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.investigation.code.coding.userSelected", "path": "ClinicalImpression.investigation.code.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.investigation.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.investigation.code.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.investigation.item", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.investigation.item", "short": "특정 검사에 관한 기록", "definition": "수행된 특정 검사의 기록", "comment": "대부분의 검사는 일종의 observation(관찰)이지만, 일부 다른 특정 유형의 데이터 수집 리소스도 사용할 수 있음", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.investigation.item" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "OBX-21" } ] }, { "id": "ClinicalImpression.investigation.item.id", "path": "ClinicalImpression.investigation.item.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.item.extension", "path": "ClinicalImpression.investigation.item.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.reference", "path": "ClinicalImpression.investigation.item.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.type", "path": "ClinicalImpression.investigation.item.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.identifier", "path": "ClinicalImpression.investigation.item.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.id", "path": "ClinicalImpression.investigation.item.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.extension", "path": "ClinicalImpression.investigation.item.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.use", "path": "ClinicalImpression.investigation.item.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type", "path": "ClinicalImpression.investigation.item.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.id", "path": "ClinicalImpression.investigation.item.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.extension", "path": "ClinicalImpression.investigation.item.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding", "path": "ClinicalImpression.investigation.item.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.id", "path": "ClinicalImpression.investigation.item.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.extension", "path": "ClinicalImpression.investigation.item.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.system", "path": "ClinicalImpression.investigation.item.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.version", "path": "ClinicalImpression.investigation.item.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.code", "path": "ClinicalImpression.investigation.item.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.investigation.item.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.investigation.item.identifier.type.coding.userSelected", "path": "ClinicalImpression.investigation.item.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.investigation.item.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.investigation.item.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.system", "path": "ClinicalImpression.investigation.item.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.value", "path": "ClinicalImpression.investigation.item.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.period", "path": "ClinicalImpression.investigation.item.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.period.id", "path": "ClinicalImpression.investigation.item.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.period.extension", "path": "ClinicalImpression.investigation.item.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.period.start", "path": "ClinicalImpression.investigation.item.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.period.end", "path": "ClinicalImpression.investigation.item.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.investigation.item.identifier.assigner", "path": "ClinicalImpression.investigation.item.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.investigation.item.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.investigation.item.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.protocol", "path": "ClinicalImpression.protocol", "short": "임상 프로토콜 준수", "definition": "해당 평가 중에 준수되었거나, 진단을 뒷받침하는 증거를 제공하는 특정 공개된 임상 프로토콜에 대한 참조", "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.protocol" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.summary", "path": "ClinicalImpression.summary", "short": "평가의 요약", "definition": "조사 및 진단에 대한 텍스트 요약", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.summary", "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.finding", "short": "가능하거나 가능한 발견 및 진단", "definition": "진행중인 치료와 관련이 있거나 가능성이 있다고 간주되는 특정 소견 또는 진단", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.finding" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.id", "path": "ClinicalImpression.finding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.extension", "path": "ClinicalImpression.finding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.modifierExtension", "path": "ClinicalImpression.finding.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "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.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.finding.itemCodeableConcept", "short": "발견된 것", "definition": "제외(ruled-out)되거나 해결(resolved)된 조건(condition)을 포함할 수 있는 발견(finding) 또는 진단을 위한 특정 텍스트 또는 코드", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.finding.itemCodeableConcept", "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionKind" } ], "strength": "example", "description": "Identification of the Condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.id", "path": "ClinicalImpression.finding.itemCodeableConcept.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.extension", "path": "ClinicalImpression.finding.itemCodeableConcept.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding", "path": "ClinicalImpression.finding.itemCodeableConcept.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.id", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.extension", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.system", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.version", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.code", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.finding.itemCodeableConcept.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.finding.itemCodeableConcept.coding.userSelected", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.finding.itemCodeableConcept.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.finding.itemCodeableConcept.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.finding.itemReference", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.finding.itemReference", "short": "발견된 것", "definition": "제외(ruled-out)되거나 해결(resolved)된 상태(condition)를 포함할 수 있는 발견 또는 진단을 위한 특정 참조", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.finding.itemReference", "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding.itemReference.id", "path": "ClinicalImpression.finding.itemReference.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemReference.extension", "path": "ClinicalImpression.finding.itemReference.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.reference", "path": "ClinicalImpression.finding.itemReference.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.type", "path": "ClinicalImpression.finding.itemReference.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier", "path": "ClinicalImpression.finding.itemReference.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.id", "path": "ClinicalImpression.finding.itemReference.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.extension", "path": "ClinicalImpression.finding.itemReference.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.use", "path": "ClinicalImpression.finding.itemReference.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type", "path": "ClinicalImpression.finding.itemReference.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.id", "path": "ClinicalImpression.finding.itemReference.