FHIR R4 Symptoms Implementation Guide
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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 - XML Profile

Page standards status: Trial-use Maturity Level: 1

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

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cic"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/web-source">
    <valueUrl
              value="https://specifications.openehr.org/releases/RM/Release-1.1.0/data_structures.html#_cluster_class"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
    <valueCode value="element-view-ready"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/tools/StructureDefinition/type-operation">
    <valueCanonical value="#concept"/>
  </extension>
  <extension url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
    <valueCode value="element-view-replace-cardinality"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/symptoms/ImplementationGuide/hl7.fhir.uv.symptoms"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/symptoms/StructureDefinition/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0"/>
  <version value="1.0.0-ballot"/>
  <name value="ExclusionSymptomSignV0"/>
  <title value="openEHR-EHR-CLUSTER.exclusion_symptom_sign.v0"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2025-12-17T20:51:08+00:00"/>
  <publisher value="HL7 International / Clinical Interoperability Council"/>
  <contact>
    <name value="HL7 International / Clinical Interoperability Council"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description
               value="Use to record a positive statement to explicitly record that a symptom or sign was reported as not present.
Use 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.

This 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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="To record a positive statement to explicitly record that a symptom or sign was reported as not present. Misuse: "/>
  <copyright
             value="© 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 value="symptom, absence, exclusion"/>
  </keyword>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="http://openehr.org/fhir/StructureDefinition/CLUSTER"/>
  <baseDefinition
                  value="http://openehr.org/fhir/StructureDefinition/CLUSTER"/>
  <derivation value="constraint"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="0.1.0-snapshot"/>
    </extension>
    <element id="CLUSTER">
      <path value="CLUSTER"/>
      <label value="at0000"/>
      <short value="Exclusion of a symptom or sign"/>
      <definition
                  value="Statement to explicitly record that a symptom or signe was reported as not present."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/CLUSTER"/>
      </type>
      <constraint>
        <key value="Links_valid"/>
        <severity value="error"/>
        <human value="Links valid must be present"/>
        <expression value="links.exists() implies links.empty().not()"/>
        <source
                value="http://openehr.org/fhir/StructureDefinition/LOCATABLE"/>
      </constraint>
      <constraint>
        <key value="Archetyped_valid"/>
        <severity value="error"/>
        <human value="Archetyped valid must satisfy exclusive conditions"/>
        <expression
                    value="is_archetype_root() xor archetype_details .empty()"/>
        <source
                value="http://openehr.org/fhir/StructureDefinition/LOCATABLE"/>
      </constraint>
      <constraint>
        <key value="Archetype_node_id_valid"/>
        <severity value="error"/>
        <human value="Archetype node id valid must not be empty"/>
        <expression value="archetype_node_id.empty().not()"/>
        <source
                value="http://openehr.org/fhir/StructureDefinition/LOCATABLE"/>
      </constraint>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="CLUSTER.name">
      <path value="CLUSTER.name"/>
      <short
             value="Runtime name of this fragment, used to build runtime paths."/>
      <definition
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.archetype-node-id">
      <path value="CLUSTER.archetype_node_id"/>
      <short
             value="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths."/>
      <definition
                  value="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. 

