This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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
FHIR Infrastructure Work Group | Maturity Level: 5 | Normative | Compartments: Not linked to any defined compartments |
Detailed Descriptions for the elements in the StructureDefinition resource.
StructureDefinition | |
Element Id | StructureDefinition |
Definition | A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types. |
Control | 1..1 |
Alternate Names | Template; Profile |
Invariants | Defined on this element sdf-1: Element paths must be unique unless the structure is a constraint (expression : derivation = 'constraint' or snapshot.element.select(path).isDistinct(), xpath: (f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(f:snapshot/f:element/f:path/@value)))) sdf-11: If there's a type, its content must match the path name in the first element of a snapshot (expression : kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type, xpath: (f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:element[1]/f:path/@value)) sdf-12: element.base cannot appear if there is no base on the structure definition (expression : snapshot.exists() implies (snapshot.element.base.exists() = baseDefinition.exists()), xpath: f:baseDefinition or not(exists(f:snapshot/f:element/f:base) or exists(f:differential/f:element/f:base))) sdf-14: All element definitions must have an id (expression : snapshot.element.all(id.exists()) and differential.element.all(id.exists()), xpath: count(*/f:element)=count(*/f:element/@id)) sdf-16: All element definitions must have unique ids (snapshot) (expression : snapshot.element.all(id) and snapshot.element.id.trace('ids').isDistinct(), xpath: count(f:snapshot/f:element)=count(f:snapshot/f:element/@id) and (count(f:snapshot/f:element)=count(distinct-values(f:snapshot/f:element/@id)))) sdf-17: All element definitions must have unique ids (diff) (expression : differential.element.all(id) and differential.element.id.trace('ids').isDistinct(), xpath: count(f:differential/f:element)=count(f:differential/f:element/@id) and (count(f:differential/f:element)=count(distinct-values(f:differential/f:element/@id)))) sdf-18: Context Invariants can only be used for extensions (expression : contextInvariant.exists() implies type = 'Extension', xpath: not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')) sdf-19: Custom types can only be used in logical models (expression : kind = 'logical' or (differential.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$')) and snapshot.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$'))), xpath: f:kind/@value = 'logical' or count(f:differential/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]|f:snapshot/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]) =0) sdf-21: Default values can only be specified on logical models (expression : (snapshot.element.defaultValue.exists() or differential.element.defaultValue.exists()) implies ((kind = 'logical') and (derivation = 'specialization')), xpath: (not(exists(f:snapshot/f:element/*[starts-with(local-name(), 'defaultValue')])) and not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')]))) or ((f:kind/@value = 'logical') and (f:derivation/@value = 'specialization'))) sdf-4: If the structure is not abstract, then there SHALL be a baseDefinition (expression : abstract = true or baseDefinition.exists(), xpath: (f:abstract/@value=true()) or exists(f:baseDefinition)) sdf-5: If the structure defines an extension then the structure must have context information (expression : type != 'Extension' or derivation = 'specialization' or (context.exists()), xpath: not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or (exists(f:context))) sdf-6: A structure must have either a differential, or a snapshot (or both) (expression : snapshot.exists() or differential.exists(), xpath: exists(f:snapshot) or exists(f:differential)) sdf-7: If the structure describes a base Resource or Type, the URL has to start with "http://hl7.org/fhir/StructureDefinition/" and the tail must match the id (expression : (derivation = 'constraint') or (kind = 'logical') or (url = 'http://hl7.org/fhir/StructureDefinition/'+id), xpath: (f:derivation/@value = 'constraint') or (f:kind/@value = 'logical') or (f:url/@value=concat('http://hl7.org/fhir/StructureDefinition/', f:id/@value))) sdf-9: In any snapshot or differential, no label, code or requirements on an element without a "." in the path (e.g. the first element) (expression : children().element.where(path.contains('.').not()).label.empty() and children().element.where(path.contains('.').not()).code.empty() and children().element.where(path.contains('.').not()).requirements.empty(), xpath: not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)]))) |
StructureDefinition.url | |
Element Id | StructureDefinition.url |
Definition | An absolute URI that is used to identify this structure definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which this structure definition is (or will be) published. |
Control | 1..1 |
Type | uri |
Requirements | Allows the structure definition to be referenced by a single globally unique identifier. |
Alternate Names | url; authoritative-url; destination; identity |
Summary | true |
Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The URL SHOULD include the major version of the structure definition. For more information see Technical and Business Versions. |
StructureDefinition.identifier | |
Element Id | StructureDefinition.identifier |
Definition | A formal identifier that is used to identify this structure definition when it is represented in other formats, or referenced in a specification, model, design or an instance. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. |
Summary | true |
Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure definition outside of FHIR, where it is not possible to use the logical URI. |
StructureDefinition.version | |
Element Id | StructureDefinition.version |