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.extension", "path": "ClinicalImpression.finding.itemReference.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.id", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.extension", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.system", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.version", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.code", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.finding.itemReference.identifier.type.coding.userSelected", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.finding.itemReference.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.finding.itemReference.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.system", "path": "ClinicalImpression.finding.itemReference.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.value", "path": "ClinicalImpression.finding.itemReference.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.period", "path": "ClinicalImpression.finding.itemReference.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.id", "path": "ClinicalImpression.finding.itemReference.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.extension", "path": "ClinicalImpression.finding.itemReference.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.start", "path": "ClinicalImpression.finding.itemReference.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.end", "path": "ClinicalImpression.finding.itemReference.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.finding.itemReference.identifier.assigner", "path": "ClinicalImpression.finding.itemReference.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.finding.itemReference.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.finding.itemReference.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.finding.basis", "path": "ClinicalImpression.finding.basis", "short": "발견(finding)을 지원하는 어떤 검사", "definition": "발견(finding) 또는 진단을 지원하는 어떤 검사", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "ClinicalImpression.finding.basis", "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.prognosisCodeableConcept", "short": "가능(likely)한 결과 추정", "definition": "가능(likely)한 결과 추정", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.prognosisCodeableConcept" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionPrognosis" } ], "strength": "example", "description": "Prognosis or outlook findings.", "valueSet": "http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "PRB-22" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.id", "path": "ClinicalImpression.prognosisCodeableConcept.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.extension", "path": "ClinicalImpression.prognosisCodeableConcept.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding", "path": "ClinicalImpression.prognosisCodeableConcept.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.id", "path": "ClinicalImpression.prognosisCodeableConcept.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.extension", "path": "ClinicalImpression.prognosisCodeableConcept.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.system", "path": "ClinicalImpression.prognosisCodeableConcept.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.version", "path": "ClinicalImpression.prognosisCodeableConcept.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.code", "path": "ClinicalImpression.prognosisCodeableConcept.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.prognosisCodeableConcept.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.prognosisCodeableConcept.coding.userSelected", "path": "ClinicalImpression.prognosisCodeableConcept.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.prognosisCodeableConcept.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.prognosisCodeableConcept.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.prognosisReference", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.prognosisReference", "short": "가능(likely)한 결과를 나타내는 위험평가(riskAssessment)", "definition": "가능(likely)한 결과를 나타내는 위험평가(riskAssessment)", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.prognosisReference" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/RiskAssessment" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "ClinicalImpression.prognosisReference.id", "path": "ClinicalImpression.prognosisReference.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisReference.extension", "path": "ClinicalImpression.prognosisReference.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.reference", "path": "ClinicalImpression.prognosisReference.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.type", "path": "ClinicalImpression.prognosisReference.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier", "path": "ClinicalImpression.prognosisReference.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.id", "path": "ClinicalImpression.prognosisReference.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.extension", "path": "ClinicalImpression.prognosisReference.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.use", "path": "ClinicalImpression.prognosisReference.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type", "path": "ClinicalImpression.prognosisReference.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.id", "path": "ClinicalImpression.prognosisReference.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.extension", "path": "ClinicalImpression.prognosisReference.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding", "path": "ClinicalImpression.prognosisReference.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.id", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.extension", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.system", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.version", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.code", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.prognosisReference.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.prognosisReference.identifier.type.coding.userSelected", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.prognosisReference.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.prognosisReference.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.system", "path": "ClinicalImpression.prognosisReference.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.value", "path": "ClinicalImpression.prognosisReference.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.period", "path": "ClinicalImpression.prognosisReference.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.period.id", "path": "ClinicalImpression.prognosisReference.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.period.extension", "path": "ClinicalImpression.prognosisReference.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.period.start", "path": "ClinicalImpression.prognosisReference.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.period.end", "path": "ClinicalImpression.prognosisReference.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.prognosisReference.identifier.assigner", "path": "ClinicalImpression.prognosisReference.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.prognosisReference.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.prognosisReference.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.supportingInfo", "short": "Clinical impression[]을 뒷받침하는 정보", "definition": "Clinical impression[]을 뒷받침하는 정보.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.supportingInfo" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" } ] }, { "id": "ClinicalImpression.supportingInfo.id", "path": "ClinicalImpression.supportingInfo.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.supportingInfo.extension", "path": "ClinicalImpression.supportingInfo.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.reference", "path": "ClinicalImpression.supportingInfo.