This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). 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
Modeling and Methodology Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for Narrative
{ "resourceType" : "StructureDefinition", "id" : "Narrative", "meta" : { "lastUpdated" : "2019-12-31T21:03:40.621+11:00" }, "text" : { "status" : "generated", "div" : "<div>!-- Snipped for Brevity --></div>" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" }], "url" : "http://hl7.org/fhir/StructureDefinition/Narrative", "version" : "4.2.0", "name" : "Narrative", "status" : "active", "date" : "2019-12-31T21:03:40+11:00", "publisher" : "HL7 FHIR Standard", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://hl7.org/fhir" }] }], "description" : "Base StructureDefinition for Narrative Type: A human-readable summary of the resource conveying the essential clinical and business information for the resource.", "fhirVersion" : "4.2.0", "mapping" : [{ "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "complex-type", "abstract" : false, "type" : "Narrative", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DataType", "derivation" : "specialization", "snapshot" : { "element" : [{ "id" : "Narrative", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" }], "path" : "Narrative", "short" : "Human-readable summary of the resource (essential clinical and business information)", "definition" : "A human-readable summary of the resource conveying the essential clinical and business information for the resource.", "min" : 0, "max" : "*", "base" : { "path" : "Narrative", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }], "isModifier" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }, { "identity" : "rim", "map" : "N/A" }] }, { "id" : "Narrative.id", "path" : "Narrative.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUri" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Narrative.extension", "path" : "Narrative.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Narrative.status", "path" : "Narrative.status", "short" : "generated | extensions | additional | empty", "definition" : "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" : 1, "max" : "1", "base" : { "path" : "Narrative.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.2.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Narrative.div", "path" : "Narrative.div", "short" : "Limited xhtml content", "definition" : "The actual narrative content, a stripped down version of XHTML.", "comment" : "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, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "base" : { "path" : "Narrative.div", "min" : 1, "max" : "1" }, "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "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', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and 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'))])" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }] }, "differential" : { "element" : [{ "id" : "Narrative", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "normative" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version", "valueCode" : "4.0.0" }], "path" : "Narrative", "short" : "Human-readable summary of the resource (essential clinical and business information)", "definition" : "A human-readable summary of the resource conveying the essential clinical and business information for the resource.", "min" : 0, "max" : "*", "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Narrative.status", "path" : "Narrative.status", "short" : "generated | extensions | additional | empty", "definition" : "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" : 1, "max" : "1", "type" : [{ "code" : "code" }], "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "NarrativeStatus" }], "strength" : "required", "description" : "The status of a resource narrative.", "valueSet" : "http://hl7.org/fhir/ValueSet/narrative-status|4.2.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Narrative.div", "path" : "Narrative.div", "short" : "Limited xhtml content", "definition" : "The actual narrative content, a stripped down version of XHTML.", "comment" : "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, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.", "min" : 1, "max" : "1", "type" : [{ "code" : "xhtml" }], "constraint" : [{ "key" : "txt-1", "severity" : "error", "human" : "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes", "expression" : "htmlChecks()", "xpath" : "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', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and 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'))])" }, { "key" : "txt-2", "severity" : "error", "human" : "The narrative SHALL have some non-whitespace content", "expression" : "htmlChecks()", "xpath" : "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]" }], "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }] } }
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.