OpenEHR Base package
0.1.0 - First Draft
OpenEHR Base package
0.1.0 - First Draft
OpenEHR Base package, published by openEHR + HL7. 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/openehr-fhir/base-spec/ and changes regularly. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 3 |
XML representation of the ISM-TRANSITION logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="ISM-TRANSITION"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition ISM-TRANSITION</b></p><a name="ISM-TRANSITION"> </a><a name="hcISM-TRANSITION"> </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 & 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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION" title="Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. ">ISM_TRANSITION</a><a name="ISM_TRANSITION"> </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"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R5/conformance-rules.html#constraints" title="This element has or is affected by constraints ( Current_state_valid, Transition_valid )">C</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">0..*</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="StructureDefinition-PATHABLE.html">PATHABLE</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">Model of a transition in the Instruction State Machine, caused by a careflow step.<br class="constraint"/><span title="null" class="constraint">Constraints: </span><span style="font-weight:bold" title="Current state valid" class="constraint">Current_state_valid</span><span title="null" class="constraint">, </span><span style="font-weight:bold" title="Transition valid must be present" class="constraint">Transition_valid</span><br/></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_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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-ISM-TRANSITION-definitions.html#ISM_TRANSITION.current-state" title="The ISM current state. Coded by openEHR terminology group Instruction states.">current_state</a><a name="ISM_TRANSITION.current_state"> </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">1..1</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="StructureDefinition-DV-CODED-TEXT.html">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">The ISM current state.</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_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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-ISM-TRANSITION-definitions.html#ISM_TRANSITION.transition" title="The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group Instruction transitions.">transition</a><a name="ISM_TRANSITION.transition"> </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="StructureDefinition-DV-CODED-TEXT.html">DV_CODED_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">The ISM transition which occurred to arrive in the current_state.</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_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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-ISM-TRANSITION-definitions.html#ISM_TRANSITION.careflow-step" title="The step in the careflow process which occurred as part of generating this action, e.g. dispense , start_administration. This attribute represents the clinical label for the activity, as opposed to current_state which represents the state machine (ISM) computable form. Defined in archetype.">careflow_step</a><a name="ISM_TRANSITION.careflow_step"> </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">0..1</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="StructureDefinition-DV-CODED-TEXT.html">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">The step in the careflow process which occurred as part of generating this action, e.</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_bck00.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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-ISM-TRANSITION-definitions.html#ISM_TRANSITION.reason" title="Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example.">reason</a><a name="ISM_TRANSITION.reason"> </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..*</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="StructureDefinition-DV-TEXT.html">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">Optional possibility of adding one or more reasons for this careflow step having been taken.<br/></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/tools/StructureDefinition/web-source">
<valueUrl
value="https://specifications.openehr.org/releases/RM/development/ehr.html#_ism_transition_class"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/type-operation">
<valueCanonical value="#parent"/>
</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="3">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://openehr.org/fhir/ImplementationGuide/openehr.base"/>
</extension>
</valueCode>
</extension>
<url value="http://openehr.org/fhir/StructureDefinition/ISM-TRANSITION"/>
<version value="0.1.0"/>
<name value="ISM_TRANSITION"/>
<title value="ISM_TRANSITION"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-06T15:35:39+10:00"/>
<publisher value="openEHR + HL7"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.openehr.org"/>
</telecom>
</contact>
<description
value="Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. "/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<fhirVersion value="5.0.0"/>
<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/ISM_TRANSITION"/>
<baseDefinition
