FHIR R4 Symptoms Implementation Guide
0.1.0 - ci-build International flag

FHIR R4 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

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Global profiles

There are no Global profiles defined

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Symptom System Capabilities

Capabilities required for a system exchanging symptoms data.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Symptom Logical Model

A logical model showing the elements of a Symptom that have been deemed important and relevant for capture and exchange.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Assessment Scale Collection Observation

A point in time collection of observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g., assessment tool, instrument, or screen) with multiple questions. NOTE: This profile is a universal flavour of the PACIO PFE Personal Functioning and Engagement Collection Observation profile.
Assessment Scale Single Observation

An exchange of post-acute care observation for a patient. This profile is used for exchanging an observation for a single question generally included in a structured resource (e.g., assessment tool, instrument, or screen). NOTE: This profile is a universal flavour of the PACIO PFE Personal Functioning and Engagement Single Observation profile.
Functional Assessment Collection

A collection of observations related to a functional assessment of a patient. This profile is used for exchanging a set of functional data.
Functional Assessment Single Observation

A single observation related to a functional assessment of a patient. This profile is used for exchanging an observatoin for a single question.
Symptom Absent Observation

Used to record the absence of a Symptom as reported by a patient or their caregiver.
Symptom Observation

Used to record the presence of a Symptom as reported by the patient or a patient's caregiver. The Symptom observation contains all information given about a patient's symptoms.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Assessment Scale Information

Information about the specific scale or assessment used to determine the value. This can be either just a code that represents the assessment scale or can be a reference to an Assessment Scale Collection.
Functional Assessment

Reference to a complete functional assessment collection.
Surrounding Event Medication

Medication that when taken affecting the factor

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Affective Grade

Set of codes from LOINC that describe a patient's affective grade
Alleviating Factor Codes

Set of SNOMED codes to describe factors which alleviate the symptom.
Clinical Course Codes

Set of SNOMED codes to describe the clinical course of the symptom.
Common Set of Symptom Codes

An initial set of Symptom Codes representing the most common symptoms.
Frequency Codes

Set of SNOMED codes to describe the frequency of experiencing the symptom.
Functional Classification Codes

The set of codes from WHO's International Classification of Functioning, Disability, and Health code system.
Other Event Codes

Set of SNOMED codes to describe other events which were occurring at the same time as the symptom.
Quality Codes

Set of SNOMED codes to describe the symptom quality.
Severity Codes

Set of SNOMED codes to describe the symptom severity.
Speed of Onset

Set of codes from SNOMED that describe the speed of onset of a patient's symptom
Trend Codes

Set of SNOMED codes to describe the trend of the symptom.
Triggers or Exacerbating Factor Codes

Set of SNOMED codes to describe triggers or factors which exacerbate the symptom.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Temporary Symptom Codes

A code system that has codes for use in the IG that will eventually be migrated to other code systems such as LOINC or THO.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

ChillSymptomAbsence

Absence of chills
CoughSymptom

Cough
DizzinessSymptom

Dizziness
FaintingSymptomAbsence

No fainting
FeverSymptom

Fever
FeverSymptomAbsence

Absence of fever
HearingLossSymptom

Hearing Loss
JaneDoe

Jane Doe - shortness of breath
JohnDoe

John Doe - dizziness
NaueaSymptomAbsence

Absense of nausea
ShortnessOfBreathPHSymptom

Shortness of breath
ShortnessOfBreathSymptom

Shortness of breath
TrishDoe

Trish Doe - Public Health
UnconsciousnessSymptomAbsence

No loss of consciousness