WHO SMART Guideline: Surveillance and Outbreak Toolkit
0.2.1 - CI Build International flag

WHO SMART Guideline: Surveillance and Outbreak Toolkit, published by WHO. This is not an authorized publication; it is the continuous build for version 0.2.1. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ot and changes regularly. See the Directory of published versions

Logical Model: SOTT1Clinical - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1Clinical logical model.

Guidance on how to interpret the contents of this table can be found here

0. SOTT1Clinical
ShortSurveillance & Outbreak Toolkit T1 Clinical
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1Clinical.courseOfDisease
Definition

Course of Disease

ShortCourse of Disease
Control1..1
TypeBackboneElement
4. SOTT1Clinical.courseOfDisease.symptomOnsetDate
Definition

date of first appearance of the signs or symptoms of the illness/disease.

Shortdate of onset of symptoms*:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. SOTT1Clinical.courseOfDisease.presentedToHCFDate
Definition

date the case first presentated to health facility. Caution: review potential duplicate data capturing with Section 1 before inclusion.

ShortFor this episode, date first presented to health facility:___/___/_____
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. SOTT1Clinical.courseOfDisease.admitted
Definition

Was the case hospitalized, admitted to a hospital or other health facility as an inpatient?

ShortCurrently admitted in health facility ?:
Control1..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. SOTT1Clinical.courseOfDisease.admittedHCFName
Definition

If case admitted, name of the health facility where the case was admitted.

Shortname:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. SOTT1Clinical.courseOfDisease.outcome
Definition

Outcome of illness. Where possible, verify status after a suitable period of time [user defined] and update.

ShortOutcome of illness* (circle):
Control1..1
BindingThe codes SHALL be taken from Patient Clinical Course Outcome
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. SOTT1Clinical.courseOfDisease.outcomeEvaluatedDate
Definition

date if the case abandon, recover or died

Shortdate outcome was evaluated:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. SOTT1Clinical.courseOfDisease.outcomeDate
Definition

date if the case abandon, recover or died

Shortdate* of recovery, default or death:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1Clinical.courseOfDisease.sequelae
Definition

Complications of disease. To be defined based on disease. Is there a pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSequelae after recovery
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. SOTT1Clinical.courseOfDisease.specifySequelae
Definition

Describe this pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSpecify sequelae
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1Clinical.courseOfDisease.diseaseAdditionalInfo
Definition

Additional information about the development of the disease over time

ShortMore on course of disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. SOTT1Clinical.onSetType
Definition

Was the onset of the disease unexpected and sudden?

ShortOnset:
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1Clinical.fever
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortHistory of fever
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. SOTT1Clinical.temperature
Definition

Measured body temperature

ShortTemperature (degrees):
Control0..1
TypeQuantity
30. SOTT1Clinical.chills
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortChills
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. SOTT1Clinical.sweat
Definition

Sweating or Perspiration

ShortProfuse sweating
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. SOTT1Clinical.intensePain
Definition

Indicate site(s) of intense pain: headaches (pain anywhere in the region of the head or neck), myalgia (abnormal pain in the muscles), arthralgia (abnormal pain in one or more joints), back pain, chest pain, general pain, other site

ShortIntense pain
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. SOTT1Clinical.headache
Definition

Head pain (headache)

ShortHead pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. SOTT1Clinical.musclePain
Definition

Muscular pain

ShortMuscular pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. SOTT1Clinical.chestPain
Definition

Chest pain

ShortChest pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. SOTT1Clinical.abdominalPain
Definition

Stomach or abdominal pain or cramping, acute or chronic, localized or diffuse pain in the abdominal cavity.

ShortAbdominal pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. SOTT1Clinical.jointPain
Definition

Joint pain

ShortJoint pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. SOTT1Clinical.otherSymptoms
Definition

Other symptoms, specify:

ShortOther, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. SOTT1Clinical.bleeding
Definition

If bleeding reported or observed, indicate site of abnormal bleeding: gums, mouth, nose, vomit, stool, urine, vagina, at or from injection sites.

ShortObserved abnormal bleeding
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. SOTT1Clinical.sunkenEyes
Definition

Thrust, sukken eyes, skinfold

ShortDehydration (thirst, sunken eyes/skin pinch)
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. SOTT1Clinical.shock
Definition

Septic, haemorrhagic or cardiogenic shock

ShortSigns of shock
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. SOTT1Clinical.fatigue
Definition

Intense fatigue, an abnormal state of drowsiness (lethargy or feeling lethargic), cannot conduct daily activity, lack of strengh

ShortIntense fatique or weakness
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. SOTT1Clinical.height
Definition

Height (in meters/centimeters or in foot/inches)