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1", "ref-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.type", "path": "ClinicalImpression.supportingInfo.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음).", "comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min": 0, "max": "1", "base": { "path": "Reference.type", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "FHIRResourceTypeExt" } ], "strength": "extensible", "description": "Aa resource (or, for logical models, the URI of the logical model).", "valueSet": "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier", "path": "ClinicalImpression.supportingInfo.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".identifier" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.id", "path": "ClinicalImpression.supportingInfo.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.extension", "path": "ClinicalImpression.supportingInfo.identifier.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.use", "path": "ClinicalImpression.supportingInfo.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type", "path": "ClinicalImpression.supportingInfo.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.id", "path": "ClinicalImpression.supportingInfo.identifier.type.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.extension", "path": "ClinicalImpression.supportingInfo.identifier.type.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding", "path": "ClinicalImpression.supportingInfo.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.id", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.extension", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.system", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별", "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 reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.version", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함.", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.code", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.supportingInfo.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.supportingInfo.identifier.type.coding.userSelected", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )", "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" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "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": "ClinicalImpression.supportingInfo.identifier.type.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.supportingInfo.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.system", "path": "ClinicalImpression.supportingInfo.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함.", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.value", "path": "ClinicalImpression.supportingInfo.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 0, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.period", "path": "ClinicalImpression.supportingInfo.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄.", "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "per-1", "severity": "error", "human": "If present, start SHALL have a lower value than end", "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)", "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))", "source": "http://hl7.org/fhir/StructureDefinition/Period" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR" }, { "identity": "rim", "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]" }, { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.period.id", "path": "ClinicalImpression.supportingInfo.identifier.period.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.period.extension", "path": "ClinicalImpression.supportingInfo.identifier.period.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.period.start", "path": "ClinicalImpression.supportingInfo.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.period.end", "path": "ClinicalImpression.supportingInfo.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" } ] }, { "id": "ClinicalImpression.supportingInfo.identifier.assigner", "path": "ClinicalImpression.supportingInfo.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "ClinicalImpression.supportingInfo.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "ClinicalImpression.supportingInfo.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.note", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "normative" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode": "4.0.0" } ], "path": "ClinicalImpression.note", "short": "Clinical impression[]에 대한 의견", "definition": "Clinical impression에 대한 의견. 일반적으로 impression이 만들어 진 후에 기록되지만, 원 저자의 보충 메모로도 나타낼 수 있음", "comment": "해당 요소를 Impression의 특정 요수 중 하나로 더 적절하게 표시되어야하는 내용 대신 사용하지 않기", "min": 0, "max": "*", "base": { "path": "ClinicalImpression.note" }, "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "workflow", "map": "Event.note" } ] }, { "id": "ClinicalImpression.note.id", "path": "ClinicalImpression.note.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "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": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "ClinicalImpression.note.extension", "path": "ClinicalImpression.note.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. 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "ClinicalImpression.note.author[x]", "path": "ClinicalImpression.note.author[x]", "short": "주석(annotation)을 담당하는 사람(individual)", "definition": "주석(annotation) 작성을 담당하는 사람(individual)", "comment": "Organization is used when there's no need for specific attribution as to who made the comment.", "min": 0, "max": "1", "base": { "path": "Annotation.author[x]", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization" ] }, { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.participant[typeCode=AUT].role" } ] }, { "id": "ClinicalImpression.note.time", "path": "ClinicalImpression.note.time", "short": "주석(annotation)이 만들어진 시기", "definition": "특정 주석(annotation)을 작성한 시기를 표시함.", "min": 0, "max": "1", "base": { "path": "Annotation.time", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.effectiveTime" } ] }, { "id": "ClinicalImpression.note.text", "path": "ClinicalImpression.note.text", "short": "주석(annotation) - 텍스트 내용 (Markdown)", "definition": "마크다운(markdown) 형식의 주석(annotation) 텍스트임.", "comment": "Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/", "min": 1, "max": "1", "base": { "path": "Annotation.text", "min": 1, "max": "1" }, "type": [ { "code": "markdown" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.text" } ] } ] }, "differential": { "element": [ { "id": "ClinicalImpression", "path": "ClinicalImpression", "short": "환자에대한치료및관리전략을계획할때수행되는 clinical assessment[]", "definition": "어떤 문제가 환자에게 영향을 미칠 수 있는지 결정하고 환자의 상태를 가장 잘 관리할 수 있는 치료 또는 관리 전략을 계획하기 전에 수행한 임상 평가(clinical assessment)의 기록. 평가(assessment)는 임상 상담/대면으로 1:1로 진행되는 경우가 많지만, 이는 임상 워크플로(workflow)에 따라 크게 달라짐. 이 리소스(resource)는 Apgar 점수와 같은 평가 도구의 기록과 혼동을 피하기 위해 \"ClinicalAssessment\"가 아닌 \"ClinicalImpression\"이라고 함.", "mapping": [ { "identity": "workflow", "map": "Event" }, { "identity": "v2", "map": "Partial mapping for problem evaluation" } ] }, { "id": "ClinicalImpression.identifier", "path": "ClinicalImpression.identifier", "short": "비지니스 식별자(identifier)", "definition": "이 리소스(resource)가 업데이트되고 서버에서 서버로 보내질 때 일정하게 유지되는 수행자(performer) 또는 다른 시스템에 의해, clinical impression[]에 할당된 비즈니스 식별자(identifier)", "comment": "리소스(resource) 식별자(identifier)가 아니라 비즈니스 식별자(identifier)임 (참조 [discussion](resource.html#identifiers)). 식별자가 단일 리소스 인스턴스에만 나타나는 것이 가장 좋은 방법이지만, 비즈니스 관행에 따라 동일한 식별자(identifier)를 가진 여러 리소스 인스턴스가 존재할 수 있음. 예를 들어, 여러 Patient[] 및 Person[] 리소스 인스턴스가 동일한 사회보험번호(social insurance #)를 공유할 수 있음", "requirements": "Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.", "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "PID-3" } ] }, { "id": "ClinicalImpression.identifier.use", "path": "ClinicalImpression.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.identifier.type", "path": "ClinicalImpression.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.identifier.type.coding", "path": "ClinicalImpression.