value="http://openehr.org/fhir/StructureDefinition/PATHABLE"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="0.1.0"/>
</extension>
<element id="ISM_TRANSITION">
<path value="ISM_TRANSITION"/>
<short
value="Model of a transition in the Instruction State Machine, caused by a careflow step."/>
<definition
value="Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. "/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="Current_state_valid"/>
<severity value="error"/>
<human value="Current state valid"/>
<expression value="null # TODO: manual translation needed"/>
</constraint>
<constraint>
<key value="Transition_valid"/>
<severity value="error"/>
<human value="Transition valid must be present"/>
<expression
value="transition.exists() implies terminology (Terminology_id_openehr).\nhas_code_for_group_id (Group_id_instruction_transitions, transition.defining_code)"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="ISM_TRANSITION.current-state">
<path value="ISM_TRANSITION.current_state"/>
<short value="The ISM current state."/>
<definition
value="The ISM current state. Coded by openEHR terminology group Instruction states."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="ISM_TRANSITION.current_state"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
</type>
<isModifier value="false"/>
</element>
<element id="ISM_TRANSITION.transition">
<path value="ISM_TRANSITION.transition"/>
<short
value="The ISM transition which occurred to arrive in the current_state."/>
<definition
value="The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group Instruction transitions."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ISM_TRANSITION.transition"/>
<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="ISM_TRANSITION.careflow-step">
<path value="ISM_TRANSITION.careflow_step"/>
<short
value="The step in the careflow process which occurred as part of generating this action, e."/>
<definition
value="The step in the careflow process which occurred as part of generating this action, e.g. dispense , start_administration. This attribute represents the clinical label for the activity, as opposed to current_state which represents the state machine (ISM) computable form. Defined in archetype."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="ISM_TRANSITION.careflow_step"/>
<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="ISM_TRANSITION.reason">
<path value="ISM_TRANSITION.reason"/>
<short
value="Optional possibility of adding one or more reasons for this careflow step having been taken."/>
<definition
value="Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="ISM_TRANSITION.reason"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
</type>
<isModifier value="false"/>
</element>
</snapshot>
<differential>
<element id="ISM_TRANSITION">
<path value="ISM_TRANSITION"/>
<short
value="Model of a transition in the Instruction State Machine, caused by a careflow step."/>
<definition
value="Model of a transition in the Instruction State Machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. "/>
<min value="0"/>
<max value="*"/>
<constraint>
<key value="Current_state_valid"/>
<severity value="error"/>
<human value="Current state valid"/>
<expression value="null # TODO: manual translation needed"/>
</constraint>
<constraint>
<key value="Transition_valid"/>
<severity value="error"/>
<human value="Transition valid must be present"/>
<expression
value="transition.exists() implies terminology (Terminology_id_openehr).\nhas_code_for_group_id (Group_id_instruction_transitions, transition.defining_code)"/>
</constraint>
<isModifier value="false"/>
</element>
<element id="ISM_TRANSITION.current-state">
<path value="ISM_TRANSITION.current_state"/>
<short value="The ISM current state."/>
<definition
value="The ISM current state. Coded by openEHR terminology group Instruction states."/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
</type>
<isModifier value="false"/>
</element>
<element id="ISM_TRANSITION.transition">
<path value="ISM_TRANSITION.transition"/>
<short
value="The ISM transition which occurred to arrive in the current_state."/>
<definition
value="The ISM transition which occurred to arrive in the current_state. Coded by openEHR terminology group Instruction transitions."/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
</type>
<isModifier value="false"/>
</element>
<element id="ISM_TRANSITION.careflow-step">
<path value="ISM_TRANSITION.careflow_step"/>
<short
value="The step in the careflow process which occurred as part of generating this action, e."/>
<definition
value="The step in the careflow process which occurred as part of generating this action, e.g. dispense , start_administration. This attribute represents the clinical label for the activity, as opposed to current_state which represents the state machine (ISM) computable form. Defined in archetype."/>
<min value="0"/>
<max value="1"/>
<type>
<code
value="http://openehr.org/fhir/StructureDefinition/DV-CODED-TEXT"/>
</type>
<isModifier value="false"/>
</element>
<element id="ISM_TRANSITION.reason">
<path value="ISM_TRANSITION.reason"/>
<short
value="Optional possibility of adding one or more reasons for this careflow step having been taken."/>
<definition
value="Optional possibility of adding one or more reasons for this careflow step having been taken. Multiple reasons may occur in medication management for example."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="http://openehr.org/fhir/StructureDefinition/DV-TEXT"/>
</type>
<isModifier value="false"/>
</element>
</differential>
</StructureDefinition>