ShortHeight
Control0..1
TypeQuantity
58. SOTT1Clinical.weight
Definition

Weight measured in kilograms

ShortWeight
Control0..1
TypeQuantity
60. SOTT1Clinical.otherSignsSymptoms
Definition

Other signs, specify:

ShortOther signs and symptoms, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
62. SOTT1Clinical.complains
Definition

List complains

ShortMain complains expressed by the patient
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. SOTT1Clinical.cardiology
Definition

Cardiology

ShortCardiology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCardiology
66. SOTT1Clinical.respiratory
Definition

Respiratory

ShortRespiratory
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalRespiratory
68. SOTT1Clinical.gastrointestinal
Definition

Gastrointestinal

ShortGastrointestinal
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalGastroIntestinal
70. SOTT1Clinical.neurology
Definition

Neurology

ShortNeurology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalNeurology
72. SOTT1Clinical.cutaneous
Definition

Cutaneous

ShortCutaneous
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCutaneous
74. SOTT1Clinical.ENT
Definition

Ear Nose and Throat

ShortEar Nose and Throat
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalENT
76. SOTT1Clinical.urogynecology
Definition

Urogynecology

ShortUrogynecology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1Urogynecology
78. SOTT1Clinical.comorbidity
Definition

Comorbidity or underlying conditions

ShortComorbidity or underlying conditions
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalComorbidity
80. SOTT1Clinical.treatments
Definition

Treatments

ShortTreatments
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalTreatments
82. SOTT1Clinical.vaccination
Definition

Vaccination

ShortVaccination
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalVaccination

Guidance on how to interpret the contents of this table can be found here

0. SOTT1Clinical
Definition

Base definition for all elements that are defined inside a resource - but not those in a data type.

ShortSurveillance & Outbreak Toolkit T1 ClinicalBase for elements defined inside a resource
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. SOTT1Clinical.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
4. SOTT1Clinical.courseOfDisease
Definition

Course of Disease

ShortCourse of Disease
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. SOTT1Clinical.courseOfDisease.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. SOTT1Clinical.courseOfDisease.symptomOnsetDate
Definition

date of first appearance of the signs or symptoms of the illness/disease.

Shortdate of onset of symptoms*:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. SOTT1Clinical.courseOfDisease.presentedToHCFDate
Definition

date the case first presentated to health facility. Caution: review potential duplicate data capturing with Section 1 before inclusion.

ShortFor this episode, date first presented to health facility:___/___/_____
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. SOTT1Clinical.courseOfDisease.admitted
Definition

Was the case hospitalized, admitted to a hospital or other health facility as an inpatient?

ShortCurrently admitted in health facility ?:
Control1..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. SOTT1Clinical.courseOfDisease.admittedHCFName
Definition

If case admitted, name of the health facility where the case was admitted.

Shortname:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. SOTT1Clinical.courseOfDisease.outcome
Definition

Outcome of illness. Where possible, verify status after a suitable period of time [user defined] and update.

ShortOutcome of illness* (circle):
Control1..1
BindingThe codes SHALL be taken from Patient Clinical Course Outcome
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1Clinical.courseOfDisease.outcomeEvaluatedDate
Definition

date if the case abandon, recover or died

Shortdate outcome was evaluated:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. SOTT1Clinical.courseOfDisease.outcomeDate
Definition

date if the case abandon, recover or died

Shortdate* of recovery, default or death:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1Clinical.courseOfDisease.sequelae
Definition

Complications of disease. To be defined based on disease. Is there a pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSequelae after recovery
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. SOTT1Clinical.courseOfDisease.specifySequelae
Definition

Describe this pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSpecify sequelae
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1Clinical.courseOfDisease.diseaseAdditionalInfo
Definition

Additional information about the development of the disease over time

ShortMore on course of disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. SOTT1Clinical.onSetType
Definition

Was the onset of the disease unexpected and sudden?

ShortOnset:
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. SOTT1Clinical.fever
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortHistory of fever
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. SOTT1Clinical.temperature
Definition

Measured body temperature

ShortTemperature (degrees):
Control0..1
TypeQuantity
34. SOTT1Clinical.chills
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortChills
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. SOTT1Clinical.sweat
Definition

Sweating or Perspiration

ShortProfuse sweating
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. SOTT1Clinical.intensePain
Definition

Indicate site(s) of intense pain: headaches (pain anywhere in the region of the head or neck), myalgia (abnormal pain in the muscles), arthralgia (abnormal pain in one or more joints), back pain, chest pain, general pain, other site

ShortIntense pain
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. SOTT1Clinical.headache
Definition

Head pain (headache)

ShortHead pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. SOTT1Clinical.musclePain
Definition

Muscular pain

ShortMuscular pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. SOTT1Clinical.chestPain
Definition

Chest pain

ShortChest pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. SOTT1Clinical.abdominalPain
Definition

Stomach or abdominal pain or cramping, acute or chronic, localized or diffuse pain in the abdominal cavity.