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.identifier.type.coding.system", "path": "ClinicalImpression.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.identifier.type.coding.version", "path": "ClinicalImpression.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.identifier.type.coding.code", "path": "ClinicalImpression.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.identifier.type.coding.display", "path": "ClinicalImpression.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.identifier.type.coding.userSelected", "path": "ClinicalImpression.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.identifier.type.text", "path": "ClinicalImpression.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.identifier.system", "path": "ClinicalImpression.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.identifier.value", "path": "ClinicalImpression.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.identifier.period", "path": "ClinicalImpression.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.identifier.period.start", "path": "ClinicalImpression.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.identifier.period.end", "path": "ClinicalImpression.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.identifier.assigner", "path": "ClinicalImpression.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.identifier.assigner.reference", "path": "ClinicalImpression.identifier.assigner.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.identifier.assigner.type", "path": "ClinicalImpression.identifier.assigner.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.identifier.assigner.identifier", "path": "ClinicalImpression.identifier.assigner.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.identifier.assigner.display", "path": "ClinicalImpression.identifier.assigner.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.status", "path": "ClinicalImpression.status", "short": "in-progress | completed | entered-in-error", "definition": "평가(assessment)의 워크플로우(workflow) 상태를 식별함", "comment": "상태(status)에 clinical impression[]이 현재 유효하지 않음으로 표시하는 entered-in-error 코드(code)가 포함되어 있어 요소(element)는 수정자(modifier)로 레이블됨", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionStatus" } ], "strength": "required", "description": "The workflow state of a clinical impression.", "valueSet": "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1" }, "mapping": [ { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "v2", "map": "PRB-14" } ] }, { "id": "ClinicalImpression.statusReason", "path": "ClinicalImpression.statusReason", "short": "현재 상태(current status)에 대한 이유", "definition": "ClinicalImpression[]의 현재 상태(current status)에 대한 이유를 캡처함", "comment": "이것은 보통 \"not-done\", \"suspended\" 또는 \"aborted\" 같은 \"exception\" status에서 사용됨. [범용 바인딩(binding)인 경우 불변성(invariants)을 사용하여 다양한 상태에 대한 뚜렷한 이유 코드(code)를 시행할 수 있음].", "alias": [ "Suspended Reason", "Cancelled Reason" ], "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionStatusReason" } ], "strength": "example", "description": "Codes identifying the reason for the current state of a clinical impression." }, "mapping": [ { "identity": "workflow", "map": "Event.statusReason" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" } ] }, { "id": "ClinicalImpression.statusReason.coding", "path": "ClinicalImpression.statusReason.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.statusReason.coding.system", "path": "ClinicalImpression.statusReason.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.statusReason.coding.version", "path": "ClinicalImpression.statusReason.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.statusReason.coding.code", "path": "ClinicalImpression.statusReason.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.statusReason.coding.display", "path": "ClinicalImpression.statusReason.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.statusReason.coding.userSelected", "path": "ClinicalImpression.statusReason.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.statusReason.text", "path": "ClinicalImpression.statusReason.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.code", "path": "ClinicalImpression.code", "short": "수행된 평가(assessment)의 종류", "definition": "수행된 임상 평가 유형(assessment)을 분류함.", "comment": "이것은 place-holder로만 제공되며 피드백/작업 그룹 의견에 따라 제거될 수 있음.", "alias": [ "type" ], "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionCode" } ], "strength": "example", "description": "Identifies categories of clinical impressions. This is a place-holder only. It may be removed." }, "mapping": [ { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.what[x]" } ] }, { "id": "ClinicalImpression.code.coding", "path": "ClinicalImpression.code.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.code.coding.system", "path": "ClinicalImpression.code.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.code.coding.version", "path": "ClinicalImpression.code.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.code.coding.code", "path": "ClinicalImpression.code.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.code.coding.display", "path": "ClinicalImpression.code.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.code.coding.userSelected", "path": "ClinicalImpression.code.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.code.text", "path": "ClinicalImpression.code.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.description", "path": "ClinicalImpression.description", "short": "평가(assessment)가 수행된 이유/방법", "definition": "평가(assessment)의 컨텍스트(context) 및/또는 원인 요약 - 왜/어디서 수행했는지, 어떤 환자 이벤트(event)/상태(status)가 평가를 촉발했는지", "max": "1", "type": [ { "code": "string" } ], "isSummary": true }, { "id": "ClinicalImpression.subject", "path": "ClinicalImpression.subject", "short": "환자 및 그룹 평가(assessment)", "definition": "이 기록의 일부로 평가(assessment)된 환자 및 개인 그룹", "requirements": "Group is typically for veterinary and/or public health purposes.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "ClinicalImpression.subject.reference", "path": "ClinicalImpression.subject.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.subject.type", "path": "ClinicalImpression.subject.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.subject.identifier", "path": "ClinicalImpression.subject.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.subject.identifier.use", "path": "ClinicalImpression.subject.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.subject.identifier.type", "path": "ClinicalImpression.subject.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.subject.identifier.type.coding", "path": "ClinicalImpression.subject.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.subject.identifier.type.coding.system", "path": "ClinicalImpression.subject.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.subject.identifier.type.coding.version", "path": "ClinicalImpression.subject.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.subject.identifier.type.coding.code", "path": "ClinicalImpression.subject.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.subject.identifier.type.coding.display", "path": "ClinicalImpression.subject.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.subject.identifier.type.coding.userSelected", "path": "ClinicalImpression.subject.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.subject.identifier.type.text", "path": "ClinicalImpression.subject.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.subject.identifier.system", "path": "ClinicalImpression.subject.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.subject.identifier.value", "path": "ClinicalImpression.subject.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.subject.identifier.period", "path": "ClinicalImpression.subject.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.subject.identifier.period.start", "path": "ClinicalImpression.subject.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.subject.identifier.period.end", "path": "ClinicalImpression.subject.