WHO SMART Guideline: Surveillance and Outbreak Toolkit
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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: SOTT1ClinicalCardiology - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1ClinicalCardiology logical model.

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

0. SOTT1ClinicalCardiology
ShortSurveillance & Outbreak Toolkit T1 Clinical - Cardiology
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1ClinicalCardiology.heartrate
Definition

beats per minute

ShortHeart rate (beats per min)
Control0..1
TypeQuantity
4. SOTT1ClinicalCardiology.crt
Definition

Capillary refill time (CRT) is defined as the time taken for color to return to an external capillary bed after pressure is applied to cause blanching

ShortCapillary refill time> 3 sec
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
6. SOTT1ClinicalCardiology.sysBp
Definition

in mm Hg

ShortSystolic blood pressure
Control0..1
TypeQuantity
8. SOTT1ClinicalCardiology.diaBp
Definition

in mm Hg

ShortDiastolic blood pressure
Control0..1
TypeQuantity
10. SOTT1ClinicalCardiology.cardiacDisorders
Definition

Presence of accelerated pulse, weak pulse, difficulty breathing when performing low llevel effort, chest pain, thoracic oppression, peripheral oedema, low blood pressure, delay capillary refill

ShortObserved cardiac disorders
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
12. SOTT1ClinicalCardiology.weakPulse
Definition

Difficult perception of peripheral pulse

ShortWeak pulse
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
14. SOTT1ClinicalCardiology.cardiacFailure
Definition

Include signs: pulmonary oedemas, low peripheral blood pressure, oedema, delayed capillary refill,

ShortSigns of cardiac failure
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
16. SOTT1ClinicalCardiology.cardiacAuscultation
Definition

Abnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)

ShortAbnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)
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
18. SOTT1ClinicalCardiology.oedema
Definition

Oedema at the extremities (lower legs, hands)

ShortPeripheral oedemas
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
20. SOTT1ClinicalCardiology.otherCardiacSigns
Definition

Describe other cardiac signs

ShortOther cardiac signs
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. SOTT1ClinicalCardiology
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - CardiologyBase 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. SOTT1ClinicalCardiology.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. SOTT1ClinicalCardiology.heartrate
Definition

beats per minute

ShortHeart rate (beats per min)
Control0..1
TypeQuantity
6. SOTT1ClinicalCardiology.crt
Definition

Capillary refill time (CRT) is defined as the time taken for color to return to an external capillary bed after pressure is applied to cause blanching

ShortCapillary refill time> 3 sec
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
8. SOTT1ClinicalCardiology.sysBp
Definition

in mm Hg

ShortSystolic blood pressure
Control0..1
TypeQuantity
10. SOTT1ClinicalCardiology.diaBp
Definition

in mm Hg

ShortDiastolic blood pressure
Control0..1
TypeQuantity
12. SOTT1ClinicalCardiology.cardiacDisorders
Definition

Presence of accelerated pulse, weak pulse, difficulty breathing when performing low llevel effort, chest pain, thoracic oppression, peripheral oedema, low blood pressure, delay capillary refill

ShortObserved cardiac disorders
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
14. SOTT1ClinicalCardiology.weakPulse
Definition

Difficult perception of peripheral pulse

ShortWeak pulse
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
16. SOTT1ClinicalCardiology.cardiacFailure
Definition

Include signs: pulmonary oedemas, low peripheral blood pressure, oedema, delayed capillary refill,

ShortSigns of cardiac failure
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
18. SOTT1ClinicalCardiology.cardiacAuscultation
Definition

Abnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)

ShortAbnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)
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
20. SOTT1ClinicalCardiology.oedema
Definition

Oedema at the extremities (lower legs, hands)

ShortPeripheral oedemas
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
22. SOTT1ClinicalCardiology.otherCardiacSigns
Definition

Describe other cardiac signs

ShortOther cardiac signs
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. SOTT1ClinicalCardiology
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - Cardiology
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. SOTT1ClinicalCardiology.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. SOTT1ClinicalCardiology.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 SOTT1ClinicalCardiology.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. SOTT1ClinicalCardiology.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. SOTT1ClinicalCardiology.heartrate
Definition

beats per minute

ShortHeart rate (beats per min)
Control0..1
TypeQuantity
10. SOTT1ClinicalCardiology.crt
Definition

Capillary refill time (CRT) is defined as the time taken for color to return to an external capillary bed after pressure is applied to cause blanching

ShortCapillary refill time> 3 sec
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
12. SOTT1ClinicalCardiology.sysBp
Definition

in mm Hg

ShortSystolic blood pressure
Control0..1
TypeQuantity
14. SOTT1ClinicalCardiology.diaBp
Definition

in mm Hg

ShortDiastolic blood pressure
Control0..1
TypeQuantity
16. SOTT1ClinicalCardiology.cardiacDisorders
Definition

Presence of accelerated pulse, weak pulse, difficulty breathing when performing low llevel effort, chest pain, thoracic oppression, peripheral oedema, low blood pressure, delay capillary refill

ShortObserved cardiac disorders
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
18. SOTT1ClinicalCardiology.weakPulse
Definition

Difficult perception of peripheral pulse

ShortWeak pulse
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
20. SOTT1ClinicalCardiology.cardiacFailure
Definition

Include signs: pulmonary oedemas, low peripheral blood pressure, oedema, delayed capillary refill,

ShortSigns of cardiac failure
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
22. SOTT1ClinicalCardiology.cardiacAuscultation
Definition

Abnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)

ShortAbnormal cardiac auscultation (murmur, irregular heartbeat, gallop,…)
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
24. SOTT1ClinicalCardiology.oedema
Definition

Oedema at the extremities (lower legs, hands)

ShortPeripheral oedemas
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
26. SOTT1ClinicalCardiology.otherCardiacSigns
Definition

Describe other cardiac signs

ShortOther cardiac signs
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension