This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
The FHIR specification defines a set of data types that are used for the resource elements. There are two categories of data type: simple / primitive types, which are single elements, and complex types, which are re-usable clusters of elements. This page describes the data types. See also the Examples, Detailed Descriptions and Mappings.
The data types are available as a W3C Schema.
The following table describes the primitive types that are used in this specification. Primitive types are those with only a value, and no additional elements as children (though, like all types, they have extensions).
Primitive Types | |||
FHIR Name | Value Domain | XML Representation | JSON representation |
---|---|---|---|
boolean | true | false | xs:boolean, except that 0 and 1 are not valid values | JSON boolean (true or false) |
integer | A signed 32-bit integer (for larger values, use decimal) | xs:int | JSON number |
string | A sequence of Unicode characters | xs:string | JSON String |
Note that strings SHALL NOT exceed 1MB in size | |||
decimal | Rational numbers that have a decimal representation. See below for a decision about the precision of the number | xs:decimal, except that decimals may not use exponents | A JSON number, but without exponents |
uri | A Uniform Resource Identifier Reference (RFC 3986) | xs:anyURI | A JSON string - a URI |
URIs can be absolute or relative, and may have an optional fragment identifier | |||
base64Binary | A stream of bytes, base64 encoded (RFC 4648) | xs:base64Binary | A JSON string - base64 content |
Todo: is it possible to impose an upper absolute limit on a base64Binary (for denial of service reasons, like on string) | |||
instant | An instant in time - known at least to the second and always includes a time zone | xs:dateTime | A JSON string - an xs:dateTime |
Note: This type is for system times, not human times (see date and dateTime below). | |||
date | A date, or partial date (e.g. just year or year + month) as used in human communication. There is no time zone. Dates SHALL be valid dates | union of xs:date, xs:gYearMonth, xs:gYear | A JSON string - a union of xs:date, xs:gYearMonth, xs:gYear |
Regex: -?[0-9]{4}(-(0[1-9]|1[0-2])(-(0[0-9]|[1-2][0-9]|3[0-1]))?)? | |||
dateTime | A date, date-time or partial date (e.g. just year or year + month) as used in human communication. If hours and minutes are specified, a time zone SHALL be populated. Seconds may be provided but may also be ignored. Dates SHALL be valid dates. The time "24:00" is not allowed | union of xs:dateTime, xs:date, xs:gYearMonth, xs:gYear | A JSON string - a union of xs:dateTime, xs:date, xs:gYearMonth, xs:gYear |
Regex: -?[0-9]{4}(-(0[1-9]|1[0-2])(-(0[0-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9](\.[0-9]+)?(Z|(\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00))?)?)?)? | |||
time | A time during the day, with no date specified (can be converted to a Duration since midnight). Seconds may be provided but may also be ignored. The time "24:00" is not allowed, and neither is a time zone | xs:time | A JSON string - an xs:time |
Regex: ([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9](\.[0-9]+)? |
Notes:
All the primitive types have some combination of value as described above, an internal identity (e.g. xml:id), and extensions. The value is represented in XML as an attribute named "value":
<count value="2"/>
and as the value of the property in JSON:
"count" : 2
For additional details, including how the internal identity and extensions are represented, see the XML and JSON formats. When the value is missing, it is not represented in the instance; the XML value attribute or the JSON property are not represented at all.
According to XML schema, leading and trailing whitespace in the value attribute is ignored for the types boolean, integer, decimal, base64Binary, instant, uri, date, dateTime, oid, and uri. Note that this means that the schema aware XML libraries give different attribute values to non schema aware libraries when reading the XML instances. For this reason, the value attribute for these types SHOULD not have leading and trailing spaces. String values should only have leading and trailing spaces if they are part of the content of the value. In JSON, whitespace in string values is always significant. Primitive types other than string SHALL NOT have leading or trailing whitespace.
In addition to the base primitive types, a few additional primitive types are defined as restrictions on one of the other primitive types.
FHIR Name | Base FHIR Type | Description |
---|---|---|
code | string | Indicates that the value is taken from a set of controlled strings defined elsewhere (see Using codes for further discussion). Technically, a code is restricted to string which has at least one character and no leading or trailing whitespace, and where there is no whitespace other than single spaces in the contents regex: [^\s]+([\s]+[^\s]+)* |
oid | uri | An OID represented as a URI (RFC 3001). e.g. urn:oid:1.2.3.4.5 |
id | string | Any combination of upper or lower case ASCII letters ('A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.', with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.) Ids are case sensitive. UUIDs SHALL be sent using lowercase letters.
Note: this format includes identifiers consistent with ISO 18232, but also includes other identifier formats as well, and is not case insensitive like ISO 18232. regex: [A-Za-z0-9\-\.]{1,64} |
These types are represented as XML Elements with child elements with the name of the defined elements of the type. The name of the element is defined where the type is used. Any of the XML elements may have an id attribute. In JSON, the data type is represented by an object with properties named the same as the XML elements. The JSON representation is almost exactly the same, so only the first example has an additional JSON representation.
Complex data types may be "profiled". A profile makes a set of rules about which elements SHALL have values, and what the possible values are.
UML Diagrams of the Data types
See also Examples, Detailed Descriptions and Mappings.
