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: SOTT1ClinicalENT - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1ClinicalENT logical model.

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

0. SOTT1ClinicalENT
ShortSurveillance & Outbreak Toolkit T1 Clinical - ENT
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1ClinicalENT.entDisorders
Definition

Observed Ear/nose/throat disorders

ShortObserved Ear/nose/throat 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. SOTT1ClinicalENT.conjunctivitis
Definition

Conjunctivitis, inflammation (swelling, redness) of the conjunctiva.

ShortConjunctivitis:
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. SOTT1ClinicalENT.conjunctivitisInjection
Definition

Bleeding/haemorrhage into the eyes (conjunctival injections).

ShortConjunctival injection
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. SOTT1ClinicalENT.runnyNose
Definition

Rhinorrhoea

ShortRunny nose
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. SOTT1ClinicalENT.earPain
Definition

Ear pain

ShortEar 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
12. SOTT1ClinicalENT.voiceHoarseness
Definition

Hoarseness of voice

ShortHoarseness of voice
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. SOTT1ClinicalENT.difficultySwallowing
Definition

Difficulty swallowing (dysphagia/odynophagia), difficulty or pain in the passage of solids or liquids from the mouth to the stomach.

ShortDifficulty swallowing:
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. SOTT1ClinicalENT.soreThroat
Definition

Increase volume of the neck due to swollen glands

ShortSore throat
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. SOTT1ClinicalENT.oralUlceration
Definition

Ulcers of the throat with or without pus and/or membrane

ShortOral ulcerations
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. SOTT1ClinicalENT.hypersalivation
Definition

Hypersalivation

ShortHypersalivation
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. SOTT1ClinicalENT.otherENTSigns
Definition

Describe other ENT signs

ShortOther ENT 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. SOTT1ClinicalENT
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - ENTBase 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. SOTT1ClinicalENT.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. SOTT1ClinicalENT.entDisorders
Definition

Observed Ear/nose/throat disorders

ShortObserved Ear/nose/throat 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. SOTT1ClinicalENT.conjunctivitis
Definition

Conjunctivitis, inflammation (swelling, redness) of the conjunctiva.

ShortConjunctivitis:
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. SOTT1ClinicalENT.conjunctivitisInjection
Definition

Bleeding/haemorrhage into the eyes (conjunctival injections).

ShortConjunctival injection
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. SOTT1ClinicalENT.runnyNose
Definition

Rhinorrhoea

ShortRunny nose
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. SOTT1ClinicalENT.earPain
Definition

Ear pain

ShortEar 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
14. SOTT1ClinicalENT.voiceHoarseness
Definition

Hoarseness of voice

ShortHoarseness of voice
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. SOTT1ClinicalENT.difficultySwallowing
Definition

Difficulty swallowing (dysphagia/odynophagia), difficulty or pain in the passage of solids or liquids from the mouth to the stomach.

ShortDifficulty swallowing:
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. SOTT1ClinicalENT.soreThroat
Definition

Increase volume of the neck due to swollen glands

ShortSore throat
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. SOTT1ClinicalENT.oralUlceration
Definition

Ulcers of the throat with or without pus and/or membrane

ShortOral ulcerations
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. SOTT1ClinicalENT.hypersalivation
Definition

Hypersalivation

ShortHypersalivation
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. SOTT1ClinicalENT.otherENTSigns
Definition

Describe other ENT signs

ShortOther ENT 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. SOTT1ClinicalENT
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - ENT
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. SOTT1ClinicalENT.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. SOTT1ClinicalENT.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 SOTT1ClinicalENT.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. SOTT1ClinicalENT.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. SOTT1ClinicalENT.entDisorders
Definition

Observed Ear/nose/throat disorders

ShortObserved Ear/nose/throat 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. SOTT1ClinicalENT.conjunctivitis
Definition

Conjunctivitis, inflammation (swelling, redness) of the conjunctiva.

ShortConjunctivitis:
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. SOTT1ClinicalENT.conjunctivitisInjection
Definition

Bleeding/haemorrhage into the eyes (conjunctival injections).

ShortConjunctival injection
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. SOTT1ClinicalENT.runnyNose
Definition

Rhinorrhoea

ShortRunny nose
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. SOTT1ClinicalENT.earPain
Definition

Ear pain

ShortEar 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
18. SOTT1ClinicalENT.voiceHoarseness
Definition

Hoarseness of voice

ShortHoarseness of voice
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. SOTT1ClinicalENT.difficultySwallowing
Definition

Difficulty swallowing (dysphagia/odynophagia), difficulty or pain in the passage of solids or liquids from the mouth to the stomach.

ShortDifficulty swallowing:
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. SOTT1ClinicalENT.soreThroat
Definition

Increase volume of the neck due to swollen glands

ShortSore throat
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. SOTT1ClinicalENT.oralUlceration
Definition

Ulcers of the throat with or without pus and/or membrane

ShortOral ulcerations
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. SOTT1ClinicalENT.hypersalivation
Definition

Hypersalivation

ShortHypersalivation
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. SOTT1ClinicalENT.otherENTSigns
Definition

Describe other ENT signs

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