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.subject.identifier.assigner", "path": "ClinicalImpression.subject.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.subject.display", "path": "ClinicalImpression.subject.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.encounter", "path": "ClinicalImpression.encounter", "short": "CarePlan[]의 일부로 생성된 인카운터(encounter)", "definition": "ClinicalImpression[]이 생성되었거나 이 기록(record) 생성과 밀접하게 연관된 인카운터(encounter)", "comment": "이것은 일반적으로 이벤트(event)가 발생한 인카운터(encounter)이지만 일부 액티비티(activities)는 인카운터의 공식 완료 전후에 시작될 수 있으며, 여전히 인카운터 컨텍스트(context)에 묶여있음", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.context" }, { "identity": "w5", "map": "FiveWs.context" } ] }, { "id": "ClinicalImpression.encounter.reference", "path": "ClinicalImpression.encounter.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.encounter.type", "path": "ClinicalImpression.encounter.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.encounter.identifier", "path": "ClinicalImpression.encounter.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.encounter.identifier.use", "path": "ClinicalImpression.encounter.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.encounter.identifier.type", "path": "ClinicalImpression.encounter.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.encounter.identifier.type.coding", "path": "ClinicalImpression.encounter.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.encounter.identifier.type.coding.system", "path": "ClinicalImpression.encounter.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.encounter.identifier.type.coding.version", "path": "ClinicalImpression.encounter.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.encounter.identifier.type.coding.code", "path": "ClinicalImpression.encounter.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.encounter.identifier.type.coding.display", "path": "ClinicalImpression.encounter.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.encounter.identifier.type.coding.userSelected", "path": "ClinicalImpression.encounter.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.encounter.identifier.type.text", "path": "ClinicalImpression.encounter.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.encounter.identifier.system", "path": "ClinicalImpression.encounter.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.encounter.identifier.value", "path": "ClinicalImpression.encounter.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.encounter.identifier.period", "path": "ClinicalImpression.encounter.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.encounter.identifier.period.start", "path": "ClinicalImpression.encounter.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.encounter.identifier.period.end", "path": "ClinicalImpression.encounter.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.encounter.identifier.assigner", "path": "ClinicalImpression.encounter.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.encounter.display", "path": "ClinicalImpression.encounter.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.effective[x]", "path": "ClinicalImpression.effective[x]", "short": "평가(assessment) 시간", "definition": "피험자(subject)가 평가(assessment)된 시간 또는 기간", "comment": "일부 평가(assessment)의 경우 알려진 날짜만 있지만, 이는 최소한 1분까지 정확해야 함.", "max": "1", "type": [ { "code": "dateTime" }, { "code": "Period" } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "v2", "map": "PRB-2" } ] }, { "id": "ClinicalImpression.date", "path": "ClinicalImpression.date", "short": "평가(assessment)가 문서화된 시점", "definition": "평가(assessment) 문서가 완료된 시점을 나타냄.", "max": "1", "type": [ { "code": "dateTime" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.recorded" } ] }, { "id": "ClinicalImpression.assessor", "path": "ClinicalImpression.assessor", "short": "평가(assessment)를 수행하는 임상의", "definition": "평가(assessment)를 수행하는 임상의", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "v2", "map": "ROL-4" } ] }, { "id": "ClinicalImpression.assessor.reference", "path": "ClinicalImpression.assessor.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.assessor.type", "path": "ClinicalImpression.assessor.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.assessor.identifier", "path": "ClinicalImpression.assessor.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.assessor.identifier.use", "path": "ClinicalImpression.assessor.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.assessor.identifier.type", "path": "ClinicalImpression.assessor.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.assessor.identifier.type.coding", "path": "ClinicalImpression.assessor.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.assessor.identifier.type.coding.system", "path": "ClinicalImpression.assessor.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.assessor.identifier.type.coding.version", "path": "ClinicalImpression.assessor.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.assessor.identifier.type.coding.code", "path": "ClinicalImpression.assessor.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.assessor.identifier.type.coding.display", "path": "ClinicalImpression.assessor.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.assessor.identifier.type.coding.userSelected", "path": "ClinicalImpression.assessor.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.assessor.identifier.type.text", "path": "ClinicalImpression.assessor.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.assessor.identifier.system", "path": "ClinicalImpression.assessor.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.assessor.identifier.value", "path": "ClinicalImpression.assessor.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.assessor.identifier.period", "path": "ClinicalImpression.assessor.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.assessor.identifier.period.start", "path": "ClinicalImpression.assessor.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.assessor.identifier.period.end", "path": "ClinicalImpression.assessor.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.assessor.identifier.assigner", "path": "ClinicalImpression.assessor.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.assessor.display", "path": "ClinicalImpression.assessor.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.previous", "path": "ClinicalImpression.previous", "short": "마지막 평가(assessment)에 대한 참조", "definition": "이환자에대해수행된마지막평가(assessment)에대한참조. 평가(assessment)는본질적으로종종/대개진행중임; 의료제공자(주치의(practitioner) 또는팀)는새로운데이터가발생하거나환자의상태가변경될때지속적으로새로운평가(assessment)를수행함.", "comment": "환자에 대해 여러 개의 이전 평가가 존재할 가능성이 항상 있음. 이전 평가를 인용하는 방법은 해당 평가가 관계가 있다고 규정하는 것임 (see resolved).", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression" ] } ] }, { "id": "ClinicalImpression.previous.reference", "path": "ClinicalImpression.previous.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.previous.type", "path": "ClinicalImpression.previous.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.previous.identifier", "path": "ClinicalImpression.previous.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.previous.identifier.use", "path": "ClinicalImpression.previous.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.previous.identifier.type", "path": "ClinicalImpression.previous.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.previous.identifier.type.coding", "path": "ClinicalImpression.previous.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.previous.identifier.type.coding.system", "path": "ClinicalImpression.previous.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.previous.identifier.type.coding.version", "path": "ClinicalImpression.previous.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.previous.identifier.type.coding.code", "path": "ClinicalImpression.previous.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.previous.identifier.type.coding.display", "path": "ClinicalImpression.previous.