FHIR R4 Symptoms Implementation Guide
1.0.0-ballot - STU 1 Ballot 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 1.0.0-ballot 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

Logical Model: ExclusionSymptomSignV0 - JSON Profile

Page standards status: Trial-use Maturity Level: 1

JSON representation of the openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0 logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0</b></p><a name=\"openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0\"> </a><a name=\"hcopenEHR-EHR-CLUSTER.exclusion-symptom-sign.v0\"> </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_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER\" title=\"Statement to explicitly record that a symptom or signe was reported as not present.\">CLUSTER</a><a name=\"CLUSTER\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_cluster_class\">CLUSTER</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\">Exclusion of a symptom or sign</td></tr>\r\n<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_bck03.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_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items\">Slices for items</a><a name=\"CLUSTER.items\"> </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\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">1</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></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 style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_item_class\">ITEM</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\"><span style=\"opacity: 0.5; font-style: italic\">Ordered list of items - `CLUSTER` or `ELEMENT` objects - under this `CLUSTER`.</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by profile:$this</span></td></tr>\r\n<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_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0001\" title=\"Slice at0001: A statement about the exclusion of known symptoms in the health record.\">items:at0001</a><a name=\"CLUSTER.items.2\"> </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..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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_element_class\">ELEMENT</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\">Exclusion Statement</td></tr>\r\n<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_bck0340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.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-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0001.value\">value</a><a name=\"CLUSTER.items.value\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_types.html#_dv_text_class\">DV_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\"><span style=\"opacity: 0.5\">Property representing leaf value object of `ELEMENT`.</span></td></tr>\r\n<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_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0002\" title=\"Slice at0002: Identification of the specific symptom to which the Exclusion Statement applies.\">items:at0002</a><a name=\"CLUSTER.items.3\"> </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..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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_element_class\">ELEMENT</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\">Excluded Symptom</td></tr>\r\n<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_bck0243.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0002.value\">Slices for value</a><a name=\"CLUSTER.items.value.2\"> </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\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></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 style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_types.html#_data_value_class\">DATA_VALUE</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\"><span style=\"opacity: 0.5; font-style: italic\">Property representing leaf value object of `ELEMENT`.</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Closed by type:$this</span></td></tr>\r\n<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_bck02434.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0002.value:DV_TEXT\" title=\"Slice DV_TEXT\">value:DV_TEXT</a><a name=\"CLUSTER.items.value.3\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_types.html#_dv_text_class\">DV_TEXT</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\"><span style=\"opacity: 0.5\">Property representing leaf value object of `ELEMENT`.</span></td></tr>\r\n<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_bck02424.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0-definitions.html#CLUSTER.items:at0002.value:DV_CODED_TEXT\" title=\"Slice DV_CODED_TEXT\">value:DV_CODED_TEXT</a><a name=\"CLUSTER.items.value.4\"> </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\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></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=\"https://specifications.openehr.org/releases/RM/Release-1.1.0/data_types.html#_dv_coded_text_class\">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\"><span style=\"opacity: 0.5\">Property representing leaf value object of `ELEMENT`.</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0.at0002.html\" title=\"http://hl7.org/fhir/uv/symptoms/ValueSet/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0.at0002\" class=\"binding\">Excluded Symptom ValueSet</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span></td></tr>\r\n<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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cic"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/web-source",
      "valueUrl" : "https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_cluster_class"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint",
      "valueCode" : "element-view-ready"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-operation",
      "valueCanonical" : "#concept"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint",
      "valueCode" : "element-view-replace-cardinality"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/symptoms/StructureDefinition/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0",
  "version" : "1.0.0-ballot",
  "name" : "ExclusionSymptomSignV0",
  "title" : "openEHR-EHR-CLUSTER.exclusion_symptom_sign.v0",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-12-17T20:51:08+00:00",
  "publisher" : "HL7 International / Clinical Interoperability Council",
  "contact" : [
    {
      "name" : "HL7 International / Clinical Interoperability Council",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic"
        }
      ]
    }
  ],
  "description" : "Use to record a positive statement to explicitly record that a symptom or sign was reported as not present.\r\nUse to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype.\r\n\r\nThis archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "To record a positive statement to explicitly record that a symptom or sign was reported as not present. Misuse: ",
  "copyright" : "© openEHR Foundation. This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.",
  "keyword" : [
    {
      "display" : "symptom, absence, exclusion"
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://openehr.org/fhir/StructureDefinition/CLUSTER",
  "baseDefinition" : "http://openehr.org/fhir/StructureDefinition/CLUSTER",
  "derivation" : "constraint",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "0.1.0-snapshot"
      }
    ],
    "element" : [
      {
        "id" : "CLUSTER",
        "path" : "CLUSTER",
        "label" : "at0000",
        "short" : "Exclusion of a symptom or sign",
        "definition" : "Statement to explicitly record that a symptom or signe was reported as not present.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/CLUSTER"
          }
        ],
        "constraint" : [
          {
            "key" : "Links_valid",
            "severity" : "error",