This type is for containing or referencing attachments - additional data content defined in other formats. The most common use of this type is to include images or reports in some report format such as PDF. However it can be used for any data that has a mime type.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Attachment | I | 1..1 | Element | Content in a format defined elsewhere It the Attachment has data, it SHALL have a contentType |
contentType | 0..1 | code | Mime type of the content, with charset etc. MimeType (Required) | |
language | 0..1 | code | Human language of the content (BCP-47) Language (Required) | |
data | 0..1 | base64Binary | Data inline, base64ed | |
url | 0..1 | uri | Uri where the data can be found | |
size | 0..1 | integer | Number of bytes of content (if url provided) | |
hash | 0..1 | base64Binary | Hash of the data (sha-1, base64ed ) | |
title | 0..1 | string | Label to display in place of the data |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <contentType value="[code]"/><!-- 0..1 Mime type of the content, with charset etc. --> <language value="[code]"/><!-- 0..1 Human language of the content (BCP-47) --> <data value="[base64Binary]"/><!-- 0..1 Data inline, base64ed --> <url value="[uri]"/><!-- 0..1 Uri where the data can be found --> <size value="[integer]"/><!-- 0..1 Number of bytes of content (if url provided) --> <hash value="[base64Binary]"/><!-- 0..1 Hash of the data (sha-1, base64ed ) --> <title value="[string]"/><!-- 0..1 Label to display in place of the data --> </[name]>
JSON Template
{ // from Element: extension "contentType" : "<code>", // Mime type of the content, with charset etc. "language" : "<code>", // Human language of the content (BCP-47) "data" : "<base64Binary>", // Data inline, base64ed "url" : "<uri>", // Uri where the data can be found "size" : <integer>, // Number of bytes of content (if url provided) "hash" : "<base64Binary>", // Hash of the data (sha-1, base64ed ) "title" : "<string>" // Label to display in place of the data }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Attachment | I | 1..1 | Element | Content in a format defined elsewhere It the Attachment has data, it SHALL have a contentType |
contentType | 0..1 | code | Mime type of the content, with charset etc. MimeType (Required) | |
language | 0..1 | code | Human language of the content (BCP-47) Language (Required) | |
data | 0..1 | base64Binary | Data inline, base64ed | |
url | 0..1 | uri | Uri where the data can be found | |
size | 0..1 | integer | Number of bytes of content (if url provided) | |
hash | 0..1 | base64Binary | Hash of the data (sha-1, base64ed ) | |
title | 0..1 | string | Label to display in place of the data |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <contentType value="[code]"/><!-- 0..1 Mime type of the content, with charset etc. --> <language value="[code]"/><!-- 0..1 Human language of the content (BCP-47) --> <data value="[base64Binary]"/><!-- 0..1 Data inline, base64ed --> <url value="[uri]"/><!-- 0..1 Uri where the data can be found --> <size value="[integer]"/><!-- 0..1 Number of bytes of content (if url provided) --> <hash value="[base64Binary]"/><!-- 0..1 Hash of the data (sha-1, base64ed ) --> <title value="[string]"/><!-- 0..1 Label to display in place of the data --> </[name]>
JSON Template
{ // from Element: extension "contentType" : "<code>", // Mime type of the content, with charset etc. "language" : "<code>", // Human language of the content (BCP-47) "data" : "<base64Binary>", // Data inline, base64ed "url" : "<uri>", // Uri where the data can be found "size" : <integer>, // Number of bytes of content (if url provided) "hash" : "<base64Binary>", // Hash of the data (sha-1, base64ed ) "title" : "<string>" // Label to display in place of the data }
The contentType element SHALL always be populated. It can include charset information and other mime type extensions as appropriate. If there is no character set in the contentType then the correct course of action is undefined, though some media types may define a default character set and/or the correct character set may be able to be determined by inspection of the content.
The actual content of the Attachment can be conveyed directly using the data element or a URL reference can be provided. If both are provided, the reference SHALL point to the same content as found in the data. The reference can never be reused to point to some different data (i.e. the reference is version specific). The URL reference SHALL point to a location that resolves to actual data; some URIs such as cid: meet this requirement. If the URL is a relative reference, it is interpreted in the same way as a resource reference.
The hash is included so that applications can verify that the content returned by the URL has not changed.
In many cases where Attachment is used, the cardinality is >1. A valid use of repeats is to convey the same content in different mime types and languages. Guidance on the meaning of repeating elements SHALL be provided in the definition of the repeating resource element or extension that references this type. The language element describes the language of the attachment using the codes defined in BCP 47.
Constraints
If neither data nor a URL is provided, the value should be understood as an assertion that no content for the specified mimeType and/or language is available for the reason stated.
The context of use may frequently make rules about the kind of attachment (and therefore, the kind of mime types) that can be used.
Attachment is used in the following places: Communication, Practitioner, QuestionnaireAnswers, BodySite, CommunicationRequest, Observation, SupportingDocumentation, RelatedPerson, Person, Media, DocumentReference, DiagnosticReport, Contract and Patient
See also Examples, Detailed Descriptions and Mappings.
A Coding is a representation of a defined concept using a symbol from a defined "code system" - see Using Codes in resources for more details.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Coding | I | 1..1 | Element | A reference to a code defined by a terminology system If a valueSet is provided, a system URI Is required |
system | 0..1 | uri | Identity of the terminology system | |
version | 0..1 | string | Version of the system - if relevant | |
code | 0..1 | code | Symbol in syntax defined by the system | |
display | 0..1 | string | Representation defined by the system | |
primary | 0..1 | boolean | If this code was chosen directly by the user | |
valueSet | 0..1 | ValueSet | Set this coding was chosen from |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <system value="[uri]"/><!-- 0..1 Identity of the terminology system --> <version value="[string]"/><!-- 0..1 Version of the system - if relevant --> <code value="[code]"/><!-- 0..1 Symbol in syntax defined by the system --> <display value="[string]"/><!-- 0..1 Representation defined by the system --> <primary value="[boolean]"/><!-- 0..1 If this code was chosen directly by the user --> <valueSet><!-- 0..1 Reference(ValueSet) Set this coding was chosen from --></valueSet> </[name]>
JSON Template
{ // from Element: extension "system" : "<uri>", // Identity of the terminology system "version" : "<string>", // Version of the system - if relevant "code" : "<code>", // Symbol in syntax defined by the system "display" : "<string>", // Representation defined by the system "primary" : <boolean>, // If this code was chosen directly by the user "valueSet" : { Reference(ValueSet) } // Set this coding was chosen from }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Coding | I | 1..1 | Element | A reference to a code defined by a terminology system If a valueSet is provided, a system URI Is required |
system | 0..1 | uri | Identity of the terminology system | |
version | 0..1 | string | Version of the system - if relevant | |
code | 0..1 | code | Symbol in syntax defined by the system | |
display | 0..1 | string | Representation defined by the system | |
primary | 0..1 | boolean | If this code was chosen directly by the user | |
valueSet | 0..1 | ValueSet | Set this coding was chosen from |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <system value="[uri]"/><!-- 0..1 Identity of the terminology system --> <version value="[string]"/><!-- 0..1 Version of the system - if relevant --> <code value="[code]"/><!-- 0..1 Symbol in syntax defined by the system --> <display value="[string]"/><!-- 0..1 Representation defined by the system --> <primary value="[boolean]"/><!-- 0..1 If this code was chosen directly by the user --> <valueSet><!-- 0..1 Reference(ValueSet) Set this coding was chosen from --></valueSet> </[name]>
JSON Template
{ // from Element: extension "system" : "<uri>", // Identity of the terminology system "version" : "<string>", // Version of the system - if relevant "code" : "<code>", // Symbol in syntax defined by the system "display" : "<string>", // Representation defined by the system "primary" : <boolean>, // If this code was chosen directly by the user "valueSet" : { Reference(ValueSet) } // Set this coding was chosen from }
The meaning of the Coding is defined by the code. The system provides the source of the definition of the code, along with an optional version reference. The display is a human display for the text defined by the system - it adds no other value. The Value Set reference provides context information about the selection of the code.
The system is a URI that references the code system that defines the code. The URI may be:
The correct value to use in the system for a given code system can be determined by working through the following list, in order:
A code system version may also be supplied. If the meaning of codes within the code system is consistent across releases, this is not required. The version SHOULD be exchanged when this the system does not maintain consistent definitions across versions. If a value set is referenced, and the value set defines the code system, and the code system definition specifies a version, the version SHALL be the same as in the value set. Note that the following systems SHOULD always have a version specified:
See the discussion of code system versions in the Value Set resource for further discussion on versioning.
