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: SOTT1ClinicalComorbidity - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1ClinicalComorbidity logical model.

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

0. SOTT1ClinicalComorbidity
ShortSurveillance & Outbreak Toolkit T1 Clinical - Comorbidity
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1ClinicalComorbidity.pregnancy
Definition

Is the patient pregant?

ShortPregancy
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
4. SOTT1ClinicalComorbidity.monthsPregnant
Definition

How many month is the case pregnant

ShortMonths pregnant
Control0..1
TypeQuantity
6. SOTT1ClinicalComorbidity.postPartum
Definition

date of delivery

ShortPost-partum (<6 weeks)
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
8. SOTT1ClinicalComorbidity.postPartumWeeks
Definition

How many weeks since the delivery

ShortWeeks post-partum
Control0..1
TypeQuantity
10. SOTT1ClinicalComorbidity.underlyingConditions
Definition

Does the patient have co-morbidity existing prior to admission that are active problems

ShortUnderlying conditions
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. SOTT1ClinicalComorbidity.chronicDisease
Definition

Is the patient suffering from a chronic disease?

ShortChronic disease
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. SOTT1ClinicalComorbidity.specifyChronicDisease
Definition

Is the patient suffering from a chronic disease? If yes indicate name

ShortSpecify chronic disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. SOTT1ClinicalComorbidity.acuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness?

ShortAssociated acute or chronic disease, please specifiy
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. SOTT1ClinicalComorbidity.specifyAcuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness? If yes indicate name

Shortif yes, name:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. SOTT1ClinicalComorbidity.immunodeficiency
Definition

Is the patient immunodeficient (Is the patient treated with drugs that decreased immune response)?

ShortImmunodeficiency
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
22. SOTT1ClinicalComorbidity.specifyImmunodeficiency
Definition

Describe the immunodeficiency

ShortSpecify immunodeficiency
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. SOTT1ClinicalComorbidity.malnutrition
Definition

Severly underweight?

ShortMalnutrition
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
26. SOTT1ClinicalComorbidity.muac
Definition

if possible provide the MUAC score

ShortMUAC (cm):
Control0..1
TypeQuantity
28. SOTT1ClinicalComorbidity.otherConditions
Definition

Describe other underlaying conditions that impact the health of the patient

ShortOther conditions impacting health, specify
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. SOTT1ClinicalComorbidity
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - ComorbidityBase 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. SOTT1ClinicalComorbidity.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. SOTT1ClinicalComorbidity.pregnancy
Definition

Is the patient pregant?

ShortPregancy
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
6. SOTT1ClinicalComorbidity.monthsPregnant
Definition

How many month is the case pregnant

ShortMonths pregnant
Control0..1
TypeQuantity
8. SOTT1ClinicalComorbidity.postPartum
Definition

date of delivery

ShortPost-partum (<6 weeks)
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
10. SOTT1ClinicalComorbidity.postPartumWeeks
Definition

How many weeks since the delivery

ShortWeeks post-partum
Control0..1
TypeQuantity
12. SOTT1ClinicalComorbidity.underlyingConditions
Definition

Does the patient have co-morbidity existing prior to admission that are active problems

ShortUnderlying conditions
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. SOTT1ClinicalComorbidity.chronicDisease
Definition

Is the patient suffering from a chronic disease?

ShortChronic disease
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. SOTT1ClinicalComorbidity.specifyChronicDisease
Definition

Is the patient suffering from a chronic disease? If yes indicate name

ShortSpecify chronic disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1ClinicalComorbidity.acuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness?

ShortAssociated acute or chronic disease, please specifiy
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. SOTT1ClinicalComorbidity.specifyAcuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness? If yes indicate name

Shortif yes, name:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1ClinicalComorbidity.immunodeficiency
Definition

Is the patient immunodeficient (Is the patient treated with drugs that decreased immune response)?

ShortImmunodeficiency
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. SOTT1ClinicalComorbidity.specifyImmunodeficiency
Definition

Describe the immunodeficiency

ShortSpecify immunodeficiency
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1ClinicalComorbidity.malnutrition
Definition

Severly underweight?

ShortMalnutrition
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
28. SOTT1ClinicalComorbidity.muac
Definition

if possible provide the MUAC score

ShortMUAC (cm):
Control0..1
TypeQuantity
30. SOTT1ClinicalComorbidity.otherConditions
Definition

Describe other underlaying conditions that impact the health of the patient

ShortOther conditions impacting health, specify
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. SOTT1ClinicalComorbidity
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - Comorbidity
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. SOTT1ClinicalComorbidity.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. SOTT1ClinicalComorbidity.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 SOTT1ClinicalComorbidity.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. SOTT1ClinicalComorbidity.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. SOTT1ClinicalComorbidity.pregnancy
Definition

Is the patient pregant?

ShortPregancy
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
10. SOTT1ClinicalComorbidity.monthsPregnant
Definition

How many month is the case pregnant

ShortMonths pregnant
Control0..1
TypeQuantity
12. SOTT1ClinicalComorbidity.postPartum
Definition

date of delivery

ShortPost-partum (<6 weeks)
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. SOTT1ClinicalComorbidity.postPartumWeeks
Definition

How many weeks since the delivery

ShortWeeks post-partum
Control0..1
TypeQuantity
16. SOTT1ClinicalComorbidity.underlyingConditions
Definition

Does the patient have co-morbidity existing prior to admission that are active problems

ShortUnderlying conditions
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. SOTT1ClinicalComorbidity.chronicDisease
Definition

Is the patient suffering from a chronic disease?

ShortChronic disease
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. SOTT1ClinicalComorbidity.specifyChronicDisease
Definition

Is the patient suffering from a chronic disease? If yes indicate name

ShortSpecify chronic disease
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1ClinicalComorbidity.acuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness?

ShortAssociated acute or chronic disease, please specifiy
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. SOTT1ClinicalComorbidity.specifyAcuteChronicDisease
Definition

Is the patient suffering from an acute or chronic disease at the time of this illness? If yes indicate name

Shortif yes, name:
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1ClinicalComorbidity.immunodeficiency
Definition

Is the patient immunodeficient (Is the patient treated with drugs that decreased immune response)?

ShortImmunodeficiency
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
28. SOTT1ClinicalComorbidity.specifyImmunodeficiency
Definition

Describe the immunodeficiency

ShortSpecify immunodeficiency
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. SOTT1ClinicalComorbidity.malnutrition
Definition

Severly underweight?

ShortMalnutrition
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. SOTT1ClinicalComorbidity.muac
Definition

if possible provide the MUAC score

ShortMUAC (cm):
Control0..1
TypeQuantity
34. SOTT1ClinicalComorbidity.otherConditions
Definition

Describe other underlaying conditions that impact the health of the patient

ShortOther conditions impacting health, specify
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension