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: SOTT1ClinicalCutaneous - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1ClinicalCutaneous logical model.

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

0. SOTT1ClinicalCutaneous
ShortSurveillance & Outbreak Toolkit T1 Clinical - Cutaneous
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1ClinicalCutaneous.skinDisorders
Definition

Any observed skin disorders

ShortObserved skin disorders
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
4. SOTT1ClinicalCutaneous.rashOnsetDate
Definition

If case had/has a rash, date that the rash started, or was first noticed.

ShortIf present, date of rash onset (DD/MM/YYYY):
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. SOTT1ClinicalCutaneous.skinDisordersOnsetDate
Definition

date of first appearance of the signs or symptoms of skin disorder

Shortdate of onset of skin disorders:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. SOTT1ClinicalCutaneous.rashDuration
Definition

If case had/has a rash, total number of days the rash has been/was present/visible at the time the questionnaire was completed.

ShortIf present, duration of rash (in day):
Control0..1
TypeQuantity
10. SOTT1ClinicalCutaneous.rashType
Definition

If case had/has a rash, type or description of the rash. Note, recommended to pre-define categories depending on condition in question, (e.g. erythematous, maculopapular, vesicular, pustular, nodular, petechial, purpuric) and include other and unknown.

ShortIf present, type of rash:
Control0..1
BindingThe codes SHALL be taken from Rash Type
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. SOTT1ClinicalCutaneous.localizationOfSkinDisorder
Definition

Place on the body of the skin disorder

ShortLocalization skin disorder
Control0..1
BindingThe codes SHALL be taken from Localization of Skin Disorder
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. SOTT1ClinicalCutaneous.location
Definition

Specify place of skin disorder if localized

ShortSpecify location
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. SOTT1ClinicalCutaneous.skinItch
Definition

Itching skin, cutaneous lesions indicating itching

ShortItching skin
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. SOTT1ClinicalCutaneous.skinNecrosis
Definition

Necrosis lesions of the skin usually dominant on the extremities

ShortSkin necrosis
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. SOTT1ClinicalCutaneous.skinUlceration
Definition

Lesion dried or purulent, localised and limited

ShortUlceration of the skin
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. SOTT1ClinicalCutaneous.lymphadenopathy
Definition

Lymphadenopathy,

ShortEnlarged nymph nodes
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. SOTT1ClinicalCutaneous.lymphadenopathySite
Definition

Lymphadenopathy, indicate where

Shortsite (enlarged nymph nodes)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. SOTT1ClinicalCutaneous.photo
Definition

Was a photo of the skin condition attached

ShortPhoto attached
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. SOTT1ClinicalCutaneous.otherSkinDisorders
Definition

Describe other skin disorders

ShortOther cutaneous disorders
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. SOTT1ClinicalCutaneous
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - CutaneousBase 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. SOTT1ClinicalCutaneous.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. SOTT1ClinicalCutaneous.skinDisorders
Definition

Any observed skin disorders

ShortObserved skin disorders
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. SOTT1ClinicalCutaneous.rashOnsetDate
Definition

If case had/has a rash, date that the rash started, or was first noticed.

ShortIf present, date of rash onset (DD/MM/YYYY):
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. SOTT1ClinicalCutaneous.skinDisordersOnsetDate
Definition

date of first appearance of the signs or symptoms of skin disorder

Shortdate of onset of skin disorders:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. SOTT1ClinicalCutaneous.rashDuration
Definition

If case had/has a rash, total number of days the rash has been/was present/visible at the time the questionnaire was completed.

ShortIf present, duration of rash (in day):
Control0..1
TypeQuantity
12. SOTT1ClinicalCutaneous.rashType
Definition

If case had/has a rash, type or description of the rash. Note, recommended to pre-define categories depending on condition in question, (e.g. erythematous, maculopapular, vesicular, pustular, nodular, petechial, purpuric) and include other and unknown.

