LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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• TTL

Resource Profile: List - Medical History

Documents the medical history for the patient

Usage:

• Examples for this Resource Profile: List/MedicalHistoryListExample

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List		0..*	List	A list is a curated collection of resources
status		1..1	code	current | retired | entered-in-error Required Pattern: current
title		1..1	string	Descriptive name for the list Required Pattern: Medical History
code		1..1	CodeableConcept	What the purpose of this list is Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
subject		1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date		1..1	dateTime	When the list was prepared
source		1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
Slices for entry		1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:PastMedicalHistory	S	0..*	BackboneElement	Entries in the list
flag		1..1	CodeableConcept	Status/Workflow information about this item
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	S	0..*	BackboneElement	Entries in the list
flag		1..1	CodeableConcept	Status/Workflow information about this item
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
item		1..1	Reference(Medical History | Medical History)	Actual entry
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	1..1	string	Descriptive name for the list Required Pattern: Medical History
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
subject	Σ	1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date	Σ	1..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
Slices for entry	C	1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Resource)	Actual entry
entry:PastMedicalHistory	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Medical History | Medical History)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	Pattern: LOINC Code LP73189-0 http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.entry:PastMedicalHistory.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:CurrentMedicalInformation.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	1..1	string	Descriptive name for the list Required Pattern: Medical History
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date	Σ	1..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
Slices for entry	C	1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Resource)	Actual entry
entry:PastMedicalHistory	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Medical History | Medical History)	Actual entry
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	Pattern: LOINC Code LP73189-0 http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:PastMedicalHistory.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:CurrentMedicalInformation.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Patient (http://fhir.health.gov.lk/ips/StructureDefinition/ips-patient)
• Target Facility Encounter (http://fhir.health.gov.lk/ips/StructureDefinition/target-facility-encounter)
• Practitioner (http://fhir.health.gov.lk/ips/StructureDefinition/practitioner)
• Medical History (http://fhir.health.gov.lk/ips/StructureDefinition/medical-history)
• Medical History (http://fhir.health.gov.lk/ips/StructureDefinition/no-medical-history)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of List.entry

Differential View

This structure is derived from List

Name	Flags	Card.	Type	Description & Constraints
List		0..*	List	A list is a curated collection of resources
status		1..1	code	current | retired | entered-in-error Required Pattern: current
title		1..1	string	Descriptive name for the list Required Pattern: Medical History
code		1..1	CodeableConcept	What the purpose of this list is Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
subject		1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date		1..1	dateTime	When the list was prepared
source		1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
Slices for entry		1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:PastMedicalHistory	S	0..*	BackboneElement	Entries in the list
flag		1..1	CodeableConcept	Status/Workflow information about this item
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	S	0..*	BackboneElement	Entries in the list
flag		1..1	CodeableConcept	Status/Workflow information about this item
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
item		1..1	Reference(Medical History | Medical History)	Actual entry
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	1..1	string	Descriptive name for the list Required Pattern: Medical History
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
subject	Σ	1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date	Σ	1..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
Slices for entry	C	1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Resource)	Actual entry
entry:PastMedicalHistory	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	SC	0..*	BackboneElement	Entries in the list
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
item		1..1	Reference(Medical History | Medical History)	Actual entry
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	Pattern: LOINC Code LP73189-0 http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.entry:PastMedicalHistory.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:CurrentMedicalInformation.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
List	C	0..*	List	A list is a curated collection of resources lst-1: A list can only have an emptyReason if it is empty lst-2: The deleted flag can only be used if the mode of the list is "changes" lst-3: An entry date can only be used if the mode of the list is "working"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business identifier
status	?!Σ	1..1	code	current | retired | entered-in-error Binding: ListStatus (required): The current state of the list. Required Pattern: current
mode	?!Σ	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this list.
title	Σ	1..1	string	Descriptive name for the list Required Pattern: Medical History
code	Σ	1..1	CodeableConcept	What the purpose of this list is Binding: ExampleUseCodesForList (example): What the purpose of a list is. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP73189-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient)	If all resources have the same subject
encounter		1..1	Reference(Target Facility Encounter)	Context in which list created
date	Σ	1..1	dateTime	When the list was prepared
source	Σ	1..1	Reference(Practitioner)	Who and/or what defined the list contents (aka Author)
orderedBy		0..1	CodeableConcept	What order the list has Binding: ListOrderCodes (preferred): What order applies to the items in a list.
note		0..*	Annotation	Comments about the list
Slices for entry	C	1..*	BackboneElement	Entries in the list Slice: Unordered, Open by value:flag.coding
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		0..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Resource)	Actual entry
entry:PastMedicalHistory	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74217-8
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Medical History | Medical History)	Actual entry
entry:CurrentMedicalInformation	SC	0..*	BackboneElement	Entries in the list
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
flag		1..1	CodeableConcept	Status/Workflow information about this item Binding: PatientMedicineChangeTypes (example): Codes that provide further information about the reason and meaning of the item in the list.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LP74664-1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
deleted	?!C	0..1	boolean	If this item is actually marked as deleted
date		0..1	dateTime	When item added to list
item		1..1	Reference(Medical History | Medical History)	Actual entry
emptyReason	C	0..1	CodeableConcept	Why list is empty Binding: ListEmptyReasons (preferred): If a list is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
List.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
List.status	required	Pattern: current http://hl7.org/fhir/ValueSet/list-status|4.0.1 from the FHIR Standard
List.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
List.code	example	Pattern: LOINC Code LP73189-0 http://hl7.org/fhir/ValueSet/list-example-codes from the FHIR Standard
List.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
List.entry.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:PastMedicalHistory.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.entry:CurrentMedicalInformation.flag	example	PatientMedicineChangeTypes http://hl7.org/fhir/ValueSet/list-item-flag from the FHIR Standard
List.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	List	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	List	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	List	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	List	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	List	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
lst-1	error	List	A list can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
lst-2	error	List	The deleted flag can only be used if the mode of the list is "changes" : mode = 'changes' or entry.deleted.empty()
lst-3	error	List	An entry date can only be used if the mode of the list is "working" : mode = 'working' or entry.date.empty()

This structure is derived from List

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Patient (http://fhir.health.gov.lk/ips/StructureDefinition/ips-patient)
• Target Facility Encounter (http://fhir.health.gov.lk/ips/StructureDefinition/target-facility-encounter)
• Practitioner (http://fhir.health.gov.lk/ips/StructureDefinition/practitioner)
• Medical History (http://fhir.health.gov.lk/ips/StructureDefinition/medical-history)
• Medical History (http://fhir.health.gov.lk/ips/StructureDefinition/no-medical-history)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of List.entry

Other representations of profile: CSV, Excel, Schematron