STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). 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

Narrative.profile.xml

Raw XML (canonical form)

StructureDefinition for Narrative

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Narrative"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" style="background-color: white; background-color: inherit" title="Element"/> 
            <a href="narrative-definitions.html#Narrative" title="Narrative : A human-readable formatted text, including images.">Narrative</a>
            <a name="Narrative"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="element.html">Element</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">A human-readable formatted text, including images</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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          CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW
            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/> 
            <a href="narrative-definitions.html#Narrative.status" title="Narrative.status : The status of the narrative - whether it's entirely generated (from
             just the defined data or the extensions too), or whether a human authored it and it may
             contain additional data.">status</a>
            <a name="Narrative.status"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">generated | extensions | additional | empty
            <br/>
            <a href="valueset-narrative-status.html" title="The status of a resource narrative">NarrativeStatus</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <a href="narrative-definitions.html#Narrative.div" title="Narrative.div : The actual narrative content, a stripped down version of XHTML.">div</a>
            <a name="Narrative.div"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span title="This element has or is affected by some invariants">I</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="narrative.html#xhtml">xhtml</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Limited xhtml content
            <br/>
            <span style="font-style: italic" title="txt-2">The narrative SHALL have some non-whitespace content</span>
            <br/>
            <span style="font-style: italic" title="txt-1">The narrative SHALL contain only the basic html formatting elements described in chapters
               7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
               (either name or href), images and internally contained style attributes</span>
            <br/>
            <span style="font-style: italic" title="txt-3">The narrative SHALL contain only the basic html formatting attributes described in chapters
               7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
               (either name or href), images and internally contained style attributes</span>
          </td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/Narrative"/>
  <name value="Narrative"/>
  <status value="draft"/>
  <publisher value="HL7 FHIR Standard"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2016-03-31T08:01:25+11:00"/>
  <description value="Base StructureDefinition for Narrative Type"/>
  <fhirVersion value="1.4.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="datatype"/>
  <abstract value="false"/>
  <baseType value="Element"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element>
      <path value="Narrative"/>
      <short value="A human-readable formatted text, including images"/>
      <definition value="A human-readable formatted text, including images."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.status"/>
      <short value="generated | extensions | additional | empty"/>
      <definition value="The status of the narrative - whether it's entirely generated (from just the defined data
       or the extensions too), or whether a human authored it and it may contain additional data."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The status of a resource narrative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/narrative-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.div"/>
      <short value="Limited xhtml content"/>
      <definition value="The actual narrative content, a stripped down version of XHTML."/>
      <comments value="The contents of the html element are an XHTML fragment containing only the basic html
       formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, &lt;a&gt;
       elements (either name or href), images and internally contained stylesheets. The XHTML
       content may not contain a head, a body, external stylesheet references, scripts, forms,
       base/link/xlink, frames, iframes and objects."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="xhtml"/>
      </type>
      <constraint>
        <key value="txt-2"/>
        <severity value="error"/>
        <human value="The narrative SHALL have some non-whitespace content"/>
        <xpath value="descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"/>
      </constraint>
      <constraint>
        <key value="txt-1"/>
        <severity value="error"/>
        <human value="The narrative SHALL contain only the basic html formatting elements described in chapters
         7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
         (either name or href), images and internally contained style attributes"/>
        <xpath value="not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote',
         'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em',
         'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp',
         'small', 'span', 'strong', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt',
         'ul', 'var'))])"/>
      </constraint>
      <constraint>
        <key value="txt-3"/>
        <severity value="error"/>
        <human value="The narrative SHALL contain only the basic html formatting attributes described in chapters
         7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
         (either name or href), images and internally contained style attributes"/>
        <xpath value="not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis',
         'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char',
         'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame',
         'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap',
         'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary',
         'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Narrative"/>
      <short value="A human-readable formatted text, including images"/>
      <definition value="A human-readable formatted text, including images."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Element"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.status"/>
      <short value="generated | extensions | additional | empty"/>
      <definition value="The status of the narrative - whether it's entirely generated (from just the defined data
       or the extensions too), or whether a human authored it and it may contain additional data."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The status of a resource narrative"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/narrative-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Narrative.div"/>
      <short value="Limited xhtml content"/>
      <definition value="The actual narrative content, a stripped down version of XHTML."/>
      <comments value="The contents of the html element are an XHTML fragment containing only the basic html
       formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, &lt;a&gt;
       elements (either name or href), images and internally contained stylesheets. The XHTML
       content may not contain a head, a body, external stylesheet references, scripts, forms,
       base/link/xlink, frames, iframes and objects."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="xhtml"/>
      </type>
      <constraint>
        <key value="txt-2"/>
        <severity value="error"/>
        <human value="The narrative SHALL have some non-whitespace content"/>
        <xpath value="descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]"/>
      </constraint>
      <constraint>
        <key value="txt-1"/>
        <severity value="error"/>
        <human value="The narrative SHALL contain only the basic html formatting elements described in chapters
         7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
         (either name or href), images and internally contained style attributes"/>
        <xpath value="not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote',
         'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em',
         'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp',
         'small', 'span', 'strong', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt',
         'ul', 'var'))])"/>
      </constraint>
      <constraint>
        <key value="txt-3"/>
        <severity value="error"/>
        <human value="The narrative SHALL contain only the basic html formatting attributes described in chapters
         7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, &lt;a&gt; elements
         (either name or href), images and internally contained style attributes"/>
        <xpath value="not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis',
         'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char',
         'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame',
         'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap',
         'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary',
         'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.