If present, the code SHALL be a syntactically correct symbol as defined by the system. In some code systems such as SNOMED CT, the symbol may be an expression composed of other predefined symbol (e.g. post-coordination). Note that codes are case sensitive unless specified otherwise by the code system. The display is a text representation of the code defined by the system and is used to display the meaning of the code by an application that is not aware of the system.
Where the code system defines multiple possible display strings, one of these SHALL be used in display. If one is labeled as preferred, it SHOULD be used. If the code system does not define a text representation (e.g. SNOMED CT Expressions) then display cannot be populated, and the meaning of the code won't be accessible to systems that don't understand the code expression.
In some cases, the system may not be known - only the code is known. In this case, no useful processing of the code may be performed unless the system can be safely inferred by the context. This practice should be avoided where possible, as information sharing in a wider context is very likely to arise eventually, and codes cannot be used in the absence of a known system.
If the system is present, and there is no code, then this is understood to mean that there is no suitable code in the system in which to represent the code.
If two codings have the same system, version and code then they have the same meaning. If the version information is missing, or the system, version or the code elements differ, then how they codes are related can only be determined by consulting the definitions of the system(s) and any mappings available.
A coding may be marked as a "primary" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). A primary is the preferred choice for performing translations etc.
A reference to a value set may be provided to help a user or system processing the code to understand the context in which the code arose. In some contexts, the possible set of codes from which the code was chosen influences how the code should be interpreted. A value set reference is not an acceptable substitute for a logical URI in the system. The system URI SHALL NOT contain a reference to a value set. (If the value set defines its own codes, then the correct value for the system is ValueSet.define.system, and the value set contains a direct reference to the value set resource.
Constraints
If a valueSet is provided, a system URI SHALL also be provided.
The context of use (as defined in the resource or applicable profile) usually makes rules about what codes and systems are allowed or required in a particular context by binding the element to a value set.
Coding is used in the following places: CodeableConcept, Signature, ValueSet, OralHealthClaim, Coverage, Composition, Conformance, Profile, StatusResponse, PharmacyClaim, Reversal, EligibilityRequest, QuestionnaireAnswers, PaymentReconciliation, ProfessionalClaim, ClaimResponse, ExplanationOfBenefit, SupportingDocumentation, InstitutionalClaim, EligibilityResponse, StatusRequest, VisionClaim, Readjudicate, PaymentNotice, Questionnaire, OperationOutcome, VisionPrescription, ExtensionDefinition, ImagingStudy, Provenance, StructureDefinition, MessageHeader, DataElement, SecurityEvent, PendedRequest, EnrollmentRequest, Contract and EnrollmentResponse
Design Note: This specification defines two types for representing coded values:
- Coding: a simple direct reference to a code defined by a code system
- CodeableConcept: a text description and/or a list of Codings (i.e. a list of references to codes defined by codes systems)
The Coding data type corresponds to the simple case of selecting a single code from a code list. However this type is rarely used in the FHIR specifications; long experience with exchanging coded values in HL7 shows that in the general case, systems need to able to exchange multiple translation codes, and/or an original text.
The Coding data type is used directly when there is certainty that the value must be selected directly from one of the available codes, and the list of possible codes is agreed to by all participants. This is not usually the case in the context of FHIR - general interoperability - so Coding is mostly used in extensions, which are usually intended to be defined for a well-controlled context of use.
See also Examples, Detailed Descriptions and Mappings.
A CodeableConcept represents a value that is usually supplied by providing a reference to one or more terminologies or ontologies, but may also be defined by the provision of text. This is a common pattern in healthcare data.
Each coding is a representation of the concept as described above. The concept may be coded multiple times in different code systems (or even multiple times in the same code systems, where multiple forms are possible, such as with SNOMED CT). The different codings may have slightly different granularity due to the differences in the definitions of the underlying codes. There is no meaning associated with the ordering of coding within a CodeableConcept. A typical use of CodeableConcept is to send the local code that the concept was coded with, and also one or more translations to publicly defined code systems such as LOINC or SNOMED CT. Sending local codes is useful and important for the purposes of debugging and integrity auditing.
Whether or not coding elements are present, the text is the representation of the concept as entered or chosen by the user, and which most closely represents the intended meaning of the user or concept. Very often the text is the same as a display of one of the codings. One of the codings may be flagged as the primary - the code or concept that the user actually selected directly. When none of the coding elements is marked as primary, the text (if present) is the preferred source of meaning.
Constraints
The context of use usually makes rules about what codes and systems are allowed or required in a particular context by binding the element to a value set.
CodeableConcept is used in the following places: Condition, Supply, DeviceComponent, Communication, Group, Appointment, Slot, Contraindication, EpisodeOfCare, Composition, Conformance, NamingSystem, HealthcareService, OrderResponse, Practitioner, CarePlan, ClinicalAssessment, Substance, DeviceUseRequest, Schedule, ImagingObjectSelection, BodySite, CommunicationRequest, RiskAssessment, Observation, AllergyIntolerance, RelatedPerson, Alert, ProcedureRequest, DeviceMetric, Organization, ImmunizationRecommendation, MedicationDispense, MedicationPrescription, MedicationStatement, AppointmentResponse, Media, Other, VisionPrescription, DocumentReference, Immunization, Provenance, Device, Order, Procedure, DiagnosticReport, Medication, MessageHeader, DataElement, DocumentManifest, MedicationAdministration, Encounter, SecurityEvent, List, DeviceUseStatement, NutritionOrder, ReferralRequest, FamilyHistory, Location, Contract, Basic, Specimen, Patient, CarePlan2 and DiagnosticOrder
See also Examples, Detailed Descriptions and Mappings.
A measured amount (or an amount that can potentially be measured).
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Quantity | I | 1..1 | Element | A measured or measurable amount If a code for the units is present, the system SHALL also be present |
value | 0..1 | decimal | Numerical value (with implicit precision) | |
comparator | M | 0..1 | code | < | <= | >= | > - how to understand the value QuantityComparator (Required) |
units | 0..1 | string | Unit representation | |
system | I | 0..1 | uri | System that defines coded unit form |
code | 0..1 | code | Coded form of the unit |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <value value="[decimal]"/><!-- 0..1 Numerical value (with implicit precision) --> <comparator value="[code]"/><!-- 0..1 < | <= | >= | > - how to understand the value --> <units value="[string]"/><!-- 0..1 Unit representation --> <system value="[uri]"/><!-- 0..1 System that defines coded unit form --> <code value="[code]"/><!-- 0..1 Coded form of the unit --> </[name]>
JSON Template
{ // from Element: extension "value" : <decimal>, // Numerical value (with implicit precision) "comparator" : "<code>", // < | <= | >= | > - how to understand the value "units" : "<string>", // Unit representation "system" : "<uri>", // C? System that defines coded unit form "code" : "<code>" // Coded form of the unit }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Quantity | I | 1..1 | Element | A measured or measurable amount If a code for the units is present, the system SHALL also be present |
value | 0..1 | decimal | Numerical value (with implicit precision) | |
comparator | M | 0..1 | code | < | <= | >= | > - how to understand the value QuantityComparator (Required) |
units | 0..1 | string | Unit representation | |
system | I | 0..1 | uri | System that defines coded unit form |
code | 0..1 | code | Coded form of the unit |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <value value="[decimal]"/><!-- 0..1 Numerical value (with implicit precision) --> <comparator value="[code]"/><!-- 0..1 < | <= | >= | > - how to understand the value --> <units value="[string]"/><!-- 0..1 Unit representation --> <system value="[uri]"/><!-- 0..1 System that defines coded unit form --> <code value="[code]"/><!-- 0..1 Coded form of the unit --> </[name]>
JSON Template
{ // from Element: extension "value" : <decimal>, // Numerical value (with implicit precision) "comparator" : "<code>", // < | <= | >= | > - how to understand the value "units" : "<string>", // Unit representation "system" : "<uri>", // C? System that defines coded unit form "code" : "<code>" // Coded form of the unit }
The value contains the numerical value of the quantity, including an implicit precision. If no comparator is specified, the value is a point value (i.e. '='). The comparator element can never be ignored.
The units element contains a displayable unit that defines what is measured. The units may additionally be coded in some formal way using the code and the system (see Coding for further information about how to use the system element).
If the units are able to be coded in UCUM and a code is provided, it SHOULD be a UCUM code. If a UCUM unit is provided in the code then a canonical value can be generated for purposes of comparison between quantities. Note that the units element will often contain text that is actually a valid UCUM unit, but it cannot be assumed that the units element actually contains a valid UCUM unit.
Constraints
The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may additionally require a code from a particular system. The context of use may also restrict the values for the value or range.
Quantity is used in the following places: Range, Ratio, SampledData, Supply, Group, OralHealthClaim, PharmacyClaim, CarePlan, Substance, QuestionnaireAnswers, ProfessionalClaim, BodySite, Observation, InstitutionalClaim, VisionClaim, MedicationDispense, MedicationPrescription, MedicationStatement, VisionPrescription, Immunization, Medication, MedicationAdministration, NutritionOrder, Contract and Specimen
These are used as types in resource content models, but they are really just a Quantity with some rules:
Age | A duration (length of time) with a UCUM code | Profile (XML, JSON) |
Count | A count of a discrete element (no unit) | Profile (XML, JSON) |
Money | An amount of money. With regard to precision, see [[X]] | Profile (XML, JSON) |
Distance | A measure of distance | Profile (XML, JSON) |
Duration | A length of time | Profile (XML, JSON) |
See also Examples, Detailed Descriptions and Mappings.
A set of ordered Quantity values defined by a low and high limit.
A Range specifies a set of possible values; usually, one value from the range applies (e.g. "give the patient between 2 and 4 tablets"). Ranges are typically used in instructions.
The units and code/system elements of the low or high elements SHALL match. If the low or high elements are missing, the meaning is that the low or high boundaries are not known and therefore neither is the complete range.
The comparator flag on the low or high elements cannot be present. Note that the Range type should not be used to represent out of range measurements: A quantity type with the comparator element should be used instead.
The low and the high values are inclusive, and are assumed to have arbitrarily high precision. E.g. the range 1.5 to 2.5 includes 1.50, and 2.50 but not 1.49 or 2.51.
Constraints
Range is used in the following places: Group, RiskAssessment, Observation, MedicationDispense, MedicationPrescription and FamilyHistory
See also Examples, Detailed Descriptions and Mappings.
A relationship between two Quantity values expressed as a numerator and a denominator.
UML Diagram
to do
JSON Template
{ // from Element: extension "numerator" : { Quantity }, // Numerator value "denominator" : { Quantity } // Denominator value }
JSON Template
{ // from Element: extension "numerator" : { Quantity }, // Numerator value "denominator" : { Quantity } // Denominator value }
Common factors in the numerator and denominator are not automatically cancelled out. The Ratio data type is used for titers (e.g., "1:128") and other quantities produced by laboratories that truly represent ratios. Ratios are not simply "structured numbers" - for example blood pressure measurements (e.g. "120/60") are not ratios. In addition, ratios are used where common factors in the numerator and denominator do not cancel out. The most common example of this is where the ratio represents a unit cost, and the numerator is a currency (e.g. 50/$10).
A proper ratio has both a numerator and a denominator; however these are not mandatory in order to allow an invalid ratio with an extension with further information.
Constraints
The context of use may require particular types of Quantity for the numerator or denominator.
Ratio is used in the following places: Substance, Observation, MedicationDispense, MedicationPrescription, MedicationStatement, Medication, MedicationAdministration and NutritionOrder
See also Examples, Detailed Descriptions and Mappings.
A time period defined by a start and end date/time.
A period specifies a range of times. The context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the period applies (e.g. "give to the patient between 2 and 4 pm on 24-Jun 2013").
If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing.
The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times of 23rd May through to the end of the 27th May.
Period is used in the following places: Identifier, Supply, Coverage, EpisodeOfCare, Composition, NamingSystem, Practitioner, CarePlan, DeviceUseRequest, Schedule, PaymentReconciliation, RiskAssessment, Observation, RelatedPerson, ProcedureRequest, MedicationDispense, MedicationPrescription, MedicationStatement, DocumentReference, Provenance, Procedure, DiagnosticReport, MedicationAdministration, Encounter, PendedRequest, DeviceUseStatement, ReferralRequest, FamilyHistory, Contract, Specimen, Patient and CarePlan2
See also Examples, Detailed Descriptions and Mappings.
Data that comes from a series of measurements taken by a device, with upper and lower limits. There may be more than one dimension in the data.
