HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)

ClinicalNoteProfile

 

The official URL for this profile is:

http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ClinicalNote

An entry concerning a patient where the result is a narrative text.

This profile builds on DomainResource.

This profile was published on Fri Aug 17 00:00:00 EDT 2018 as a draft by HL7 Patient Care and Clinical Information Modeling Initiative Work Groups.

View the corresponding ClinicalNoteModel logical model.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DomainResource SW ClinicalNote Profile
... extension 2..*
... cimi-core-PersonOfRecord-extension 1..1Reference(US Core Patient Profile)SW PersonOfRecord Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension
... cimi-core-Recorded-extension 0..1(Complex)SW Recorded Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SW Signed Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension
... cimi-core-AdditionalText-extension 1..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... valueCodeableConcept
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1CodingRecord Entity
...... system Fixed Value: http://snomed.info/sct
...... code Fixed Value: 424975005
... cimi-topic-StatementTopic-extension 0..1(Complex)SW StatementTopic Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension
... cimi-encounter-Encounter-extension 0..1Reference(SW Encounter Profile)SW Encounter Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DomainResource I0..*SW ClinicalNote Profile
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 2..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-PersonOfRecord-extension 1..1Reference(US Core Patient Profile)SW PersonOfRecord Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension
... cimi-core-Recorded-extension 0..1(Complex)SW Recorded Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SW Signed Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension
... cimi-core-AdditionalText-extension 1..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1CodingRecord Entity
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 424975005
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... cimi-topic-StatementTopic-extension 0..1(Complex)SW StatementTopic Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension
... cimi-encounter-Encounter-extension 0..1Reference(SW Encounter Profile)SW Encounter Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DomainResource SW ClinicalNote Profile
... extension 2..*
... cimi-core-PersonOfRecord-extension 1..1Reference(US Core Patient Profile)SW PersonOfRecord Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension
... cimi-core-Recorded-extension 0..1(Complex)SW Recorded Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SW Signed Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension
... cimi-core-AdditionalText-extension 1..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... valueCodeableConcept
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1CodingRecord Entity
...... system Fixed Value: http://snomed.info/sct
...... code Fixed Value: 424975005
... cimi-topic-StatementTopic-extension 0..1(Complex)SW StatementTopic Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension
... cimi-encounter-Encounter-extension 0..1Reference(SW Encounter Profile)SW Encounter Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DomainResource I0..*SW ClinicalNote Profile
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 2..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... cimi-core-PersonOfRecord-extension 1..1Reference(US Core Patient Profile)SW PersonOfRecord Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-PersonOfRecord-extension
... cimi-core-Recorded-extension 0..1(Complex)SW Recorded Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Recorded-extension
... cimi-core-Signed-extension 0..1(Complex)SW Signed Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Signed-extension
... cimi-core-AdditionalText-extension 1..1stringSW AdditionalText Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-AdditionalText-extension
... cimi-statement-ContextCode-extension 0..1CodeableConceptSW ContextCode Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ContextCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1CodingRecord Entity
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 424975005
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... cimi-topic-StatementTopic-extension 0..1(Complex)SW StatementTopic Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-extension
... cimi-encounter-Encounter-extension 0..1Reference(SW Encounter Profile)SW Encounter Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-extension
... cimi-statement-Interpretation-extension 0..1CodeableConceptSW Interpretation Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Interpretation-extension
Binding: Observation Interpretation Codes (extensible)
... cimi-statement-RelevantTime-extension 0..1dateTime, PeriodSW RelevantTime Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-RelevantTime-extension
... cimi-statement-FindingMethod-extension 0..1CodeableConceptSW FindingMethod Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-FindingMethod-extension
Binding: SW FindingMethodVS ValueSet (preferred)
... cimi-datatypes-Media-extension 0..*AttachmentSW Media Extension
URL: http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
Slice: Unordered, Open by value:url

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
DomainResource.languageCommon LanguagesextensibleCommon Languages

 

Constraints

IdPathDetailsRequirements
dom-2DomainResourceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1DomainResourceIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4DomainResourceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3DomainResourceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()