ShortAbdominal pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. SOTT1Clinical.jointPain
Definition

Joint pain

ShortJoint pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. SOTT1Clinical.otherSymptoms
Definition

Other symptoms, specify:

ShortOther, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. SOTT1Clinical.bleeding
Definition

If bleeding reported or observed, indicate site of abnormal bleeding: gums, mouth, nose, vomit, stool, urine, vagina, at or from injection sites.

ShortObserved abnormal bleeding
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. SOTT1Clinical.sunkenEyes
Definition

Thrust, sukken eyes, skinfold

ShortDehydration (thirst, sunken eyes/skin pinch)
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. SOTT1Clinical.shock
Definition

Septic, haemorrhagic or cardiogenic shock

ShortSigns of shock
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. SOTT1Clinical.fatigue
Definition

Intense fatigue, an abnormal state of drowsiness (lethargy or feeling lethargic), cannot conduct daily activity, lack of strengh

ShortIntense fatique or weakness
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. SOTT1Clinical.height
Definition

Height (in meters/centimeters or in foot/inches)

ShortHeight
Control0..1
TypeQuantity
62. SOTT1Clinical.weight
Definition

Weight measured in kilograms

ShortWeight
Control0..1
TypeQuantity
64. SOTT1Clinical.otherSignsSymptoms
Definition

Other signs, specify:

ShortOther signs and symptoms, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
66. SOTT1Clinical.complains
Definition

List complains

ShortMain complains expressed by the patient
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. SOTT1Clinical.cardiology
Definition

Cardiology

ShortCardiology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCardiology
70. SOTT1Clinical.respiratory
Definition

Respiratory

ShortRespiratory
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalRespiratory
72. SOTT1Clinical.gastrointestinal
Definition

Gastrointestinal

ShortGastrointestinal
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalGastroIntestinal
74. SOTT1Clinical.neurology
Definition

Neurology

ShortNeurology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalNeurology
76. SOTT1Clinical.cutaneous
Definition

Cutaneous

ShortCutaneous
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCutaneous
78. SOTT1Clinical.ENT
Definition

Ear Nose and Throat

ShortEar Nose and Throat
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalENT
80. SOTT1Clinical.urogynecology
Definition

Urogynecology

ShortUrogynecology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1Urogynecology
82. SOTT1Clinical.comorbidity
Definition

Comorbidity or underlying conditions

ShortComorbidity or underlying conditions
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalComorbidity
84. SOTT1Clinical.treatments
Definition

Treatments

ShortTreatments
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalTreatments
86. SOTT1Clinical.vaccination
Definition

Vaccination

ShortVaccination
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalVaccination

Guidance on how to interpret the contents of this table can be found here

0. SOTT1Clinical
Definition

Base definition for all elements that are defined inside a resource - but not those in a data type.

ShortSurveillance & Outbreak Toolkit T1 Clinical
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. SOTT1Clinical.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. SOTT1Clinical.extension
Definition

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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on SOTT1Clinical.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
6. SOTT1Clinical.modifierExtension
Definition

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.

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. SOTT1Clinical.courseOfDisease
Definition

Course of Disease

ShortCourse of Disease
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. SOTT1Clinical.courseOfDisease.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
12. SOTT1Clinical.courseOfDisease.extension
Definition

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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on SOTT1Clinical.courseOfDisease.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
14. SOTT1Clinical.courseOfDisease.modifierExtension
Definition

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.

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. SOTT1Clinical.courseOfDisease.symptomOnsetDate
Definition

date of first appearance of the signs or symptoms of the illness/disease.

Shortdate of onset of symptoms*:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1Clinical.courseOfDisease.presentedToHCFDate
Definition

date the case first presentated to health facility. Caution: review potential duplicate data capturing with Section 1 before inclusion.

ShortFor this episode, date first presented to health facility:___/___/_____
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. SOTT1Clinical.courseOfDisease.admitted
Definition

Was the case hospitalized, admitted to a hospital or other health facility as an inpatient?

ShortCurrently admitted in health facility ?:
Control1..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1Clinical.courseOfDisease.admittedHCFName
Definition

If case admitted, name of the health facility where the case was admitted.

Shortname:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. SOTT1Clinical.courseOfDisease.outcome
Definition

Outcome of illness. Where possible, verify status after a suitable period of time [user defined] and update.

