FHIR R5 Symptoms Implementation Guide
0.1.0 - ci-build
FHIR R5 Symptoms Implementation Guide
0.1.0 - ci-build
FHIR R5 Symptoms Implementation Guide, published by HL7 International / Clinical Interoperability Council. 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/HL7/fhir-symptoms-ig/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomLogicalModel | Version: 0.1.0 | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: SymptomLogicalModel | ||
Details about the Symptom.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
  @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
 symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
 affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
  reporter[x] |
1..1 | The person who is reporting the symptom information | ||
 reporterPatient |
Patient | |||
 reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
 surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
 @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Element
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
| symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
| affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
| reporter[x] |
1..1 | The person who is reporting the symptom information | ||
| reporterPatient |
Patient | |||
| reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
| surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
| symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
| affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
| reporter[x] |
1..1 | The person who is reporting the symptom information | ||
| reporterPatient |
Patient | |||
| reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
| surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
| symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
| affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
| reporter[x] |
1..1 | The person who is reporting the symptom information | ||
| reporterPatient |
Patient | |||
| reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
| surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from Element
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
| symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
| affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
| reporter[x] |
1..1 | The person who is reporting the symptom information | ||
| reporterPatient |
Patient | |||
| reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
| surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| SymptomLogicalModel |
0..* | Element | Elements defined in Ancestors:@id, extension Symptom Logical Model | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| identifier |
1..1 | string | A unique string that identifies this instance of a symptom | |
| symptomCode |
1..1 | CodeableConcept | Coded description of symptom | |
| affectedPatient |
1..1 | Patient | The patient who is experiencing the symptom | |
| reporter[x] |
1..1 | The person who is reporting the symptom information | ||
| reporterPatient |
Patient | |||
| reporterRelatedPerson |
RelatedPerson | |||
| symptomDescription |
0..* | Annotation | Textual description of symptom as provided by patient or care team member | |
| location |
0..* | BodyStructure | Where the patient feels the symptom in the body. | |
| associatedSymptoms |
0..* | SymptomLogicalModel | Other symptoms associated with this symptom | |
| associatedConditions |
0..* | Condition | Condition associated with this symptom | |
| keyFeatures |
1..1 | BackboneElement | Key Features | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| quality |
0..1 | BackboneElement | The patient's internal perception of the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom quality | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the quality | |
| value |
1..1 | CodeableConcept | Code that represents the symptom quality | |
| severity |
0..1 | BackboneElement | The intensity with which the patient experiences the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the symptom severity | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment if any used to determine the severity | |
| value |
1..1 | CodeableConcept | Code that represents the symptom severity | |
| functionalImpact |
0..1 | BackboneElement | How the symptom affects the patient's daily activities. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the impact | |
| scaleCode |
0..1 | code | Code for the specific scale or assessment (if any) used to determine the impact | |
| value |
1..1 | CodeableConcept | Code that represents the functional impact | |
| affectiveGrade |
0..1 | BackboneElement | Emotional or mental impact of a symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| note |
0..1 | Annotation | Textual description of the grade | |
| value |
1..1 | CodeableConcept | Code that represents the affective grade | |
| surroundingEvents |
0..1 | BackboneElement | What was occurring at the time of symptom onset. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggers |
0..* | BackboneElement | Actions or environments that initiate the symptom. | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| triggerCode |
1..1 | CodeableConcept | Code describing the type of trigger | |
| note |
0..1 | Annotation | Free text related to the observation | |
| exacerbatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| relatedMedication |
0..* | Medication | ||
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| alleviatingFactors |
0..* | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| factor |
1..1 | CodeableConcept | Reference to the factor | |
| note |
0..1 | Annotation | Information given about actions, conditions, events, or other factors | |
| relatedMedication |
0..* | Medication | ||
| otherEvents |
0..* | CodeableConcept | Patient-reported actions that were occuring at time of symptom onset | |
| timing |
0..1 | BackboneElement | ||
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| speed |
0..1 | CodeableConcept | The rate at which a physiological condition became apparent. | |
| onset[x] |
0..1 | Clinically relevant time or period for the symptom since first occurance. | ||
| onsetDateTime |
dateTime | |||
| onsetPeriod |
Period | |||
| note |
0..1 | Annotation | Free text related to the observation | |
| duration[x] |
0..1 | The length of time the symptom persists in this instance of occurance. | ||
| durationDuration |
Duration | |||
| durationCodeableConcept |
CodeableConcept | |||
| frequency |
0..1 | Quantity | How often the patient experiences the symptom. | |
| timePattern |
0..1 | CodeableConcept | The pattern of experiencing the symptom | |
| clinicalCourse |
0..1 | CodeableConcept | Character of symptom onset. | |
| trend |
0..1 | CodeableConcept | Intensity of symptom over time | |
| metadata |
1..1 | BackboneElement | Non clinical information about the symptom | |
| @id |
0..1 | id | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| documentationDate |
1..1 | dateTime | Date of recorded visit | |
| issued |
1..1 | dateTime | Date/time when the current version was made available. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
IG © 2025+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.uv.symptoms#0.1.0 based on FHIR 5.0.0. Generated 2025-08-27
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