OpenEHR Base package
0.1.0 - First Draft International flag

OpenEHR Base package, published by openEHR + HL7. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/openehr-base-ig/ and changes regularly. See the Directory of published versions

Logical Model: DV_ORDINAL - XML Profile

Page standards status: Informative Maturity Level: 3

XML representation of the DV-ORDINAL logical model.

Raw xml | Download


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DV-ORDINAL"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition DV-ORDINAL</b></p><a name="DV-ORDINAL"> </a><a name="hcDV-ORDINAL"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DV-ORDINAL-definitions.html#DV_ORDINAL" title="A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is:

a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only.

Note that although the term 'ordinal' in mathematics means natural numbers only, here any integer is allowed, since negative and zero values are often used by medical professionals for values around a neutral point. Examples of sets of ordinal values:

-3, -2, -1, 0, 1, 2, 3  — reflex response values
0, 1, 2  — Apgar values
This class is used for recording any clinical datum which is customarily recorded using symbolic values. Example: the results on a urinalysis strip, e.g. {neg, trace, +, , +} are used for leucocytes, protein, nitrites etc; for non-haemolysed blood {neg, trace, moderate}; for haemolysed blood {small, moderate, large}.">DV_ORDINAL</a><a name="DV_ORDINAL"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-DV-ORDERED.html">DV_ORDERED</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><br/>Elements defined in Ancestors:<a href="StructureDefinition-DV-ORDERED.html" title="Optional normal status indicator of value with respect to normal range for this value. Often included by lab, even if the normal range itself is not included. Coded by ordinals in series HHH, HH, H, (nothing), L, LL, LLL; see openEHR terminology group normal_status.">normal_status</a>, <a href="StructureDefinition-DV-ORDERED.html" title="Optional normal range.">normal_range</a>, <a href="StructureDefinition-DV-ORDERED.html" title="Optional tagged other reference ranges for this value in its particular measurement context.">other_reference_ranges</a><br/>A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is: a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-DV-ORDINAL-definitions.html#DV_ORDINAL.symbol" title="Coded textual representation of this value in the enumeration, which may be strings made from + symbols, or other enumerations of terms such as mild, moderate, severe, or even the same number series as the values, e.g. 1, 2, 3.">symbol</a><a name="DV_ORDINAL.symbol"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-DV-CODED-TEXT.html">DV_CODED_TEXT</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Coded textual representation of this value in the enumeration</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DV-ORDINAL-definitions.html#DV_ORDINAL.value" title="Value in ordered enumeration of values. Any integer value can be used.">value</a><a name="DV_ORDINAL.value"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Value in ordered enumeration of values</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/web-source">
    <valueUrl
              value="https://specifications.openehr.org/releases/RM/Release-1.1.0/data_types.html#_dv_ordinal_class"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
    <valueCode value="element-view-as-leaf"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
    <valueCode value="element-view-defns-parent"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://openehr.org/fhir/StructureDefinition/DV-ORDINAL"/>
  <version value="0.1.0"/>
  <name value="DV_ORDINAL"/>
  <title value="DV_ORDINAL"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-06-27T18:45:58+10:00"/>
  <publisher value="openEHR + HL7"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.openehr.org"/>
    </telecom>
  </contact>
  <description
               value="Generic class defining an interval (i.e. range) of a comparable type. An interval is a contiguous subrange of a comparable base type. Used to define intervals of dates, times, quantities (whose units match) and so on. The type parameter, T, must be a descendant of the type DV_ORDERED, which is necessary (but not sufficient) for instances to be compared (strictly_comparable is also needed).

Without the DV_ORDINAL class, quite a few more DV_ classes would be needed to express logical intervals, namely interval versions of all the date/time classes, and of quantity classes. Further, it allows the semantics of intervals to be stated in one place unequivocally, including the conditions for strict comparison."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://openehr.org/fhir/StructureDefinition/DV_ORDINAL"/>
  <baseDefinition
                  value="http://openehr.org/fhir/StructureDefinition/DV-ORDERED"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="0.1.0"/>
    </extension>
    <element id="DV_ORDINAL">
      <path value="DV_ORDINAL"/>
      <short
             value="A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is: a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only"/>
      <definition
                  value="A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is:

a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only.