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.previous.identifier.type.coding.userSelected", "path": "ClinicalImpression.previous.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.previous.identifier.type.text", "path": "ClinicalImpression.previous.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.previous.identifier.system", "path": "ClinicalImpression.previous.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.previous.identifier.value", "path": "ClinicalImpression.previous.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.previous.identifier.period", "path": "ClinicalImpression.previous.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.previous.identifier.period.start", "path": "ClinicalImpression.previous.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.previous.identifier.period.end", "path": "ClinicalImpression.previous.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.previous.identifier.assigner", "path": "ClinicalImpression.previous.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.previous.display", "path": "ClinicalImpression.previous.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.problem", "path": "ClinicalImpression.problem", "short": "환자 상태와 관련된 인상(impressions)", "definition": "환자의 관련 문제(problems)/증상(conditions) 목록", "comment": "예) 환자는 임신중이며, 울혈성 심부전이 있고, 선암이 있고, 페니실린에 알레르기가 있음.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance" ] } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "v2", "map": "PRB-3 / IAM-7" } ] }, { "id": "ClinicalImpression.problem.reference", "path": "ClinicalImpression.problem.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.problem.type", "path": "ClinicalImpression.problem.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.problem.identifier", "path": "ClinicalImpression.problem.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.problem.identifier.use", "path": "ClinicalImpression.problem.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.problem.identifier.type", "path": "ClinicalImpression.problem.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.problem.identifier.type.coding", "path": "ClinicalImpression.problem.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.problem.identifier.type.coding.system", "path": "ClinicalImpression.problem.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.problem.identifier.type.coding.version", "path": "ClinicalImpression.problem.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.problem.identifier.type.coding.code", "path": "ClinicalImpression.problem.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.problem.identifier.type.coding.display", "path": "ClinicalImpression.problem.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.problem.identifier.type.coding.userSelected", "path": "ClinicalImpression.problem.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.problem.identifier.type.text", "path": "ClinicalImpression.problem.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.problem.identifier.system", "path": "ClinicalImpression.problem.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.problem.identifier.value", "path": "ClinicalImpression.problem.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.problem.identifier.period", "path": "ClinicalImpression.problem.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.problem.identifier.period.start", "path": "ClinicalImpression.problem.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.problem.identifier.period.end", "path": "ClinicalImpression.problem.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.problem.identifier.assigner", "path": "ClinicalImpression.problem.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.problem.display", "path": "ClinicalImpression.problem.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.investigation", "path": "ClinicalImpression.investigation", "short": "하나 이상의 검사세트(징후, 증상 등)", "definition": "하나 이상의 검사세트(징후, 증상 등). 검사의 실제 그룹화는 평가의 유형(type)과 맥락(context)에 따라 크게 다름. 이러한 검사에는 평가 프로세스 중에 생성된 데이터 또는 결과와 관련하여 이전에 생성 및 기록된 데이터가 포함될 수 있음", "type": [ { "code": "BackboneElement" } ] }, { "id": "ClinicalImpression.investigation.code", "path": "ClinicalImpression.investigation.code", "short": "세트의 이름/코드", "definition": "검사 그룹(\"세트\")의 이름/코드. \"징후\", \"증상\", \"임상\", \"진단\"과 같은 것이지만 목록은 제한되지 않으며, exposure|family|travel|nutritional 이력(history)과 같은 그룹도 사용될 수 있음", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "InvestigationGroupType" } ], "strength": "example", "description": "A name/code for a set of investigations.", "valueSet": "http://hl7.org/fhir/ValueSet/investigation-sets" } }, { "id": "ClinicalImpression.investigation.code.coding", "path": "ClinicalImpression.investigation.code.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.investigation.code.coding.system", "path": "ClinicalImpression.investigation.code.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.investigation.code.coding.version", "path": "ClinicalImpression.investigation.code.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.investigation.code.coding.code", "path": "ClinicalImpression.investigation.code.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.investigation.code.coding.display", "path": "ClinicalImpression.investigation.code.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.investigation.code.coding.userSelected", "path": "ClinicalImpression.investigation.code.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.investigation.code.text", "path": "ClinicalImpression.investigation.code.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.investigation.item", "path": "ClinicalImpression.investigation.item", "short": "특정 검사에 관한 기록", "definition": "수행된 특정 검사의 기록", "comment": "대부분의 검사는 일종의 observation(관찰)이지만, 일부 다른 특정 유형의 데이터 수집 리소스도 사용할 수 있음", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse", "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/ImagingStudy", "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "mapping": [ { "identity": "v2", "map": "OBX-21" } ] }, { "id": "ClinicalImpression.investigation.item.reference", "path": "ClinicalImpression.investigation.item.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.investigation.item.type", "path": "ClinicalImpression.investigation.item.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.investigation.item.identifier", "path": "ClinicalImpression.investigation.item.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.investigation.item.identifier.use", "path": "ClinicalImpression.investigation.item.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.investigation.item.identifier.type", "path": "ClinicalImpression.investigation.item.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding", "path": "ClinicalImpression.investigation.item.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.system", "path": "ClinicalImpression.investigation.item.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.version", "path": "ClinicalImpression.investigation.item.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.code", "path": "ClinicalImpression.investigation.item.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.display", "path": "ClinicalImpression.investigation.item.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.investigation.item.identifier.type.coding.userSelected", "path": "ClinicalImpression.investigation.item.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.investigation.item.identifier.type.text", "path": "ClinicalImpression.investigation.item.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.investigation.item.identifier.system", "path": "ClinicalImpression.investigation.item.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.investigation.item.identifier.value", "path": "ClinicalImpression.investigation.item.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.investigation.item.identifier.period", "path": "ClinicalImpression.investigation.item.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.investigation.item.identifier.period.start", "path": "ClinicalImpression.investigation.item.