ShortOutcome of illness* (circle):
Control1..1
BindingThe codes SHALL be taken from Patient Clinical Course Outcome
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1Clinical.courseOfDisease.outcomeEvaluatedDate
Definition

date if the case abandon, recover or died

Shortdate outcome was evaluated:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. SOTT1Clinical.courseOfDisease.outcomeDate
Definition

date if the case abandon, recover or died

Shortdate* of recovery, default or death:___/___/_____
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. SOTT1Clinical.courseOfDisease.sequelae
Definition

Complications of disease. To be defined based on disease. Is there a pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSequelae after recovery
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. SOTT1Clinical.courseOfDisease.specifySequelae
Definition

Describe this pathological condition resulting from a previous disease, injury, therapy, or other trauma

ShortSpecify sequelae
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. SOTT1Clinical.courseOfDisease.diseaseAdditionalInfo
Definition

Additional information about the development of the disease over time

ShortMore on course of disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. SOTT1Clinical.onSetType
Definition

Was the onset of the disease unexpected and sudden?

ShortOnset:
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. SOTT1Clinical.fever
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortHistory of fever
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. SOTT1Clinical.temperature
Definition

Measured body temperature

ShortTemperature (degrees):
Control0..1
TypeQuantity
42. SOTT1Clinical.chills
Definition

Subjective or self-reported fever or history of feeling feverish regardless of measured body temperature.

ShortChills
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. SOTT1Clinical.sweat
Definition

Sweating or Perspiration

ShortProfuse sweating
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. SOTT1Clinical.intensePain
Definition

Indicate site(s) of intense pain: headaches (pain anywhere in the region of the head or neck), myalgia (abnormal pain in the muscles), arthralgia (abnormal pain in one or more joints), back pain, chest pain, general pain, other site

ShortIntense pain
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. SOTT1Clinical.headache
Definition

Head pain (headache)

ShortHead pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. SOTT1Clinical.musclePain
Definition

Muscular pain

ShortMuscular pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. SOTT1Clinical.chestPain
Definition

Chest pain

ShortChest pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
54. SOTT1Clinical.abdominalPain
Definition

Stomach or abdominal pain or cramping, acute or chronic, localized or diffuse pain in the abdominal cavity.

ShortAbdominal pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. SOTT1Clinical.jointPain
Definition

Joint pain

ShortJoint pain
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. SOTT1Clinical.otherSymptoms
Definition

Other symptoms, specify:

ShortOther, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. SOTT1Clinical.bleeding
Definition

If bleeding reported or observed, indicate site of abnormal bleeding: gums, mouth, nose, vomit, stool, urine, vagina, at or from injection sites.

ShortObserved abnormal bleeding
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
62. SOTT1Clinical.sunkenEyes
Definition

Thrust, sukken eyes, skinfold

ShortDehydration (thirst, sunken eyes/skin pinch)
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. SOTT1Clinical.shock
Definition

Septic, haemorrhagic or cardiogenic shock

ShortSigns of shock
Control0..1
BindingThe codes SHALL be taken from Yes No Unknown
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
66. SOTT1Clinical.fatigue
Definition

Intense fatigue, an abnormal state of drowsiness (lethargy or feeling lethargic), cannot conduct daily activity, lack of strengh

ShortIntense fatique or weakness
Control0..1
BindingThe codes SHALL be taken from SOT Yes No
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
68. SOTT1Clinical.height
Definition

Height (in meters/centimeters or in foot/inches)

ShortHeight
Control0..1
TypeQuantity
70. SOTT1Clinical.weight
Definition

Weight measured in kilograms

ShortWeight
Control0..1
TypeQuantity
72. SOTT1Clinical.otherSignsSymptoms
Definition

Other signs, specify:

ShortOther signs and symptoms, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
74. SOTT1Clinical.complains
Definition

List complains

ShortMain complains expressed by the patient
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
76. SOTT1Clinical.cardiology
Definition

Cardiology

ShortCardiology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCardiology
78. SOTT1Clinical.respiratory
Definition

Respiratory

ShortRespiratory
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalRespiratory
80. SOTT1Clinical.gastrointestinal
Definition

Gastrointestinal

ShortGastrointestinal
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalGastroIntestinal
82. SOTT1Clinical.neurology
Definition

Neurology

ShortNeurology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalNeurology
84. SOTT1Clinical.cutaneous
Definition

Cutaneous

ShortCutaneous
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalCutaneous
86. SOTT1Clinical.ENT
Definition

Ear Nose and Throat

ShortEar Nose and Throat
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalENT
88. SOTT1Clinical.urogynecology
Definition

Urogynecology

ShortUrogynecology
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1Urogynecology
90. SOTT1Clinical.comorbidity
Definition

Comorbidity or underlying conditions

ShortComorbidity or underlying conditions
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalComorbidity
92. SOTT1Clinical.treatments
Definition

Treatments

ShortTreatments
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalTreatments
94. SOTT1Clinical.vaccination
Definition

Vaccination

ShortVaccination
Control0..1
Typehttp://worldhealthorganization.github.io/smart-ot/StructureDefinition/SOTT1ClinicalVaccination