            "human" : "Links valid must be present",
            "expression" : "links.exists() implies links.empty().not()",
            "source" : "http://openehr.org/fhir/StructureDefinition/LOCATABLE"
          },
          {
            "key" : "Archetyped_valid",
            "severity" : "error",
            "human" : "Archetyped valid must satisfy exclusive conditions",
            "expression" : "is_archetype_root() xor archetype_details .empty()",
            "source" : "http://openehr.org/fhir/StructureDefinition/LOCATABLE"
          },
          {
            "key" : "Archetype_node_id_valid",
            "severity" : "error",
            "human" : "Archetype node id valid must not be empty",
            "expression" : "archetype_node_id.empty().not()",
            "source" : "http://openehr.org/fhir/StructureDefinition/LOCATABLE"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "CLUSTER.name",
        "path" : "CLUSTER.name",
        "short" : "Runtime name of this fragment, used to build runtime paths.",
        "definition" : "Runtime name of this fragment, used to build runtime paths. This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.name",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.archetype-node-id",
        "path" : "CLUSTER.archetype_node_id",
        "short" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths.",
        "definition" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g.  `at0005`. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology. \n\nAt an archetype root point, the value of this attribute is always the stringified form of the `_archetype_id_` found in the `_archetype_details_` object.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_node_id",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.uid",
        "path" : "CLUSTER.uid",
        "short" : "Optional globally unique object identifier for root points of archetyped structures.",
        "definition" : "Optional globally unique object identifier for root points of archetyped structures.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.uid",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.links",
        "path" : "CLUSTER.links",
        "short" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on).",
        "definition" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on). Links may be to structures in other compositions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "LOCATABLE.links",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/LINK"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.archetype-details",
        "path" : "CLUSTER.archetype_details",
        "short" : "Details of archetyping used on this node.",
        "definition" : "Details of archetyping used on this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_details",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ARCHETYPED"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.feeder-audit",
        "path" : "CLUSTER.feeder_audit",
        "short" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "definition" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.feeder_audit",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-group"
              },
              {
                "url" : "value",
                "valueString" : "Items"
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          },
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-order"
              },
              {
                "url" : "value",
                "valueInteger" : 8
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          }
        ],
        "path" : "CLUSTER.items",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "$this"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Ordered list of items - `CLUSTER` or `ELEMENT` objects - under this `CLUSTER`.",
        "definition" : "Ordered list of items - `CLUSTER` or `ELEMENT` objects - under this `CLUSTER`.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "CLUSTER.items",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ITEM"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-group"
              },
              {
                "url" : "value",
                "valueString" : "Items"
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          },
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-order"
              },
              {
                "url" : "value",
                "valueInteger" : 8
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          }
        ],
        "path" : "CLUSTER.items",
        "sliceName" : "at0001",
        "label" : "at0001",
        "short" : "Exclusion Statement",
        "definition" : "A statement about the exclusion of known symptoms in the health record.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CLUSTER.items",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ELEMENT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.name",
        "path" : "CLUSTER.items.name",
        "short" : "Runtime name of this fragment, used to build runtime paths.",
        "definition" : "Runtime name of this fragment, used to build runtime paths. This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.name",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.archetype-node-id",
        "path" : "CLUSTER.items.archetype_node_id",
        "short" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths.",
        "definition" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g.  `at0005`. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology. \n\nAt an archetype root point, the value of this attribute is always the stringified form of the `_archetype_id_` found in the `_archetype_details_` object.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_node_id",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.uid",
        "path" : "CLUSTER.items.uid",
        "short" : "Optional globally unique object identifier for root points of archetyped structures.",
        "definition" : "Optional globally unique object identifier for root points of archetyped structures.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.uid",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.links",
        "path" : "CLUSTER.items.links",
        "short" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on).",
        "definition" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on). Links may be to structures in other compositions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "LOCATABLE.links",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/LINK"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.archetype-details",
        "path" : "CLUSTER.items.archetype_details",
        "short" : "Details of archetyping used on this node.",
        "definition" : "Details of archetyping used on this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_details",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ARCHETYPED"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.feeder-audit",
        "path" : "CLUSTER.items.feeder_audit",
        "short" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "definition" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.feeder_audit",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.null-flavour",
        "path" : "CLUSTER.items.null_flavour",
        "short" : "Flavour of null value, e.",
        "definition" : "Flavour of null value, e.g. `253|unknown|`, `271|no information|`, `272|masked|`, and `273|not applicable|`.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.null_flavour",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.value",
        "path" : "CLUSTER.items.value",
        "short" : "Property representing leaf value object of `ELEMENT`.",
        "definition" : "Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0001.null-reason",
        "path" : "CLUSTER.items.null_reason",
        "short" : "Optional specific reason for null value; if set, `_null_flavour_` must be set.",