Definition | The identifier that is used to identify this version of the structure definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. |
Note | This is a business versionId, not a resource version id (see discussion) |
Control | 0..1 |
Type | string |
Summary | true |
Comments | There may be different structure definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the structure definition with the format [url]|[version]. |
StructureDefinition.name | |
Element Id | StructureDefinition.name |
Definition | A natural language name identifying the structure definition. This name should be usable as an identifier for the module by machine processing applications such as code generation. |
Control | 1..1 |
Type | string |
Requirements | Support human navigation and code generation. |
Summary | true |
Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. |
StructureDefinition.title | |
Element Id | StructureDefinition.title |
Definition | A short, descriptive, user-friendly title for the structure definition. |
Control | 0..1 |
Type | string |
Summary | true |
Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Applications don't have to use this name but can always fall back to it. The title also corresponds to the label for the root element. |
StructureDefinition.status | |
Element Id | StructureDefinition.status |
Definition | The status of this structure definition. Enables tracking the life-cycle of the content. |
Control | 1..1 |
Terminology Binding | PublicationStatus (Required) |
Type | code |
Is Modifier | true (Reason: null) |
Summary | true |
Comments | Allows filtering of structure definitions that are appropriate for use versus not. |
StructureDefinition.experimental | |
Element Id | StructureDefinition.experimental |
Definition | A Boolean value to indicate that this structure definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. |
Control | 0..1 |
Type | boolean |
Is Modifier | true (Reason: null) |
Requirements | Enables experimental content to be developed following the same lifecycle that would be used for a production-level structure definition. |
Summary | true |
Comments | Allows filtering of structure definitions that are appropriate for use versus not. |
StructureDefinition.date | |
Element Id | StructureDefinition.date |
Definition | The date (and optionally time) when the structure definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure definition changes. |
Control | 0..1 |
Type | dateTime |
Alternate Names | Revision Date |
Summary | true |
Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. |
StructureDefinition.publisher | |
Element Id | StructureDefinition.publisher |
Definition | The name of the organization or individual that published the structure definition. |
Control | 0..1 |
Type | string |
Requirements | Helps establish the "authority/credibility" of the structure definition. May also allow for contact. |
Summary | true |
Comments | Usually an organization but may be an individual. The publisher (or steward) of the structure definition is the organization or individual primarily responsible for the maintenance and upkeep of the structure definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure definition. This item SHOULD be populated unless the information is available from context. |
StructureDefinition.contact | |
Element Id | StructureDefinition.contact |
Definition | Contact details to assist a user in finding and communicating with the publisher. |
Control | 0..* |
Type | ContactDetail |
Summary | true |
Comments | May be a web site, an email address, a telephone number, etc. |
StructureDefinition.description | |
Element Id | StructureDefinition.description |
Definition | A free text natural language description of the structure definition from a consumer's perspective. |
Control | 0..1 |
Type | markdown |
Comments | This description can be used to capture details such as why the structure definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created). |
StructureDefinition.useContext | |
Standards Status | This element has a standards status of "Trial Use" which is different to the status of the whole resource |
Element Id | StructureDefinition.useContext |
Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate structure definition instances. |
Control | 0..* |
Type | UsageContext |
Requirements | Assist in searching for appropriate content. |
Summary | true |
Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. |
StructureDefinition.jurisdiction | |
Element Id | StructureDefinition.jurisdiction |
Definition | A legal or geographic region in which the structure definition is intended to be used. |
Control | 0..* |
Terminology Binding | Jurisdiction ValueSet (Extensible) |
Type | CodeableConcept |
Summary | true |
Comments | It may be possible for the structure definition to be used in jurisdictions other than those for which it was originally designed or intended. |
StructureDefinition.purpose | |
Element Id | StructureDefinition.purpose |
Definition | Explanation of why this structure definition is needed and why it has been designed as it has. |
Control | 0..1 |
Type | markdown |
Comments | This element does not describe the usage of the structure definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this structure definition. |
StructureDefinition.copyright | |
Element Id | StructureDefinition.copyright |
Definition | A copyright statement relating to the structure definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure definition. |
Control | 0..1 |
Type | markdown |
Requirements | Consumers must be able to determine any legal restrictions on the use of the structure definition and/or its content. |
Alternate Names | License; Restrictions |
StructureDefinition.keyword | |
Element Id | StructureDefinition.keyword |
Definition | A set of key words or terms from external terminologies that may be used to assist with indexing and searching of templates. |
Control | 0..* |
Terminology Binding | Structure Definition Codes (Example) |
Type | Coding |
Requirements | Assist in searching for appropriate StructureDefinitions. |
Summary | true |
StructureDefinition.fhirVersion | |
Element Id | StructureDefinition.fhirVersion |
Definition | The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 3.3.0 for this version. |
Control | 0..1 |
Terminology Binding | All Published FHIR versions (Required) |
Type | id |
Summary | true |
Comments | A StructureDefinition does not need to specify the target it applies to as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired. |
StructureDefinition.mapping | |
Element Id | StructureDefinition.mapping |
Definition | An external specification that the content is mapped to. |
Control | 0..* |
Invariants | Defined on this element sdf-2: Must have at least a name or a uri (or both) (expression : name.exists() or uri.exists(), xpath: exists(f:uri) or exists(f:name)) |
StructureDefinition.mapping.identity | |
Element Id | StructureDefinition.mapping.identity |
Definition | An Internal id that is used to identify this mapping set when specific mappings are made. |
Control | 1..1 |
Type | id |
Comments | The specification is described once, with general comments, and then specific mappings are made that reference this declaration. |
StructureDefinition.mapping.uri | |
Element Id | StructureDefinition.mapping.uri |
Definition | An absolute URI that identifies the specification that this mapping is expressed to. |
Control | 0..1 |
Type | uri |
Comments | A formal identity for the specification being mapped to helps with identifying maps consistently. |
Invariants | Affect this element sdf-2: Must have at least a name or a uri (or both) (expression : name.exists() or uri.exists(), xpath: exists(f:uri) or exists(f:name)) |
StructureDefinition.mapping.name | |
Element Id | StructureDefinition.mapping.name |
Definition | A name for the specification that is being mapped to. |
Control | 0..1 |
Type | string |
Invariants | Affect this element sdf-2: Must have at least a name or a uri (or both) (expression : name.exists() or uri.exists(), xpath: exists(f:uri) or exists(f:name)) |
StructureDefinition.mapping.comment | |
Element Id | StructureDefinition.mapping.comment |
Definition | Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage. |
Control | 0..1 |
Type | string |
StructureDefinition.kind | |
Element Id | StructureDefinition.kind |
Definition | Defines the kind of structure that this definition is describing. |
Control | 1..1 |
Terminology Binding | StructureDefinitionKind (Required) |
Type | code |
Summary | true |
StructureDefinition.abstract | |
Element Id | StructureDefinition.abstract |
Definition | Whether structure this definition describes is abstract or not - that is, whether the structure is not intended to be instantiated. For Resources and Data types, abstract types will never be exchanged between systems. |
Control | 1..1 |
Type | boolean |
Summary | true |
Comments | Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract datatypes and extensions cannot be used in an instance. For logical models, the exact implication of "abstract" will rest with the author, depending how the logical model is used. Flagging a constraint structure as abstract conveys design intent but makes no difference to how the structure definition is handled. Note that inline declared elements that are given the type "Element" in the profile, but have children described, are anonymous concrete types that specialize Element. |
StructureDefinition.context | |
Element Id | StructureDefinition.context |
Definition | Identifies the types of resource or data type elements to which the extension can be applied. |
Control | 0..* |
Summary | true |
Invariants | Affect this element sdf-5: If the structure defines an extension then the structure must have context information (expression : type != 'Extension' or derivation = 'specialization' or (context.exists()), xpath: not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or (exists(f:context))) |
StructureDefinition.context.type | |
Element Id | StructureDefinition.context.type |
Definition | Defines how to interpret the expression that defines what the context of the extension is. |
Control | 1..1 |
Terminology Binding | ExtensionContextType (Required) |
Type | code |
Summary | true |
StructureDefinition.context.expression | |
Element Id | StructureDefinition.context.expression |
Definition | An expression that defines where an extension can be used in resources. |
Control | 1..1 |
Type | string |
Summary | true |
StructureDefinition.contextInvariant | |
Element Id | StructureDefinition.contextInvariant |
Definition | A set of rules as FHIRPath Invariants about when the extension can be used (e.g. co-occurrence variants for the extension). All the rules must be true. |
Control | 0..* |
Type | string |
Summary | true |
Comments | The rules are only evaluated when the extension is present. When evaluating the invariant, the FHIRPath focus is the element that holds the extension, and %extension refers to the extension itself. |
Invariants | Affect this element sdf-18: Context Invariants can only be used for extensions (expression : contextInvariant.exists() implies type = 'Extension', xpath: not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')) |
StructureDefinition.type | |
Element Id | StructureDefinition.type |
Definition | The type this structure describes. If the derivation kind is 'specialization' then this is the master definition for a type, and there is always one of these (a data type, an extension, a resource, including abstract ones). Otherwise the structure definition is a constraint on the stated type (and in this case, the type cannot be an abstract type). References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. "string" is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models. |
Control | 1..1 |
Terminology Binding | FHIRDefinedType (Extensible) |
Type | uri |
Summary | true |
