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shr.base

Contains the SHR Entry definition -- the metadata added to any independent item in the SHR.

DerivedFrom

Indicates the source of information in the case the Entry has been created by logical extension or modification of one or more source entries.

Value:  ClinicalStatement A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement classes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model. A clinical statement is composed of the StatementTopic class (grouping of attributes for capturing information about a procedure or a clinical finding) and the StatementContext class (grouping of attributes providing the context for the statement topic such as whether a procedure was performed, requested, not performed or whether a finding is suspected present or absent in the patient). At the archetype level, the topic and context components are coordinated to form the clinical statement. For instance, the composition of the ProcedureTopic with the NotPerformed context indicates that the given procedure was not performed.

Entry

Metadata attributes that apply to any item represented in the standard health record. An Entry may not belong exclusively to a single person's health record, but could represent an entity that surfaces in multiple records, such as organizations or practitioners. If the entry belongs to a single person's record, then the identity of the person of record must be recorded. C1705654

ShrId optional A unique, persistent, permanent identifier for the overall health record belonging to the PersonOfRecord.
EntryId required A persistent, permanent identifier for an entry in a health record, unique within the scope of the health record.
PersonOfRecord optional The person this entry belongs to.
Version optional A number or code associated with the product that identifies a particular release iteration.
EntryType required SHR data element identifier, as a URI.
CreationTime required The point in time when the information was recorded in the system of record.
LastUpdated required The most recent date the entry was changed.
Narrative optional A human-readable narrative, potentially including images, that contains a summary of the resource, and may be used to represent the content of the resource to a human.
Language optional A human language, spoken or written.
SecurityLabel 0 or more A code that connects the entry to a security policy. Security labels can be updated when the resource changes, or whenever the security sub-system chooses to.
Tag 0 or more A code used to relate entries to categories or workflows. Applications are not required to consider the tags when interpreting the meaning of an entry.
DerivedFrom 0 or more Indicates the source of information in the case the Entry has been created by logical extension or modification of one or more source entries.
Version must be a id
A number or code associated with the product that identifies a particular release iteration.

EntryId

A persistent, permanent identifier for an entry in a health record, unique within the scope of the health record. C0600091

Value:  id

EntryType

SHR data element identifier, as a URI.

Value:  uri

LastUpdated

The most recent date the entry was changed.

Value:  instant

Narrative

A human-readable narrative, potentially including images, that contains a summary of the resource, and may be used to represent the content of the resource to a human.

Value:  xhtml
NarrativeQualifier required Additional information on how the narrative was generated, and the scope of information contained.

NarrativeQualifier

Additional information on how the narrative was generated, and the scope of information contained.

Value:  code must be from http://hl7.org/fhir/ValueSet/narrative-status

PersonOfRecord

The person this entry belongs to.

Value:  Patient A person in the role of a patient, including extended demographic information about the subject of this health record.

SecurityLabel

A code that connects the entry to a security policy. Security labels can be updated when the resource changes, or whenever the security sub-system chooses to.

Value:  Coding Coding of a concept, drawn from a controlled vocabulary. Includes the vocabulary and version, if applicable. May include a display text, and a descriptor expressing the intended interpretation of the code.

ShrId

A unique, persistent, permanent identifier for the overall health record belonging to the PersonOfRecord.

Value:  id

Tag

A code used to relate entries to categories or workflows. Applications are not required to consider the tags when interpreting the meaning of an entry.

Value:  Coding Coding of a concept, drawn from a controlled vocabulary. Includes the vocabulary and version, if applicable. May include a display text, and a descriptor expressing the intended interpretation of the code.