Note that although the term 'ordinal' in mathematics means natural numbers only, here any integer is allowed, since negative and zero values are often used by medical professionals for values around a neutral point. Examples of sets of ordinal values:

-3, -2, -1, 0, 1, 2, 3  — reflex response values
0, 1, 2  — Apgar values
This class is used for recording any clinical datum which is customarily recorded using symbolic values. Example: the results on a urinalysis strip, e.g. {neg, trace, +, , +} are used for leucocytes, protein, nitrites etc; for non-haemolysed blood {neg, trace, moderate}; for haemolysed blood {small, moderate, large}."/>
      <comment
               value="For scores or scales that include Real numbers (or might in the future, i.e. not fixed for all time, such as Apgar), use DV_SCALE. DV_SCALE may also be used in future for representing purely Integer-based scales, however, the DV_ORDINAL type should continue to be supported in software implementations in order to accommodate existing data that are instances of this type."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DV_ORDINAL.normal-status">
      <path value="DV_ORDINAL.normal_status"/>
      <short
             value="Optional normal status indicator of value with respect to normal range for this value"/>
      <definition
                  value="Optional normal status indicator of value with respect to normal range for this value. Often included by lab, even if the normal range itself is not included. Coded by ordinals in series HHH, HH, H, (nothing), L, LL, LLL; see openEHR terminology group normal_status."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DV_ORDERED.normal_status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/CODE-PHRASE"/>
      </type>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="https://specifications.openehr.org/fhir/valueset-normal_statuses"/>
      </binding>
    </element>
    <element id="DV_ORDINAL.normal-range">
      <path value="DV_ORDINAL.normal_range"/>
      <short value="Optional normal range"/>
      <definition value="Optional normal range."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DV_ORDERED.normal_range"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
          <extension url="name">
            <valueCode value="T"/>
          </extension>
          <extension url="type">
            <valueUri
                      value="http://openehr.org/fhir/StructureDefinition/DV_ORDERED"/>
          </extension>
        </extension>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-INTERVAL"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="DV_ORDINAL.other-reference-ranges">
      <path value="DV_ORDINAL.other_reference_ranges"/>
      <short
             value="Optional tagged other reference ranges for this value in its particular measurement context"/>
      <definition
                  value="Optional tagged other reference ranges for this value in its particular measurement context."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DV_ORDERED.other_reference_ranges"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/type-parameter">
          <extension url="name">
            <valueCode value="T"/>
          </extension>
          <extension url="type">
            <valueUri
                      value="http://openehr.org/fhir/StructureDefinition/DV_ORDERED"/>
          </extension>
        </extension>
        <code
              value="http://openehr.org/fhir/StructureDefinition/REFERENCE-RANGE"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="DV_ORDINAL.symbol">
      <path value="DV_ORDINAL.symbol"/>
      <short
             value="Coded textual representation of this value in the enumeration"/>
      <definition
                  value="Coded textual representation of this value in the enumeration, which may be strings made from + symbols, or other enumerations of terms such as mild, moderate, severe, or even the same number series as the values, e.g. 1, 2, 3."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DV_ORDINAL.symbol"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="DV_ORDINAL.value">
      <path value="DV_ORDINAL.value"/>
      <short value="Value in ordered enumeration of values"/>
      <definition
                  value="Value in ordered enumeration of values. Any integer value can be used."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DV_ORDINAL.value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
      <isModifier value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="DV_ORDINAL">
      <path value="DV_ORDINAL"/>
      <short
             value="A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is: a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only"/>
      <definition
                  value="A data type that represents integral score values, e.g. pain, Apgar values, etc, where there is:

a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite; d) integer values only.

Note that although the term 'ordinal' in mathematics means natural numbers only, here any integer is allowed, since negative and zero values are often used by medical professionals for values around a neutral point. Examples of sets of ordinal values:

-3, -2, -1, 0, 1, 2, 3  — reflex response values
0, 1, 2  — Apgar values
This class is used for recording any clinical datum which is customarily recorded using symbolic values. Example: the results on a urinalysis strip, e.g. {neg, trace, +, , +} are used for leucocytes, protein, nitrites etc; for non-haemolysed blood {neg, trace, moderate}; for haemolysed blood {small, moderate, large}."/>
      <comment
               value="For scores or scales that include Real numbers (or might in the future, i.e. not fixed for all time, such as Apgar), use DV_SCALE. DV_SCALE may also be used in future for representing purely Integer-based scales, however, the DV_ORDINAL type should continue to be supported in software implementations in order to accommodate existing data that are instances of this type."/>
      <min value="0"/>
      <max value="*"/>
      <isModifier value="false"/>
    </element>
    <element id="DV_ORDINAL.symbol">
      <path value="DV_ORDINAL.symbol"/>
      <short
             value="Coded textual representation of this value in the enumeration"/>
      <definition
                  value="Coded textual representation of this value in the enumeration, which may be strings made from + symbols, or other enumerations of terms such as mild, moderate, severe, or even the same number series as the values, e.g. 1, 2, 3."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="DV_ORDINAL.value">
      <path value="DV_ORDINAL.value"/>
      <short value="Value in ordered enumeration of values"/>
      <definition
                  value="Value in ordered enumeration of values. Any integer value can be used."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
      <isModifier value="false"/>
    </element>
  </differential>
</StructureDefinition>