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: SOTT1ClinicalGastroIntestinal - Detailed Descriptions

Draft as of 2023-11-07

Definitions for the SOTT1ClinicalGastroIntestinal logical model.

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

0. SOTT1ClinicalGastroIntestinal
ShortSurveillance & Outbreak Toolkit T1 Clinical - Gastro-intestinal
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SOTT1ClinicalGastroIntestinal.nausea
Definition

Include nausea, vomiting, abdominal pain, loss of appetite, diarrhea, dysentery, increased liver and/or spleen volume, anorexia.

ShortNausea/vomiting
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. SOTT1ClinicalGastroIntestinal.anorexia
Definition

Loss of appetite (anorexia), loss of desire to eat.

ShortLoss of appetite
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. SOTT1ClinicalGastroIntestinal.gastroIntestinalDisorders
Definition

Is or was the case nauseas or is or was the case vomiting?

ShortObserved gastro intestinal 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
8. SOTT1ClinicalGastroIntestinal.abdominalPain
Definition

Painful abdomen (currently or on palpation)

ShortStomach or abdominal 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
10. SOTT1ClinicalGastroIntestinal.hiccoughs
Definition

Hiccoughs, hicups, repeated involuntary spasm/contraction of the diaphragm accompanied by closure of the glottis which may produce the characteristic sound. (Aspecific sign, risk for confusion)

ShortHiccoughs
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. SOTT1ClinicalGastroIntestinal.tenderAbdomen
Definition

Slightly painful abdomen on palpation

ShortTender abdomen
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. SOTT1ClinicalGastroIntestinal.palpableSpleen
Definition

Splenomegaly

ShortPalpable spleen
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
16. SOTT1ClinicalGastroIntestinal.abdominalMass
Definition

Any abnormal abdominal mass at palpation

ShortAbdominal mass
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. SOTT1ClinicalGastroIntestinal.palpableLiver
Definition

Enlarged liver

ShortPalpable liver
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. SOTT1ClinicalGastroIntestinal.bloodyDiarrhoea
Definition

Bloody diarrhoea (dysentery), any diarrhoeal episode in which the loose or watery stools contain visible red blood.

ShortBloody diarrhoea (dysentery):
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. SOTT1ClinicalGastroIntestinal.diarrhoea
Definition

Diarrhoea typically colored without containing visible red blood.

ShortPassing rice water-like stool
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. SOTT1ClinicalGastroIntestinal.paleStool
Definition

Stools are not colored as usual

ShortPale stools
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. SOTT1ClinicalGastroIntestinal.jaundice
Definition

scleral icterus or skin icterus

ShortJaundice
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

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

0. SOTT1ClinicalGastroIntestinal
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - Gastro-intestinalBase 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. SOTT1ClinicalGastroIntestinal.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. SOTT1ClinicalGastroIntestinal.nausea
Definition

Include nausea, vomiting, abdominal pain, loss of appetite, diarrhea, dysentery, increased liver and/or spleen volume, anorexia.

ShortNausea/vomiting
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. SOTT1ClinicalGastroIntestinal.anorexia
Definition

Loss of appetite (anorexia), loss of desire to eat.

ShortLoss of appetite
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. SOTT1ClinicalGastroIntestinal.gastroIntestinalDisorders
Definition

Is or was the case nauseas or is or was the case vomiting?

ShortObserved gastro intestinal 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
10. SOTT1ClinicalGastroIntestinal.abdominalPain
Definition

Painful abdomen (currently or on palpation)

ShortStomach or abdominal 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
12. SOTT1ClinicalGastroIntestinal.hiccoughs
Definition

Hiccoughs, hicups, repeated involuntary spasm/contraction of the diaphragm accompanied by closure of the glottis which may produce the characteristic sound. (Aspecific sign, risk for confusion)

ShortHiccoughs
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. SOTT1ClinicalGastroIntestinal.tenderAbdomen
Definition

Slightly painful abdomen on palpation

ShortTender abdomen
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
16. SOTT1ClinicalGastroIntestinal.palpableSpleen
Definition

Splenomegaly

ShortPalpable spleen
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. SOTT1ClinicalGastroIntestinal.abdominalMass
Definition

Any abnormal abdominal mass at palpation

ShortAbdominal mass
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. SOTT1ClinicalGastroIntestinal.palpableLiver
Definition

Enlarged liver

ShortPalpable liver
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. SOTT1ClinicalGastroIntestinal.bloodyDiarrhoea
Definition

Bloody diarrhoea (dysentery), any diarrhoeal episode in which the loose or watery stools contain visible red blood.

ShortBloody diarrhoea (dysentery):
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. SOTT1ClinicalGastroIntestinal.diarrhoea
Definition

Diarrhoea typically colored without containing visible red blood.

ShortPassing rice water-like stool
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. SOTT1ClinicalGastroIntestinal.paleStool
Definition

Stools are not colored as usual

ShortPale stools
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. SOTT1ClinicalGastroIntestinal.jaundice
Definition

scleral icterus or skin icterus

ShortJaundice
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

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

0. SOTT1ClinicalGastroIntestinal
Definition

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

ShortSurveillance & Outbreak Toolkit T1 Clinical - Gastro-intestinal
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. SOTT1ClinicalGastroIntestinal.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. SOTT1ClinicalGastroIntestinal.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 SOTT1ClinicalGastroIntestinal.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. SOTT1ClinicalGastroIntestinal.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. SOTT1ClinicalGastroIntestinal.nausea
Definition

Include nausea, vomiting, abdominal pain, loss of appetite, diarrhea, dysentery, increased liver and/or spleen volume, anorexia.

ShortNausea/vomiting
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. SOTT1ClinicalGastroIntestinal.anorexia
Definition

Loss of appetite (anorexia), loss of desire to eat.

ShortLoss of appetite
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. SOTT1ClinicalGastroIntestinal.gastroIntestinalDisorders
Definition

Is or was the case nauseas or is or was the case vomiting?

ShortObserved gastro intestinal 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. SOTT1ClinicalGastroIntestinal.abdominalPain
Definition

Painful abdomen (currently or on palpation)

ShortStomach or abdominal 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
16. SOTT1ClinicalGastroIntestinal.hiccoughs
Definition

Hiccoughs, hicups, repeated involuntary spasm/contraction of the diaphragm accompanied by closure of the glottis which may produce the characteristic sound. (Aspecific sign, risk for confusion)

ShortHiccoughs
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. SOTT1ClinicalGastroIntestinal.tenderAbdomen
Definition

Slightly painful abdomen on palpation

ShortTender abdomen
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. SOTT1ClinicalGastroIntestinal.palpableSpleen
Definition

Splenomegaly

ShortPalpable spleen
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. SOTT1ClinicalGastroIntestinal.abdominalMass
Definition

Any abnormal abdominal mass at palpation

ShortAbdominal mass
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. SOTT1ClinicalGastroIntestinal.palpableLiver
Definition

Enlarged liver

ShortPalpable liver
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. SOTT1ClinicalGastroIntestinal.bloodyDiarrhoea
Definition

Bloody diarrhoea (dysentery), any diarrhoeal episode in which the loose or watery stools contain visible red blood.

ShortBloody diarrhoea (dysentery):
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. SOTT1ClinicalGastroIntestinal.diarrhoea
Definition

Diarrhoea typically colored without containing visible red blood.

ShortPassing rice water-like stool
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
30. SOTT1ClinicalGastroIntestinal.paleStool
Definition

Stools are not colored as usual

ShortPale stools
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. SOTT1ClinicalGastroIntestinal.jaundice
Definition

scleral icterus or skin icterus

ShortJaundice
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