A SampledData provides a concise way to handle the data produced by devices that sample a physical particular state at a high frequency. A typical use for this is for the output of an ECG or EKG device.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
SampledData | 1..1 | Element | A series of measurements taken by a device | |
origin | 1..1 | Quantity | Zero value and units | |
period | 1..1 | decimal | Number of milliseconds between samples | |
factor | 0..1 | decimal | Multiply data by this before adding to origin | |
lowerLimit | 0..1 | decimal | Lower limit of detection | |
upperLimit | 0..1 | decimal | Upper limit of detection | |
dimensions | 1..1 | integer | Number of sample points at each time point | |
data | 1..1 | string | Decimal values with spaces, or "E" | "U" | "L" |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <origin><!-- 1..1 Quantity Zero value and units --></origin> <period value="[decimal]"/><!-- 1..1 Number of milliseconds between samples --> <factor value="[decimal]"/><!-- 0..1 Multiply data by this before adding to origin --> <lowerLimit value="[decimal]"/><!-- 0..1 Lower limit of detection --> <upperLimit value="[decimal]"/><!-- 0..1 Upper limit of detection --> <dimensions value="[integer]"/><!-- 1..1 Number of sample points at each time point --> <data value="[string]"/><!-- 1..1 Decimal values with spaces, or "E" | "U" | "L" --> </[name]>
JSON Template
{ // from Element: extension "origin" : { Quantity }, // R! Zero value and units "period" : <decimal>, // R! Number of milliseconds between samples "factor" : <decimal>, // Multiply data by this before adding to origin "lowerLimit" : <decimal>, // Lower limit of detection "upperLimit" : <decimal>, // Upper limit of detection "dimensions" : <integer>, // R! Number of sample points at each time point "data" : "<string>" // R! Decimal values with spaces, or "E" | "U" | "L" }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
SampledData | 1..1 | Element | A series of measurements taken by a device | |
origin | 1..1 | Quantity | Zero value and units | |
period | 1..1 | decimal | Number of milliseconds between samples | |
factor | 0..1 | decimal | Multiply data by this before adding to origin | |
lowerLimit | 0..1 | decimal | Lower limit of detection | |
upperLimit | 0..1 | decimal | Upper limit of detection | |
dimensions | 1..1 | integer | Number of sample points at each time point | |
data | 1..1 | string | Decimal values with spaces, or "E" | "U" | "L" |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <origin><!-- 1..1 Quantity Zero value and units --></origin> <period value="[decimal]"/><!-- 1..1 Number of milliseconds between samples --> <factor value="[decimal]"/><!-- 0..1 Multiply data by this before adding to origin --> <lowerLimit value="[decimal]"/><!-- 0..1 Lower limit of detection --> <upperLimit value="[decimal]"/><!-- 0..1 Upper limit of detection --> <dimensions value="[integer]"/><!-- 1..1 Number of sample points at each time point --> <data value="[string]"/><!-- 1..1 Decimal values with spaces, or "E" | "U" | "L" --> </[name]>
JSON Template
{ // from Element: extension "origin" : { Quantity }, // R! Zero value and units "period" : <decimal>, // R! Number of milliseconds between samples "factor" : <decimal>, // Multiply data by this before adding to origin "lowerLimit" : <decimal>, // Lower limit of detection "upperLimit" : <decimal>, // Upper limit of detection "dimensions" : <integer>, // R! Number of sample points at each time point "data" : "<string>" // R! Decimal values with spaces, or "E" | "U" | "L" }
The digits are a set of decimal values separated by a single space (Unicode character u20). In addition to decimal values, the special values "E" (error), "L" (below detection limit) and "U" (above detection limit) can also be used. If there is more than one dimension, the different dimensions are interlaced - all the data points for a particular time are represented together. The default value for factor is 1.
SampledData is used in the following places: Observation
See also Examples, Detailed Descriptions and Mappings.
A numeric or alphanumeric string that is associated with a single object or entity within a given system. Typically, identifiers are used to connect content in resources to external content available in other frameworks or protocols. Typically, identifiers are used to connect content in resources to external content available in other frameworks or protocols. Identifiers are associated with objects, and may be changed or retired due to human or system process and errors.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Identifier | 1..1 | Element | An identifier intended for computation | |
use | M | 0..1 | code | usual | official | temp | secondary (If known) IdentifierUse (Required) |
label | 0..1 | string | Description of identifier | |
system | 0..1 | uri | The namespace for the identifier | |
value | 0..1 | string | The value that is unique | |
period | 0..1 | Period | Time period when id is/was valid for use | |
assigner | 0..1 | Organization | Organization that issued id (may be just text) |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 usual | official | temp | secondary (If known) --> <label value="[string]"/><!-- 0..1 Description of identifier --> <system value="[uri]"/><!-- 0..1 The namespace for the identifier --> <value value="[string]"/><!-- 0..1 The value that is unique --> <period><!-- 0..1 Period Time period when id is/was valid for use --></period> <assigner><!-- 0..1 Reference(Organization) Organization that issued id (may be just text) --></assigner> </[name]>
JSON Template
{ // from Element: extension "use" : "<code>", // usual | official | temp | secondary (If known) "label" : "<string>", // Description of identifier "system" : "<uri>", // The namespace for the identifier "value" : "<string>", // The value that is unique "period" : { Period }, // Time period when id is/was valid for use "assigner" : { Reference(Organization) } // Organization that issued id (may be just text) }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Identifier | 1..1 | Element | An identifier intended for computation | |
use | M | 0..1 | code | usual | official | temp | secondary (If known) IdentifierUse (Required) |
label | 0..1 | string | Description of identifier | |
system | 0..1 | uri | The namespace for the identifier | |
value | 0..1 | string | The value that is unique | |
period | 0..1 | Period | Time period when id is/was valid for use | |
assigner | 0..1 | Organization | Organization that issued id (may be just text) |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 usual | official | temp | secondary (If known) --> <label value="[string]"/><!-- 0..1 Description of identifier --> <system value="[uri]"/><!-- 0..1 The namespace for the identifier --> <value value="[string]"/><!-- 0..1 The value that is unique --> <period><!-- 0..1 Period Time period when id is/was valid for use --></period> <assigner><!-- 0..1 Reference(Organization) Organization that issued id (may be just text) --></assigner> </[name]>
JSON Template
{ // from Element: extension "use" : "<code>", // usual | official | temp | secondary (If known) "label" : "<string>", // Description of identifier "system" : "<uri>", // The namespace for the identifier "value" : "<string>", // The value that is unique "period" : { Period }, // Time period when id is/was valid for use "assigner" : { Reference(Organization) } // Organization that issued id (may be just text) }
The system referred to by means of a URI defines how the identifier is defined (i.e. how the value is made unique). It might be a specific application or a recognized standard/specification for a set or identifiers or a way of making identifiers unique. The value SHALL be unique within the defined system and have a consistent meaning wherever it appears. Both system and value are always case sensitive.
FHIR defines some useful URIs directly. OIDs (urn:oid:) and UUIDs (urn:uuid:) may be registered in the HL7 OID registry and should be if the content is shared or exchanged across institutional boundaries. If the identifier itself is naturally globally unique (e.g. an OID, a UUID, or a URI with no trailing local part), then the system SHALL be "urn:ietf:rfc:3986", and the URI is in the value.