At 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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_node_id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.uid">
      <path value="CLUSTER.uid"/>
      <short
             value="Optional globally unique object identifier for root points of archetyped structures."/>
      <definition
                  value="Optional globally unique object identifier for root points of archetyped structures."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.uid"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.links">
      <path value="CLUSTER.links"/>
      <short
             value="Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on)."/>
      <definition
                  value="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 value="0"/>
      <max value="*"/>
      <base>
        <path value="LOCATABLE.links"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/LINK"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.archetype-details">
      <path value="CLUSTER.archetype_details"/>
      <short value="Details of archetyping used on this node."/>
      <definition value="Details of archetyping used on this node."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ARCHETYPED"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.feeder-audit">
      <path value="CLUSTER.feeder_audit"/>
      <short
             value="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
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.feeder_audit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-group"/>
        </extension>
        <extension url="value">
          <valueString value="Items"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-order"/>
        </extension>
        <extension url="value">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <path value="CLUSTER.items"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="$this"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
      <short
             value="Ordered list of items - `CLUSTER` or `ELEMENT` objects - under this `CLUSTER`."/>
      <definition
                  value="Ordered list of items - `CLUSTER` or `ELEMENT` objects - under this `CLUSTER`."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="CLUSTER.items"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ITEM"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-group"/>
        </extension>
        <extension url="value">
          <valueString value="Items"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-order"/>
        </extension>
        <extension url="value">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <path value="CLUSTER.items"/>
      <sliceName value="at0001"/>
      <label value="at0001"/>
      <short value="Exclusion Statement"/>
      <definition
                  value="A statement about the exclusion of known symptoms in the health record."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CLUSTER.items"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ELEMENT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.name">
      <path value="CLUSTER.items.name"/>
      <short
             value="Runtime name of this fragment, used to build runtime paths."/>
      <definition
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.archetype-node-id">
      <path value="CLUSTER.items.archetype_node_id"/>
      <short
             value="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths."/>
      <definition
                  value="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. 

At 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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_node_id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.uid">
      <path value="CLUSTER.items.uid"/>
      <short
             value="Optional globally unique object identifier for root points of archetyped structures."/>
      <definition
                  value="Optional globally unique object identifier for root points of archetyped structures."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.uid"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.links">
      <path value="CLUSTER.items.links"/>
      <short
             value="Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on)."/>
      <definition
                  value="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 value="0"/>
      <max value="*"/>
      <base>
        <path value="LOCATABLE.links"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/LINK"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.archetype-details">
      <path value="CLUSTER.items.archetype_details"/>
      <short value="Details of archetyping used on this node."/>
      <definition value="Details of archetyping used on this node."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ARCHETYPED"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.feeder-audit">
      <path value="CLUSTER.items.feeder_audit"/>
      <short
             value="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
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.feeder_audit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.null-flavour">
      <path value="CLUSTER.items.null_flavour"/>
      <short value="Flavour of null value, e."/>
      <definition
                  value="Flavour of null value, e.g. `253|unknown|`, `271|no information|`, `272|masked|`, and `273|not applicable|`."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.null_flavour"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.value">
      <path value="CLUSTER.items.value"/>
      <short value="Property representing leaf value object of `ELEMENT`."/>
      <definition
                  value="Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV_TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0001.null-reason">
      <path value="CLUSTER.items.null_reason"/>
      <short
             value="Optional specific reason for null value; if set, `_null_flavour_` must be set."/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.null_reason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002">
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-group"/>
        </extension>
        <extension url="value">
          <valueString value="Items"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/tools/StructureDefinition/view-hint">
        <extension url="name">
          <valueCode value="element-view-order"/>
        </extension>
        <extension url="value">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <path value="CLUSTER.items"/>
      <sliceName value="at0002"/>
      <label value="at0002"/>
      <short value="Excluded Symptom"/>
      <definition
                  value="Identification of the specific symptom to which the Exclusion Statement applies."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CLUSTER.items"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ELEMENT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.name">
      <path value="CLUSTER.items.name"/>
      <short
             value="Runtime name of this fragment, used to build runtime paths."/>
      <definition
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.name"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.archetype-node-id">
      <path value="CLUSTER.items.archetype_node_id"/>
      <short
             value="Design-time archetype identifier of this node taken from its generating archetype; used to build archetype paths."/>
      <definition
                  value="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. 