        "definition" : "Optional specific reason for null value; if set, `_null_flavour_` must be set. Null reason may apply only to a minority of clinical data, commonly needed in reporting contexts.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.null_reason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002",
        "extension" : [
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-group"
              },
              {
                "url" : "value",
                "valueString" : "Items"
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          },
          {
            "extension" : [
              {
                "url" : "name",
                "valueCode" : "element-view-order"
              },
              {
                "url" : "value",
                "valueInteger" : 8
              }
            ],
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/view-hint"
          }
        ],
        "path" : "CLUSTER.items",
        "sliceName" : "at0002",
        "label" : "at0002",
        "short" : "Excluded Symptom",
        "definition" : "Identification of the specific symptom to which the Exclusion Statement applies.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "CLUSTER.items",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ELEMENT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.name",
        "path" : "CLUSTER.items.name",
        "short" : "Runtime name of this fragment, used to build runtime paths.",
        "definition" : "Runtime name of this fragment, used to build runtime paths. This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.name",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.archetype-node-id",
        "path" : "CLUSTER.items.archetype_node_id",
        "short" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths.",
        "definition" : "Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths. Always in the form of an at-code, e.g.  `at0005`. This value enables a 'standardised' name for this node to be generated, by referring to the generating archetype local terminology. \n\nAt an archetype root point, the value of this attribute is always the stringified form of the `_archetype_id_` found in the `_archetype_details_` object.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_node_id",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.uid",
        "path" : "CLUSTER.items.uid",
        "short" : "Optional globally unique object identifier for root points of archetyped structures.",
        "definition" : "Optional globally unique object identifier for root points of archetyped structures.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.uid",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.links",
        "path" : "CLUSTER.items.links",
        "short" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on).",
        "definition" : "Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on). Links may be to structures in other compositions.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "LOCATABLE.links",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/LINK"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.archetype-details",
        "path" : "CLUSTER.items.archetype_details",
        "short" : "Details of archetyping used on this node.",
        "definition" : "Details of archetyping used on this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.archetype_details",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ARCHETYPED"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.feeder-audit",
        "path" : "CLUSTER.items.feeder_audit",
        "short" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "definition" : "Audit trail from non-openEHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "LOCATABLE.feeder_audit",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.null-flavour",
        "path" : "CLUSTER.items.null_flavour",
        "short" : "Flavour of null value, e.",
        "definition" : "Flavour of null value, e.g. `253|unknown|`, `271|no information|`, `272|masked|`, and `273|not applicable|`.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.null_flavour",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.value",
        "path" : "CLUSTER.items.value",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "closed"
        },
        "short" : "Property representing leaf value object of `ELEMENT`.",
        "definition" : "Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DATA-VALUE"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.value:DV_TEXT",
        "path" : "CLUSTER.items.value",
        "sliceName" : "DV_TEXT",
        "short" : "Property representing leaf value object of `ELEMENT`.",
        "definition" : "Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.value:DV_CODED_TEXT",
        "path" : "CLUSTER.items.value",
        "sliceName" : "DV_CODED_TEXT",
        "short" : "Property representing leaf value object of `ELEMENT`.",
        "definition" : "Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_CODED_TEXT"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "CLUSTER.items:at0002.null-reason",
        "path" : "CLUSTER.items.null_reason",
        "short" : "Optional specific reason for null value; if set, `_null_flavour_` must be set.",
        "definition" : "Optional specific reason for null value; if set, `_null_flavour_` must be set. Null reason may apply only to a minority of clinical data, commonly needed in reporting contexts.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ELEMENT.null_reason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV-TEXT"
          }
        ],
        "isModifier" : false
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "CLUSTER",
        "path" : "CLUSTER",
        "label" : "at0000",
        "short" : "Exclusion of a symptom or sign",
        "definition" : "Statement to explicitly record that a symptom or signe was reported as not present.",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/CLUSTER"
          }
        ]
      },
      {
        "id" : "CLUSTER.items",
        "path" : "CLUSTER.items",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "$this"
            }
          ],
          "rules" : "closed"
        }
      },
      {
        "id" : "CLUSTER.items:at0001",
        "path" : "CLUSTER.items",
        "sliceName" : "at0001",
        "label" : "at0001",
        "short" : "Exclusion Statement",
        "definition" : "A statement about the exclusion of known symptoms in the health record.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ELEMENT"
          }
        ]
      },
      {
        "id" : "CLUSTER.items:at0001.value",
        "path" : "CLUSTER.items.value",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_TEXT"
          }
        ]
      },
      {
        "id" : "CLUSTER.items:at0002",
        "path" : "CLUSTER.items",
        "sliceName" : "at0002",
        "label" : "at0002",
        "short" : "Excluded Symptom",
        "definition" : "Identification of the specific symptom to which the Exclusion Statement applies.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/ELEMENT"
          }
        ]
      },
      {
        "id" : "CLUSTER.items:at0002.value",
        "path" : "CLUSTER.items.value",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "closed"
        }
      },
      {
        "id" : "CLUSTER.items:at0002.value:DV_TEXT",
        "path" : "CLUSTER.items.value",
        "sliceName" : "DV_TEXT",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_TEXT"
          }
        ]
      },
      {
        "id" : "CLUSTER.items:at0002.value:DV_CODED_TEXT",
        "path" : "CLUSTER.items.value",
        "sliceName" : "DV_CODED_TEXT",
        "type" : [
          {
            "code" : "http://openehr.org/fhir/StructureDefinition/DV_CODED_TEXT"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/uv/symptoms/ValueSet/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0.at0002"
        }
      }
    ]
  }
}