In some cases, the system may not be known - only the value is known (e.g. a simple device that scans a barcode), or the system is known implicitly (simple exchange in a limited context, often driven by barcode readers). In this case, no useful matching may be performed using the value unless the system can be safely inferred by the context. This practice should be avoided where possible, as information sharing in a wider context is very likely to arise eventually, and values without a system are inherently limited in use.
The assigner is used to indicate what registry/state/facility/etc. assigned the identifier.
Identifier is used in the following places: Condition, Supply, DeviceComponent, Communication, Group, ValueSet, OralHealthClaim, Coverage, Appointment, Slot, Contraindication, EpisodeOfCare, Composition, Profile, HealthcareService, OrderResponse, StatusResponse, ConceptMap, PharmacyClaim, Reversal, Practitioner, CarePlan, Substance, DeviceUseRequest, Schedule, EligibilityRequest, QuestionnaireAnswers, PaymentReconciliation, ProfessionalClaim, ClaimResponse, BodySite, CommunicationRequest, RiskAssessment, Observation, AllergyIntolerance, ExplanationOfBenefit, SupportingDocumentation, RelatedPerson, InstitutionalClaim, Alert, EligibilityResponse, StatusRequest, Person, ProcedureRequest, VisionClaim, DeviceMetric, Organization, Readjudicate, ImmunizationRecommendation, MedicationDispense, MedicationPrescription, PaymentNotice, MedicationStatement, AppointmentResponse, Questionnaire, Media, Other, VisionPrescription, DocumentReference, Immunization, ExtensionDefinition, ImagingStudy, Device, StructureDefinition, Order, Procedure, DiagnosticReport, DataElement, DocumentManifest, MedicationAdministration, Encounter, SecurityEvent, PendedRequest, List, DeviceUseStatement, Goal, NutritionOrder, ReferralRequest, FamilyHistory, EnrollmentRequest, Location, Contract, Basic, Specimen, EnrollmentResponse, Patient, CarePlan2 and DiagnosticOrder
See also Examples, Detailed Descriptions and Mappings.
A name of a human with text, parts and usage information.
Names may be changed or repudiated. People may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts is not always significant. With personal names, the different parts may or may not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems SHALL care about name parts around the world varies widely.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
HumanName | 1..1 | Element | Name of a human - parts and usage | |
use | M | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden NameUse (Required) |
text | 0..1 | string | Text representation of the full name | |
family | 0..* | string | Family name (often called 'Surname') | |
given | 0..* | string | Given names (not always 'first'). Includes middle names | |
prefix | 0..* | string | Parts that come before the name | |
suffix | 0..* | string | Parts that come after the name | |
period | 0..1 | Period | Time period when name was/is in use |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 usual | official | temp | nickname | anonymous | old | maiden --> <text value="[string]"/><!-- 0..1 Text representation of the full name --> <family value="[string]"/><!-- 0..* Family name (often called 'Surname') --> <given value="[string]"/><!-- 0..* Given names (not always 'first'). Includes middle names --> <prefix value="[string]"/><!-- 0..* Parts that come before the name --> <suffix value="[string]"/><!-- 0..* Parts that come after the name --> <period><!-- 0..1 Period Time period when name was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "HumanName", // from Element: extension "use" : "<code>", // usual | official | temp | nickname | anonymous | old | maiden "text" : "<string>", // Text representation of the full name "family" : ["<string>"], // Family name (often called 'Surname') "given" : ["<string>"], // Given names (not always 'first'). Includes middle names "prefix" : ["<string>"], // Parts that come before the name "suffix" : ["<string>"], // Parts that come after the name "period" : { Period } // Time period when name was/is in use }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
HumanName | 1..1 | Element | Name of a human - parts and usage | |
use | M | 0..1 | code | usual | official | temp | nickname | anonymous | old | maiden NameUse (Required) |
text | 0..1 | string | Text representation of the full name | |
family | 0..* | string | Family name (often called 'Surname') | |
given | 0..* | string | Given names (not always 'first'). Includes middle names | |
prefix | 0..* | string | Parts that come before the name | |
suffix | 0..* | string | Parts that come after the name | |
period | 0..1 | Period | Time period when name was/is in use |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 usual | official | temp | nickname | anonymous | old | maiden --> <text value="[string]"/><!-- 0..1 Text representation of the full name --> <family value="[string]"/><!-- 0..* Family name (often called 'Surname') --> <given value="[string]"/><!-- 0..* Given names (not always 'first'). Includes middle names --> <prefix value="[string]"/><!-- 0..* Parts that come before the name --> <suffix value="[string]"/><!-- 0..* Parts that come after the name --> <period><!-- 0..1 Period Time period when name was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "HumanName", // from Element: extension "use" : "<code>", // usual | official | temp | nickname | anonymous | old | maiden "text" : "<string>", // Text representation of the full name "family" : ["<string>"], // Family name (often called 'Surname') "given" : ["<string>"], // Given names (not always 'first'). Includes middle names "prefix" : ["<string>"], // Parts that come before the name "suffix" : ["<string>"], // Parts that come after the name "period" : { Period } // Time period when name was/is in use }
This table summarizes where common parts of a person's name are found.
Name | Example | Destination / Comments |
Surname | Smith | Family Name |
First name | John | Given Name |
Title | Mr | Prefix |
Middle Name | Samuel | Subsequent Given Names |
Patronymic | bin Osman | Family Name |
Multiple family names | Carreño Quiñones | Family Name. See note below about repeats |
Initials | Q. | Given Name as initial ("." recommended) |
Nick Name | Jock | Given name, with Use = common |
Qualifications | PhD | Suffix |
Honorifics | Senior | Suffix |
For further information, including all W3C International Examples, consult the examples.
The text element specifies the entire name as it should be represented. This may be provided instead of or as well as specific parts. The parts of a name SHOULD NOT contain whitespace. For family name, hyphenated names such as "Smith-Jones" are a single name, but names with spaces such as "Smith Jones" are broken into multiple parts. For given names, initials may be used in place of the full name if that is all that is recorded. The order of the parts within a given part type has significance and SHALL be observed. The appropriate order between family name and given names depends on culture and context of use. Systems that operate across cultures should generally rely on the text form for presentation, and use the parts for index/search functionality.
Applications updating a name SHALL ensure either that the text and the parts are in agreement, or that only one of the two is present. Systems that do not support as many name parts as are provided in an instance may wish to append some of the parts together using spaces
HumanName is used in the following places: Practitioner, RelatedPerson, Person, Organization and Patient
See also Examples, Detailed Descriptions and Mappings.