Comments | Note that in the case of constraints, the type could be determined by chasing through the baseDefinition references until a concrete structure (derivation = specialization) is reached, or by looking at the path of the first element in the snapshot - if present - but providing the type directly makes for simpler tooling and indexing. The type must match the elements defined in the differential and the snapshot. For all FHIR defined types, the path name of the element will start with the type name. For logical models, where the type is a URL, the type name SHOULD start with the tail of the type URL where required. |
Invariants | Affect this element sdf-11: If there's a type, its content must match the path name in the first element of a snapshot (expression : kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type, xpath: (f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:element[1]/f:path/@value)) |
StructureDefinition.baseDefinition | |
Element Id | StructureDefinition.baseDefinition |
Definition | An absolute URI that is the base structure from which this type is derived, either by specialization or constraint. |
Control | 0..1 |
Type | canonical(StructureDefinition) |
Hierarchy | This reference is part of a strict Hierarchy |
Summary | true |
Comments | If differential constraints are specified in this structure, they are applied to the base in a "differential" fashion. If there is no base, then the differential constraints cannot be provided (snapshot only). Differential structures are useful for the editing perspective, and snapshot structures are suitable for operational use. The FHIR Project provides a number of tools/services to populate snapshots from differential constraints. Logical Models have a base of "Element" or another logical model. |
Invariants | Affect this element sdf-4: If the structure is not abstract, then there SHALL be a baseDefinition (expression : abstract = true or baseDefinition.exists(), xpath: (f:abstract/@value=true()) or exists(f:baseDefinition)) |
StructureDefinition.derivation | |
Element Id | StructureDefinition.derivation |
Definition | How the type relates to the baseDefinition. |
Control | 0..1 |
Terminology Binding | TypeDerivationRule (Required) |
Type | code |
Summary | true |
Comments | If the definition is a specialization, then it adds new elements in the differential, and the snapshot includes the inherited elements. If the definition is a constraint, then it cannot define new elements, it can only make new rules about existing content (see Profiling Resources). |
StructureDefinition.snapshot | |
Element Id | StructureDefinition.snapshot |
Definition | A snapshot view is expressed in a standalone form that can be used and interpreted without considering the base StructureDefinition. |
Control | 0..1 |
Invariants | Defined on this element sdf-15: The first element in a snapshot has no type (expression : element.first().type.empty(), xpath: not(f:element[1]/f:type)) sdf-3: Each element definition in a snapshot must have a formal definition and cardinalities (expression : element.all(definition.exists() and min.exists() and max.exists()), xpath: count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])) sdf-8: In any snapshot, all the elements must be in the specified type, and must have a base definition (expression : element.first().path = %resource.type and element.tail().all(path.startsWith(%resource.type&'.')) and element.all(base.exists()), xpath: f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[position()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])) Affect this element sdf-6: A structure must have either a differential, or a snapshot (or both) (expression : snapshot.exists() or differential.exists(), xpath: exists(f:snapshot) or exists(f:differential)) |
StructureDefinition.snapshot.element | |
Element Id | StructureDefinition.snapshot.element |
Definition | Captures constraints on each element within the resource. |
Control | 1..* |
Type | ElementDefinition |
Invariants | Defined on this element sdf-10: provide either a binding reference or a description (or both) (expression : binding.empty() or binding.valueSet.exists() or binding.description.exists(), xpath: not(exists(f:binding)) or (exists(f:binding/f:valueSetUri) or exists(f:binding/f:valueSetReference)) or exists(f:binding/f:description)) Affect this element sdf-3: Each element definition in a snapshot must have a formal definition and cardinalities (expression : element.all(definition.exists() and min.exists() and max.exists()), xpath: count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])) |
StructureDefinition.differential | |
Element Id | StructureDefinition.differential |
Definition | A differential view is expressed relative to the base StructureDefinition - a statement of differences that it applies. |
Control | 0..1 |
Invariants | Defined on this element sdf-15a: If the first element in a differential has no "." in the path, it has no type (expression : element.first().path.contains('.').not() implies element.first().type.empty(), xpath: not(f:element[1][not(contains(f:path/@value, '.'))]/f:type)) sdf-20: No slicing on the root element (expression : element.where(path.contains('.').not()).slicing.empty(), xpath: not(f:element[1]/f:slicing)) sdf-8a: In any differential, all the elements must be in the specified type (expression : element.first().path.startsWith(%resource.type) and element.tail().all(path.startsWith(%resource.type&'.')), xpath: count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])) Affect this element sdf-6: A structure must have either a differential, or a snapshot (or both) (expression : snapshot.exists() or differential.exists(), xpath: exists(f:snapshot) or exists(f:differential)) |
StructureDefinition.differential.element | |
Element Id | StructureDefinition.differential.element |
Definition | Captures constraints on each element within the resource. |
Control | 1..* |
Type | ElementDefinition |