Generated Narrative: StructureDefinition ClinicalConsultationModel Name Flags Card. Type Description & Constraints ClinicalConsultationModel 0..* Base KPS.B Clinical Consultation #xD; allergy 0..* BackboneElement Documented allergies or intolerances #xD; allergen 1..1 string Substance or agent triggering the reaction Binding: SubstanceCode (required) #xD; propensityType 1..1 code Allergy, intolerance, or unknown Binding: Allergy Type (required) #xD; description 0..1 string Text description of the allergy or intolerance #xD; severity 0..1 code Severity of the clinical manifestation of the allergic reaction. Binding: Allergy Severity (required) #xD; criticality 0..1 code Risk of future life-threatening adverse reactions #xD; onsetDate 0..1 date Date the allergy was observed #xD; onsetAge 0..1 Age Age at onset of the allergy #xD; endDate 0..1 date Date of resolution of the allergy #xD; allergyStatus 1..1 code Current status of the allergy Binding: Allergy Clinical Status (required) #xD; allergyCertainty 0..1 code Certainty about the reaction's presence #xD; medicalAlert 0..* BackboneElement Medical alert information #xD; description 1..1 string Description of the alert #xD; alertCode 0..1 code Priority level #xD; status 0..1 code Alert status (active/inactive/etc) #xD; resolvedProblem 0..* BackboneElement Past resolved/closed/inactive problems #xD; description 1..1 string Problem or diagnosis #xD; onsetDate 0..1 date Date of problem onset #xD; endDate 0..1 date Resolution date #xD; resolutionCircumstances 0..1 string How the problem was resolved #xD; medicalHistory 0..1 string Narrative or synthesized summary of the client’s medical background #xD; currentProblem 0..* BackboneElement Current diagnoses and health conditions #xD; condition 1..1 string Problem or diagnosis #xD; clinicalStatus 0..1 code Clinical state (active, recurrence, relapse) #xD; verificationStatus 0..1 code Certainty of diagnosis (confirmed, differential) #xD; conditionCategory 0..1 code Problem list or encounter diagnosis #xD; conditionEncounter 0..1 string Encounter when the condition was first recorded #xD; severity 0..1 code Clinical severity #xD; bodySite 0..1 string Anatomical location #xD; onsetDate 0..1 date Date of onset #xD; onsetAge 0..1 string Age at onset #xD; assertionStatus 0..1 code Assertion about diagnosis certainty #xD; socialHistory 0..* BackboneElement Lifestyle factors or social determinants #xD; observation 1..1 string Social history observation #xD; referencePeriod 0..1 string Time period of observation #xD; pregnancyStatus 0..1 BackboneElement Current pregnancy status #xD; status 1..1 code Pregnancy status #xD; observationDate 0..1 date Date of pregnancy observation #xD; expectedDeliveryDate 0..1 date Estimated due date #xD; previousPregnancy 0..* BackboneElement Previous pregnancy details #xD; status 1..1 code Has the client been pregnant before? #xD; outcome 0..1 code Pregnancy outcome #xD; outcomeDate 0..1 date Date of pregnancy outcome #xD; numberOfChildren 0..1 integer Number of children/fetuses in the pregnancy #xD; travelHistory 0..* BackboneElement Client travel history #xD; destination 1..1 string Destination of travel #xD; period 0..1 string Period of travel (entry and departure dates) #xD; Documentation for this format
Digital Health Agency of Kenya – Interoperability Team
Logical model for documenting clinical consultation data under the Kenya Patient Summary (KPS.B) standard.
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All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Substance or agent triggering the reaction
Text description of the allergy or intolerance
Severity of the clinical manifestation of the allergic reaction.
Risk of future life-threatening adverse reactions
Narrative or synthesized summary of the client’s medical background
Clinical state (active, recurrence, relapse)
Certainty of diagnosis (confirmed, differential)
Encounter when the condition was first recorded
Lifestyle factors or social determinants
Number of children/fetuses in the pregnancy
Period of travel (entry and departure dates)