A postal address. There is a variety of postal address formats defined around the world. Postal addresses are often also used to record a location that can be visited to find a patient or person.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Address | 1..1 | Element | A postal address | |
use | M | 0..1 | code | home | work | temp | old - purpose of this address AddressUse (Required) |
text | 0..1 | string | Text representation of the address | |
line | 0..* | string | Street name, number, direction & P.O. Box etc | |
city | 0..1 | string | Name of city, town etc. | |
state | 0..1 | string | Sub-unit of country (abreviations ok) | |
postalCode | 0..1 | string | Postal code for area | |
country | 0..1 | string | Country (can be ISO 3166 3 letter code) | |
period | 0..1 | Period | Time period when address was/is in use |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 home | work | temp | old - purpose of this address --> <text value="[string]"/><!-- 0..1 Text representation of the address --> <line value="[string]"/><!-- 0..* Street name, number, direction & P.O. Box etc --> <city value="[string]"/><!-- 0..1 Name of city, town etc. --> <state value="[string]"/><!-- 0..1 Sub-unit of country (abreviations ok) --> <postalCode value="[string]"/><!-- 0..1 Postal code for area --> <country value="[string]"/><!-- 0..1 Country (can be ISO 3166 3 letter code) --> <period><!-- 0..1 Period Time period when address was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "Address", // from Element: extension "use" : "<code>", // home | work | temp | old - purpose of this address "text" : "<string>", // Text representation of the address "line" : ["<string>"], // Street name, number, direction & P.O. Box etc "city" : "<string>", // Name of city, town etc. "state" : "<string>", // Sub-unit of country (abreviations ok) "postalCode" : "<string>", // Postal code for area "country" : "<string>", // Country (can be ISO 3166 3 letter code) "period" : { Period } // Time period when address was/is in use }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Address | 1..1 | Element | A postal address | |
use | M | 0..1 | code | home | work | temp | old - purpose of this address AddressUse (Required) |
text | 0..1 | string | Text representation of the address | |
line | 0..* | string | Street name, number, direction & P.O. Box etc | |
city | 0..1 | string | Name of city, town etc. | |
state | 0..1 | string | Sub-unit of country (abreviations ok) | |
postalCode | 0..1 | string | Postal code for area | |
country | 0..1 | string | Country (can be ISO 3166 3 letter code) | |
period | 0..1 | Period | Time period when address was/is in use |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <use value="[code]"/><!-- 0..1 home | work | temp | old - purpose of this address --> <text value="[string]"/><!-- 0..1 Text representation of the address --> <line value="[string]"/><!-- 0..* Street name, number, direction & P.O. Box etc --> <city value="[string]"/><!-- 0..1 Name of city, town etc. --> <state value="[string]"/><!-- 0..1 Sub-unit of country (abreviations ok) --> <postalCode value="[string]"/><!-- 0..1 Postal code for area --> <country value="[string]"/><!-- 0..1 Country (can be ISO 3166 3 letter code) --> <period><!-- 0..1 Period Time period when address was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "Address", // from Element: extension "use" : "<code>", // home | work | temp | old - purpose of this address "text" : "<string>", // Text representation of the address "line" : ["<string>"], // Street name, number, direction & P.O. Box etc "city" : "<string>", // Name of city, town etc. "state" : "<string>", // Sub-unit of country (abreviations ok) "postalCode" : "<string>", // Postal code for area "country" : "<string>", // Country (can be ISO 3166 3 letter code) "period" : { Period } // Time period when address was/is in use }
The text element specifies the entire address as it should be represented. This may be provided instead of or as well as the specific parts. Applications updating an address SHALL ensure either that the text and the parts are in agreement, or that only one of the two is present.
Constraints
Address is used in the following places: Practitioner, RelatedPerson, Person, Organization, Location and Patient
See also Examples, Detailed Descriptions and Mappings.
Details for all kinds of technology-mediated contact points for a person or organization, including telephone, email, etc.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ContactPoint | I | 1..1 | Element | Details of a Technology mediated contact point (phone, fax, email, etc) A system is required if a value is provided. |
system | I | 0..1 | code | phone | fax | email | url ContactPointSystem (Required) |
value | 0..1 | string | The actual contact point details | |
use | M | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point ContactPointUse (Required) |
period | 0..1 | Period | Time period when the contact point was/is in use |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <system value="[code]"/><!-- 0..1 phone | fax | email | url --> <value value="[string]"/><!-- 0..1 The actual contact point details --> <use value="[code]"/><!-- 0..1 home | work | temp | old | mobile - purpose of this contact point --> <period><!-- 0..1 Period Time period when the contact point was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "ContactPoint", // from Element: extension "system" : "<code>", // C? phone | fax | email | url "value" : "<string>", // The actual contact point details "use" : "<code>", // home | work | temp | old | mobile - purpose of this contact point "period" : { Period } // Time period when the contact point was/is in use }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ContactPoint | I | 1..1 | Element | Details of a Technology mediated contact point (phone, fax, email, etc) A system is required if a value is provided. |
system | I | 0..1 | code | phone | fax | email | url ContactPointSystem (Required) |
value | 0..1 | string | The actual contact point details | |
use | M | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point ContactPointUse (Required) |
period | 0..1 | Period | Time period when the contact point was/is in use |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <system value="[code]"/><!-- 0..1 phone | fax | email | url --> <value value="[string]"/><!-- 0..1 The actual contact point details --> <use value="[code]"/><!-- 0..1 home | work | temp | old | mobile - purpose of this contact point --> <period><!-- 0..1 Period Time period when the contact point was/is in use --></period> </[name]>
JSON Template
{ "resourceType" : "ContactPoint", // from Element: extension "system" : "<code>", // C? phone | fax | email | url "value" : "<string>", // The actual contact point details "use" : "<code>", // home | work | temp | old | mobile - purpose of this contact point "period" : { Period } // Time period when the contact point was/is in use }
If capturing a phone, fax or similar contact point, the value should be a properly formatted telephone number according to ITU-T E.123. However, this is frequently not possible due to legacy data and/or recording methods.
Constraints
ContactPoint is used in the following places: ValueSet, Conformance, NamingSystem, Profile, HealthcareService, ConceptMap, Practitioner, OperationDefinition, RelatedPerson, Person, Organization, Questionnaire, ExtensionDefinition, Subscription, Device, StructureDefinition, MessageHeader, DataElement, SearchParameter, Location and Patient
See also Examples, Detailed Descriptions and Mappings.