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.investigation.item.identifier.period.end", "path": "ClinicalImpression.investigation.item.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.investigation.item.identifier.assigner", "path": "ClinicalImpression.investigation.item.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.investigation.item.display", "path": "ClinicalImpression.investigation.item.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.protocol", "path": "ClinicalImpression.protocol", "short": "임상 프로토콜 준수", "definition": "해당 평가 중에 준수되었거나, 진단을 뒷받침하는 증거를 제공하는 특정 공개된 임상 프로토콜에 대한 참조", "type": [ { "code": "uri" } ] }, { "id": "ClinicalImpression.summary", "path": "ClinicalImpression.summary", "short": "평가의 요약", "definition": "조사 및 진단에 대한 텍스트 요약", "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding", "path": "ClinicalImpression.finding", "short": "가능하거나 가능한 발견 및 진단", "definition": "진행중인 치료와 관련이 있거나 가능성이 있다고 간주되는 특정 소견 또는 진단", "type": [ { "code": "BackboneElement" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept", "path": "ClinicalImpression.finding.itemCodeableConcept", "short": "발견된 것", "definition": "제외(ruled-out)되거나 해결(resolved)된 조건(condition)을 포함할 수 있는 발견(finding) 또는 진단을 위한 특정 텍스트 또는 코드", "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionKind" } ], "strength": "example", "description": "Identification of the Condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping": [ { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding", "path": "ClinicalImpression.finding.itemCodeableConcept.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.system", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.version", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.code", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.display", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.finding.itemCodeableConcept.coding.userSelected", "path": "ClinicalImpression.finding.itemCodeableConcept.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.finding.itemCodeableConcept.text", "path": "ClinicalImpression.finding.itemCodeableConcept.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.finding.itemReference", "path": "ClinicalImpression.finding.itemReference", "short": "발견된 것", "definition": "제외(ruled-out)되거나 해결(resolved)된 상태(condition)를 포함할 수 있는 발견 또는 진단을 위한 특정 참조", "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "mapping": [ { "identity": "v2", "map": "OBX" } ] }, { "id": "ClinicalImpression.finding.itemReference.reference", "path": "ClinicalImpression.finding.itemReference.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.finding.itemReference.type", "path": "ClinicalImpression.finding.itemReference.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.finding.itemReference.identifier", "path": "ClinicalImpression.finding.itemReference.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.finding.itemReference.identifier.use", "path": "ClinicalImpression.finding.itemReference.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type", "path": "ClinicalImpression.finding.itemReference.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.system", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.version", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.code", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.display", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.coding.userSelected", "path": "ClinicalImpression.finding.itemReference.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.finding.itemReference.identifier.type.text", "path": "ClinicalImpression.finding.itemReference.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.finding.itemReference.identifier.system", "path": "ClinicalImpression.finding.itemReference.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.finding.itemReference.identifier.value", "path": "ClinicalImpression.finding.itemReference.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.finding.itemReference.identifier.period", "path": "ClinicalImpression.finding.itemReference.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.start", "path": "ClinicalImpression.finding.itemReference.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.finding.itemReference.identifier.period.end", "path": "ClinicalImpression.finding.itemReference.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.finding.itemReference.identifier.assigner", "path": "ClinicalImpression.finding.itemReference.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.finding.itemReference.display", "path": "ClinicalImpression.finding.itemReference.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.finding.basis", "path": "ClinicalImpression.finding.basis", "short": "발견(finding)을 지원하는 어떤 검사", "definition": "발견(finding) 또는 진단을 지원하는 어떤 검사", "max": "1", "type": [ { "code": "string" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept", "path": "ClinicalImpression.prognosisCodeableConcept", "short": "가능(likely)한 결과 추정", "definition": "가능(likely)한 결과 추정", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ClinicalImpressionPrognosis" } ], "strength": "example", "description": "Prognosis or outlook findings.", "valueSet": "http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis" }, "mapping": [ { "identity": "v2", "map": "PRB-22" } ] }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding", "path": "ClinicalImpression.prognosisCodeableConcept.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.system", "path": "ClinicalImpression.prognosisCodeableConcept.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.version", "path": "ClinicalImpression.prognosisCodeableConcept.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.code", "path": "ClinicalImpression.prognosisCodeableConcept.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.display", "path": "ClinicalImpression.prognosisCodeableConcept.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.prognosisCodeableConcept.coding.userSelected", "path": "ClinicalImpression.prognosisCodeableConcept.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.prognosisCodeableConcept.text", "path": "ClinicalImpression.prognosisCodeableConcept.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.prognosisReference", "path": "ClinicalImpression.prognosisReference", "short": "가능(likely)한 결과를 나타내는 위험평가(riskAssessment)", "definition": "가능(likely)한 결과를 나타내는 위험평가(riskAssessment)", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/RiskAssessment" ] } ] }, { "id": "ClinicalImpression.prognosisReference.reference", "path": "ClinicalImpression.prognosisReference.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.prognosisReference.type", "path": "ClinicalImpression.prognosisReference.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.prognosisReference.identifier", "path": "ClinicalImpression.prognosisReference.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.prognosisReference.identifier.use", "path": "ClinicalImpression.prognosisReference.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.prognosisReference.identifier.type", "path": "ClinicalImpression.prognosisReference.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding", "path": "ClinicalImpression.prognosisReference.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.system", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.version", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.code", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.display", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.prognosisReference.identifier.type.coding.userSelected", "path": "ClinicalImpression.prognosisReference.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.prognosisReference.identifier.type.text", "path": "ClinicalImpression.prognosisReference.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.prognosisReference.identifier.system", "path": "ClinicalImpression.prognosisReference.