ShortIf present, type of rash:
Control0..1
BindingThe codes SHALL be taken from Rash Type
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. SOTT1ClinicalCutaneous.localizationOfSkinDisorder
Definition

Place on the body of the skin disorder

ShortLocalization skin disorder
Control0..1
BindingThe codes SHALL be taken from Localization of Skin Disorder
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. SOTT1ClinicalCutaneous.location
Definition

Specify place of skin disorder if localized

ShortSpecify location
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1ClinicalCutaneous.skinItch
Definition

Itching skin, cutaneous lesions indicating itching

ShortItching skin
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. SOTT1ClinicalCutaneous.skinNecrosis
Definition

Necrosis lesions of the skin usually dominant on the extremities

ShortSkin necrosis
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. SOTT1ClinicalCutaneous.skinUlceration
Definition

Lesion dried or purulent, localised and limited

ShortUlceration of the skin
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. SOTT1ClinicalCutaneous.lymphadenopathy
Definition

Lymphadenopathy,

ShortEnlarged nymph nodes
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. SOTT1ClinicalCutaneous.lymphadenopathySite
Definition

Lymphadenopathy, indicate where

Shortsite (enlarged nymph nodes)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. SOTT1ClinicalCutaneous.photo
Definition

Was a photo of the skin condition attached

ShortPhoto attached
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
30. SOTT1ClinicalCutaneous.otherSkinDisorders
Definition

Describe other skin disorders

ShortOther cutaneous disorders
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. SOTT1ClinicalCutaneous
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - Cutaneous
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. SOTT1ClinicalCutaneous.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. SOTT1ClinicalCutaneous.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 SOTT1ClinicalCutaneous.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. SOTT1ClinicalCutaneous.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. SOTT1ClinicalCutaneous.skinDisorders
Definition

Any observed skin disorders

ShortObserved skin disorders
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
10. SOTT1ClinicalCutaneous.rashOnsetDate
Definition

If case had/has a rash, date that the rash started, or was first noticed.

ShortIf present, date of rash onset (DD/MM/YYYY):
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. SOTT1ClinicalCutaneous.skinDisordersOnsetDate
Definition

date of first appearance of the signs or symptoms of skin disorder

Shortdate of onset of skin disorders:____/____/______
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. SOTT1ClinicalCutaneous.rashDuration
Definition

If case had/has a rash, total number of days the rash has been/was present/visible at the time the questionnaire was completed.

ShortIf present, duration of rash (in day):
Control0..1
TypeQuantity
16. SOTT1ClinicalCutaneous.rashType
Definition

If case had/has a rash, type or description of the rash. Note, recommended to pre-define categories depending on condition in question, (e.g. erythematous, maculopapular, vesicular, pustular, nodular, petechial, purpuric) and include other and unknown.

ShortIf present, type of rash:
Control0..1
BindingThe codes SHALL be taken from Rash Type
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. SOTT1ClinicalCutaneous.localizationOfSkinDisorder
Definition

Place on the body of the skin disorder

ShortLocalization skin disorder
Control0..1
BindingThe codes SHALL be taken from Localization of Skin Disorder
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. SOTT1ClinicalCutaneous.location
Definition

Specify place of skin disorder if localized

ShortSpecify location
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. SOTT1ClinicalCutaneous.skinItch
Definition

Itching skin, cutaneous lesions indicating itching

ShortItching skin
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. SOTT1ClinicalCutaneous.skinNecrosis
Definition

Necrosis lesions of the skin usually dominant on the extremities

ShortSkin necrosis
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. SOTT1ClinicalCutaneous.skinUlceration
Definition

Lesion dried or purulent, localised and limited

ShortUlceration of the skin
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. SOTT1ClinicalCutaneous.lymphadenopathy
Definition

Lymphadenopathy,

ShortEnlarged nymph nodes
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
30. SOTT1ClinicalCutaneous.lymphadenopathySite
Definition

Lymphadenopathy, indicate where

Shortsite (enlarged nymph nodes)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. SOTT1ClinicalCutaneous.photo
Definition

Was a photo of the skin condition attached

ShortPhoto attached
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
34. SOTT1ClinicalCutaneous.otherSkinDisorders
Definition

Describe other skin disorders

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