At 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 value="1"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_node_id"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.uid">
      <path value="CLUSTER.items.uid"/>
      <short
             value="Optional globally unique object identifier for root points of archetyped structures."/>
      <definition
                  value="Optional globally unique object identifier for root points of archetyped structures."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.uid"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/UID-BASED-ID"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.links">
      <path value="CLUSTER.items.links"/>
      <short
             value="Links to other archetyped structures (data whose root object inherits from `ARCHETYPED`, such as `ENTRY`, `SECTION` and so on)."/>
      <definition
                  value="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 value="0"/>
      <max value="*"/>
      <base>
        <path value="LOCATABLE.links"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/LINK"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.archetype-details">
      <path value="CLUSTER.items.archetype_details"/>
      <short value="Details of archetyping used on this node."/>
      <definition value="Details of archetyping used on this node."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.archetype_details"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ARCHETYPED"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.feeder-audit">
      <path value="CLUSTER.items.feeder_audit"/>
      <short
             value="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
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="LOCATABLE.feeder_audit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/FEEDER-AUDIT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.null-flavour">
      <path value="CLUSTER.items.null_flavour"/>
      <short value="Flavour of null value, e."/>
      <definition
                  value="Flavour of null value, e.g. `253|unknown|`, `271|no information|`, `272|masked|`, and `273|not applicable|`."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.null_flavour"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.value">
      <path value="CLUSTER.items.value"/>
      <slicing>
        <discriminator>
          <type value="type"/>
          <path value="$this"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
      <short value="Property representing leaf value object of `ELEMENT`."/>
      <definition
                  value="Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DATA-VALUE"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.value:DV_TEXT">
      <path value="CLUSTER.items.value"/>
      <sliceName value="DV_TEXT"/>
      <short value="Property representing leaf value object of `ELEMENT`."/>
      <definition
                  value="Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV_TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.value:DV_CODED_TEXT">
      <path value="CLUSTER.items.value"/>
      <sliceName value="DV_CODED_TEXT"/>
      <short value="Property representing leaf value object of `ELEMENT`."/>
      <definition
                  value="Property representing leaf value object of `ELEMENT`. In real data, any concrete subtype of `DATA_VALUE` can be used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV_CODED_TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
    <element id="CLUSTER.items:at0002.null-reason">
      <path value="CLUSTER.items.null_reason"/>
      <short
             value="Optional specific reason for null value; if set, `_null_flavour_` must be set."/>
      <definition
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path value="ELEMENT.null_reason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
      </type>
      <isModifier value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="CLUSTER">
      <path value="CLUSTER"/>
      <label value="at0000"/>
      <short value="Exclusion of a symptom or sign"/>
      <definition
                  value="Statement to explicitly record that a symptom or signe was reported as not present."/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/CLUSTER"/>
      </type>
    </element>
    <element id="CLUSTER.items">
      <path value="CLUSTER.items"/>
      <slicing>
        <discriminator>
          <type value="profile"/>
          <path value="$this"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
    </element>
    <element id="CLUSTER.items:at0001">
      <path value="CLUSTER.items"/>
      <sliceName value="at0001"/>
      <label value="at0001"/>
      <short value="Exclusion Statement"/>
      <definition
                  value="A statement about the exclusion of known symptoms in the health record."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ELEMENT"/>
      </type>
    </element>
    <element id="CLUSTER.items:at0001.value">
      <path value="CLUSTER.items.value"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV_TEXT"/>
      </type>
    </element>
    <element id="CLUSTER.items:at0002">
      <path value="CLUSTER.items"/>
      <sliceName value="at0002"/>
      <label value="at0002"/>
      <short value="Excluded Symptom"/>
      <definition
                  value="Identification of the specific symptom to which the Exclusion Statement applies."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/ELEMENT"/>
      </type>
    </element>
    <element id="CLUSTER.items:at0002.value">
      <path value="CLUSTER.items.value"/>
      <slicing>
        <discriminator>
          <type value="type"/>
          <path value="$this"/>
        </discriminator>
        <rules value="closed"/>
      </slicing>
    </element>
    <element id="CLUSTER.items:at0002.value:DV_TEXT">
      <path value="CLUSTER.items.value"/>
      <sliceName value="DV_TEXT"/>
      <type>
        <code value="http://openehr.org/fhir/StructureDefinition/DV_TEXT"/>
      </type>
    </element>
    <element id="CLUSTER.items:at0002.value:DV_CODED_TEXT">
      <path value="CLUSTER.items.value"/>
      <sliceName value="DV_CODED_TEXT"/>
      <type>
        <code
              value="http://openehr.org/fhir/StructureDefinition/DV_CODED_TEXT"/>
      </type>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="http://hl7.org/fhir/uv/symptoms/ValueSet/openEHR-EHR-CLUSTER.exclusion-symptom-sign.v0.at0002"/>
      </binding>
    </element>
  </differential>
</StructureDefinition>