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.prognosisReference.identifier.value", "path": "ClinicalImpression.prognosisReference.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.prognosisReference.identifier.period", "path": "ClinicalImpression.prognosisReference.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.prognosisReference.identifier.period.start", "path": "ClinicalImpression.prognosisReference.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.prognosisReference.identifier.period.end", "path": "ClinicalImpression.prognosisReference.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.prognosisReference.identifier.assigner", "path": "ClinicalImpression.prognosisReference.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.prognosisReference.display", "path": "ClinicalImpression.prognosisReference.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.supportingInfo", "path": "ClinicalImpression.supportingInfo", "short": "Clinical impression[]을 뒷받침하는 정보", "definition": "Clinical impression[]을 뒷받침하는 정보.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ] }, { "id": "ClinicalImpression.supportingInfo.reference", "path": "ClinicalImpression.supportingInfo.reference", "short": "문자로 표현된(literal) 참조, 상대적, 내부적 혹은 절대적인 URL", "definition": "다른 리소스(resource)를 찾을 수 있는 위치에 대한 참조를 의미함. 해당 참조는 service base URL에 상대적인(relative) 경우 상대적 참조, 혹은 해당 리소스(resource)를 찾을 수 있는 위치인 절대(absolute) URL일 수 있음. 해당 참조는 버전에 따라 다를 수 있음. 해당 참조가 FHIR RESTful 서버가 아닌 경우, 버전에 따라 다른 것으로 간주함. 내부 구문(Internal Fragment) 참조('#'으로 시작)는 포함되어 있는 리소스(resource)를 참조함." }, { "id": "ClinicalImpression.supportingInfo.type", "path": "ClinicalImpression.supportingInfo.type", "short": "참조(reference)가 참조(refer)하는 유형(type) (예. \"Patient\")", "definition": "참조 대상의 예상 형식(expected type). Reference.type과 Reference.reference가 모두 채워지고 Reference.reference가 FHIR URL이면 두가지 모두 일치해야함. 유형(type)은이 참조가 참조하는 유형(type) 인 리소스(resource) 정의의 표준(Canonical) URL임. 참조는 http://hl7.org/fhir/StructureDefinition/과 관련된 URL임. (예) \" 환자 \" http://hl7.org/fhir/StructureDefinition/Patient에 대한 참조. 절대(absolute) URL은 논리 모델에만 허용됨 (리소스(resource)가 아닌 논리 모델의 참조에서만 사용할 수 있음)." }, { "id": "ClinicalImpression.supportingInfo.identifier", "path": "ClinicalImpression.supportingInfo.identifier", "short": "문자로 표현된(literal) 참조를 알 수 없는 경우 사용하는, 논리적(logical) 참조", "definition": "대상 리소스(resource)의 식별자(identifier). 이것은 다른 리소스(resource)를 직접 참조할 방법이 없을 때 사용- 해당 엔티티(entity)가 FHIR 서버를 통해 사용할 수 없거나 리소스(resource) 작성자가 알려진 식별자(identifier)를 실제 위치로 변활할 방법이 없기 때문에 이 방법이 사용됨. Reference.identifier가 실제로 FHIR 인스턴스로 노출되는 것을 가리킬(point) 필요는 없지만, FHIR 인스턴스로 노출될 것으로 예상되는 비즈니스 개념(concept)을 가리켜야하며, 해당 인스턴스는 참조가 허용되는 FHIR 리소스 타입(resource type)이여야 함." }, { "id": "ClinicalImpression.supportingInfo.identifier.use", "path": "ClinicalImpression.supportingInfo.identifier.use", "short": "usual | official | temp | secondary | old (If known)", "definition": "해당 식별자(identifier)의 목적" }, { "id": "ClinicalImpression.supportingInfo.identifier.type", "path": "ClinicalImpression.supportingInfo.identifier.type", "short": "식별자(identifier)에 대한 설명", "definition": "특정 목적으로 사용되는 식별자(identifier)를 결정하기 위해 사용하는 식별자(identifier)의 코드화된(coded) 유형(type)을 나타냄." }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding", "path": "ClinicalImpression.supportingInfo.identifier.type.coding", "short": "용어체계(terminology system)에 의해 정의된 코드(code)", "definition": "용어체계(terminology system)에 의해 정의된 코드(code) 참조" }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.system", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.system", "short": "용어체계 식별(Identity of terminology system)", "definition": "코드(code)에서 기호(symbol)의 의미를 정의하는 CodeSystem[]를 식별" }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.version", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.version", "short": "해당 시스템의 버전 정보 - 필요한 경우", "definition": "해당 코드(code)를 선택한 시점에 사용된 CodeSystem[]의 버전임. 올바로 관리된 CodeSystem[]은 코드(code)의 의미가 버전과 관계없이 일관적이므로 버전을 보고할 필요가 없음. 그러나 CodeSystem[]의 관리 상태는 지속적으로 보장할 수 없는 부분이며, 코드(code)의 의미가 일관적임을 보장할 수 없는 경우 버전이 교체되어야 함." }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.code", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.code", "short": "시스템에 정의된 구문(syntax)의 기호(symbol)", "definition": "시스템에 정의된 구문(syntax)의 기호(symbol). 기호(symbol)은 CodeSystem[]에 의해 정의된 구문에서 미리 정의된 코드(code) 또는 표현(expression)일 수 있음. (예: post-coordination)" }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.display", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.display", "short": "시스템에 정의된 표기(representation)", "definition": "시스템의 규칙(rules)에 따른, 시스템에서 코드(code)의 의미 표기(representation)" }, { "id": "ClinicalImpression.supportingInfo.identifier.type.coding.userSelected", "path": "ClinicalImpression.supportingInfo.identifier.type.coding.userSelected", "short": "해당 코딩(coding)이 사용자(user)에 의해 직접(directly) 선택되었는지 여부", "definition": "해당 코딩(coding)이 사용자(user)에 의해 직접 선택되었음을 나타냄 - (예) 사용가능한 항목(item)의 선택 목록(list) 중 하나 (코드 또는 디스플레이 )" }, { "id": "ClinicalImpression.supportingInfo.identifier.type.text", "path": "ClinicalImpression.supportingInfo.identifier.type.text", "short": "개념(concept)에 대한 일반 텍스트 표현 (plain text representation)", "definition": "데이터를 입력한 사용자(user)의 입장에서 보거나(seen)/선택하거나(selected)/언급한대로(uttered)의 개념(concept), 혹은 사용자(user)가 의도한 의미를 사람이 사용하는 언어로 표현한 것임." }, { "id": "ClinicalImpression.supportingInfo.identifier.system", "path": "ClinicalImpression.supportingInfo.identifier.system", "short": "식별자(identifier) 값의 네임스페이스(namespace)", "definition": "설정 값에 대한 네임스페이스 (namespace), 즉 고유(unique)한 설정값을 설명하는 URL을 설정함." }, { "id": "ClinicalImpression.supportingInfo.identifier.value", "path": "ClinicalImpression.supportingInfo.identifier.value", "short": "고유(unique)한 값(value)", "definition": "일반적으로 사용자(user)와 관련(relevant)이 있으며, 시스템 컨텍스트(context) 내에서 고유(unique)한 식별자(identifier)의 일부분임." }, { "id": "ClinicalImpression.supportingInfo.identifier.period", "path": "ClinicalImpression.supportingInfo.identifier.period", "short": "식별자(identifier)의 유효 기간", "definition": "식별자(identifier)가 사용 가능했거나 가능한 기간을 나타냄." }, { "id": "ClinicalImpression.supportingInfo.identifier.period.start", "path": "ClinicalImpression.supportingInfo.identifier.period.start", "short": "해당 유효 기간의 시작 시점 (설정된 날짜 포함)", "definition": "해당 유효 기간이 시작되는 시점을 나타냄. 유효 기간은 시작 시점으로 설정된 날짜를 포함함." }, { "id": "ClinicalImpression.supportingInfo.identifier.period.end", "path": "ClinicalImpression.supportingInfo.identifier.period.end", "short": "해당 유효 기간의 종료 시점 (설정된 날짜 포함)", "definition": "기간의 종료. 기간의 종료가 누락된 경우, 인스턴스가 생성될 때 끝이 알려지거나 계획되지 않았음을 의미함. 시작일은 과거일 수 있고 종료일은 미래일 수 있음. 이는 해당 기간이 해당 시간에 종료될 예정임을 의미함" }, { "id": "ClinicalImpression.supportingInfo.identifier.assigner", "path": "ClinicalImpression.supportingInfo.identifier.assigner", "short": "식별자(identifier)를 발급한 조직(단순 텍스트 기입 가능)", "definition": "식별자(identifier)를 발급/관리하는 조직(organization)" }, { "id": "ClinicalImpression.supportingInfo.display", "path": "ClinicalImpression.supportingInfo.display", "short": "해당 리소스(resource)에 대한 대체 텍스트(alternative text)", "definition": "리소스(resource) 참조 외에도 리소스(resource)를 식별하기 위한 일반 텍스트 설명임." }, { "id": "ClinicalImpression.note", "path": "ClinicalImpression.note", "short": "Clinical impression[]에 대한 의견", "definition": "Clinical impression에 대한 의견. 일반적으로 impression이 만들어 진 후에 기록되지만, 원 저자의 보충 메모로도 나타낼 수 있음", "comment": "해당 요소를 Impression의 특정 요수 중 하나로 더 적절하게 표시되어야하는 내용 대신 사용하지 않기", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "workflow", "map": "Event.note" } ] }, { "id": "ClinicalImpression.note.author[x]", "path": "ClinicalImpression.note.author[x]", "short": "주석(annotation)을 담당하는 사람(individual)", "definition": "주석(annotation) 작성을 담당하는 사람(individual)" }, { "id": "ClinicalImpression.note.time", "path": "ClinicalImpression.note.time", "short": "주석(annotation)이 만들어진 시기", "definition": "특정 주석(annotation)을 작성한 시기를 표시함." }, { "id": "ClinicalImpression.note.text", "path": "ClinicalImpression.note.text", "short": "주석(annotation) - 텍스트 내용 (Markdown)", "definition": "마크다운(markdown) 형식의 주석(annotation) 텍스트임." } ] } }