Specifies an event that may occur multiple times. Timing schedules are not used for recording when things did happen, but when they are expected or requested to occur. A Timing schedule can be either a list of events - periods on which the event occurs, or a single event with repeating criteria, or just repeating criteria with no actual event.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Timing | I | 1..1 | Element | A timing schedule that specifies an event that may occur multiple times There can only be a repeat element if there is none or one event |
event | 0..* | Period | When the event occurs | |
repeat | I | 0..1 | Element | Only if there is none or one event At most, only one of count or end can be present Either frequency or when SHALL be present, but not both |
frequency | I | 0..1 | integer | Event occurs frequency times per duration |
when | I | 0..1 | code | HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events EventTiming (Required) |
duration | I | 1..1 | decimal | Repeating or event-related duration duration SHALL be a non-negative value |
units | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) UnitsOfTime (Required) | |
count | I | 0..1 | integer | Number of times to repeat |
end | I | 0..1 | dateTime | When to stop repeats |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <event><!-- 0..* Period When the event occurs --></event> <repeat> <!-- 0..1 Only if there is none or one event --> <frequency value="[integer]"/><!-- 0..1 Event occurs frequency times per duration --> <when value="[code]"/><!-- 0..1 HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events --> <duration value="[decimal]"/><!-- 1..1 Repeating or event-related duration --> <units value="[code]"/><!-- 1..1 s | min | h | d | wk | mo | a - unit of time (UCUM) --> <count value="[integer]"/><!-- 0..1 Number of times to repeat --> <end value="[dateTime]"/><!-- 0..1 When to stop repeats --> </repeat> </[name]>
JSON Template
{ "resourceType" : "Timing", // from Element: extension "event" : [{ Period }], // When the event occurs "repeat" : { // C? Only if there is none or one event "frequency" : <integer>, // C? Event occurs frequency times per duration "when" : "<code>", // C? HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events "duration" : <decimal>, // C? R! Repeating or event-related duration "units" : "<code>", // R! s | min | h | d | wk | mo | a - unit of time (UCUM) "count" : <integer>, // C? Number of times to repeat "end" : "<dateTime>" // C? When to stop repeats } }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Timing | I | 1..1 | Element | A timing schedule that specifies an event that may occur multiple times There can only be a repeat element if there is none or one event |
event | 0..* | Period | When the event occurs | |
repeat | I | 0..1 | Element | Only if there is none or one event At most, only one of count or end can be present Either frequency or when SHALL be present, but not both |
frequency | I | 0..1 | integer | Event occurs frequency times per duration |
when | I | 0..1 | code | HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events EventTiming (Required) |
duration | I | 1..1 | decimal | Repeating or event-related duration duration SHALL be a non-negative value |
units | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) UnitsOfTime (Required) | |
count | I | 0..1 | integer | Number of times to repeat |
end | I | 0..1 | dateTime | When to stop repeats |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <event><!-- 0..* Period When the event occurs --></event> <repeat> <!-- 0..1 Only if there is none or one event --> <frequency value="[integer]"/><!-- 0..1 Event occurs frequency times per duration --> <when value="[code]"/><!-- 0..1 HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events --> <duration value="[decimal]"/><!-- 1..1 Repeating or event-related duration --> <units value="[code]"/><!-- 1..1 s | min | h | d | wk | mo | a - unit of time (UCUM) --> <count value="[integer]"/><!-- 0..1 Number of times to repeat --> <end value="[dateTime]"/><!-- 0..1 When to stop repeats --> </repeat> </[name]>
JSON Template
{ "resourceType" : "Timing", // from Element: extension "event" : [{ Period }], // When the event occurs "repeat" : { // C? Only if there is none or one event "frequency" : <integer>, // C? Event occurs frequency times per duration "when" : "<code>", // C? HS | WAKE | AC | ACM | ACD | ACV | PC | PCM | PCD | PCV - common life events "duration" : <decimal>, // C? R! Repeating or event-related duration "units" : "<code>", // R! s | min | h | d | wk | mo | a - unit of time (UCUM) "count" : <integer>, // C? Number of times to repeat "end" : "<dateTime>" // C? When to stop repeats } }
If events are specified, at least event.start SHALL be specified for each event. If no event.end is specified, the event is assumed to last a limited but unknown time as clinically relevant.
If the timing schedule has repeating criteria, the repeat can occur a given number of times per the specified duration or in relation to some real world event. Also, if the event repeats, a time to end the timing can be specified, either with a count of the number of times it can occur or a date/time at which to end the schedule. If no end condition is specified, the schedule will terminate on some criteria that are expressed elsewhere.
See also Examples, Detailed Descriptions and Mappings.
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Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Signature | 1..1 | Element | An XML digital Signature | |
type | 1..* | Coding | Indication of the reason the entity signed the document ContractSignerType (Example) | |
when | 1..1 | instant | When the signature was created | |
who[x] | Who signed the signature | |||
whoUri | 1..1 | uri | ||
whoReference | 1..1 | Practitioner | RelatedPerson | Patient | ||
blob | 1..1 | base64Binary | The actual XML Dig-Sig |
UML Diagram
to do
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <type><!-- 1..* Coding Indication of the reason the entity signed the document --></type> <when value="[instant]"/><!-- 1..1 When the signature was created --> <who[x]><!-- 1..1 uri|Reference(Practitioner|RelatedPerson|Patient) Who signed the signature --></who[x]> <blob value="[base64Binary]"/><!-- 1..1 The actual XML Dig-Sig --> </[name]>
JSON Template
{ // from Element: extension "type" : [{ Coding }], // R! Indication of the reason the entity signed the document "when" : "<instant>", // R! When the signature was created // who[x]: Who signed the signature. One of these 2: "whoUri" : "<uri>", "whoReference" : { Reference(Practitioner|RelatedPerson|Patient) }, "blob" : "<base64Binary>" // R! The actual XML Dig-Sig }
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Signature | 1..1 | Element | An XML digital Signature | |
type | 1..* | Coding | Indication of the reason the entity signed the document ContractSignerType (Example) | |
when | 1..1 | instant | When the signature was created | |
who[x] | Who signed the signature | |||
whoUri | 1..1 | uri | ||
whoReference | 1..1 | Practitioner | RelatedPerson | Patient | ||
blob | 1..1 | base64Binary | The actual XML Dig-Sig |
XML Template
<[name] xmlns="http://hl7.org/fhir"> <!-- from Element: extension --> <type><!-- 1..* Coding Indication of the reason the entity signed the document --></type> <when value="[instant]"/><!-- 1..1 When the signature was created --> <who[x]><!-- 1..1 uri|Reference(Practitioner|RelatedPerson|Patient) Who signed the signature --></who[x]> <blob value="[base64Binary]"/><!-- 1..1 The actual XML Dig-Sig --> </[name]>
JSON Template
{ // from Element: extension "type" : [{ Coding }], // R! Indication of the reason the entity signed the document "when" : "<instant>", // R! When the signature was created // who[x]: Who signed the signature. One of these 2: "whoUri" : "<uri>", "whoReference" : { Reference(Practitioner|RelatedPerson|Patient) }, "blob" : "<base64Binary>" // R! The actual XML Dig-Sig }
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Constraints
Signature is used in the following places: (not used as yet)
Some elements do not have a specified type. The type is represented by the wildcard symbol "*". In these cases, the element type may be one of the following:
The element name ends with "[x]", and this is replaced with the Title cased name of the data type.
Open references are used in the following places: DataElement and Parameters
The following types are defined as part of the data types, but are documented elsewhere in the specification: