Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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

Example OperationDefinition/ValueSet-expand (XML)

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Operation Definition

<?xml version="1.0" encoding="UTF-8"?>

<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="ValueSet-expand"/> 
  <text> 
    <status value="extensions"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> URL: [base]/ValueSet/$expand</p> 
      <p> URL: [base]/ValueSet/[id]/$expand</p> 
      <p> Parameters</p> 
      <table class="grid">
        <tr> 
          <td> 
            <b> Use</b> 
          </td> 
          <td> 
            <b> Name</b> 
          </td> 
          <td> 
            <b> Cardinality</b> 
          </td> 
          <td> 
            <b> Type</b> 
          </td> 
          <td> 
            <b> Binding</b> 
          </td> 
          <td> 
            <b> Documentation</b> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> url</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> A canonical reference to a value set. The server must know the value set (e.g. it is defined
                 explicitly in the server's value sets, or it is defined implicitly by some code system
                 known to the server</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> valueSet</td> 
          <td> 0..1</td> 
          <td> 
            <a href="valueset.html">ValueSet</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The value set is provided directly as part of the request. Servers may choose not to accept
                 value sets in this fashion</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> valueSetVersion</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The identifier that is used to identify a specific version of the value set to be used
                 when generating the expansion. This is an arbitrary value managed by the value set 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.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> context</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The context of the value set, so that the server can resolve this to a value set to expand.
                 The recommended format for this URI is [Structure Definition URL]#[name or path into structure
                 definition] e.g. http://hl7.org/fhir/StructureDefinition/observation-hspc-height-hspcheight#Observat
                ion.interpretation. Other forms may be used but are not defined. This form is only usable
                 if the terminology server also has access to the conformance registry that the server
                 is using, but can be used to delegate the mapping from an application context to a binding
                 at run-time</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> contextDirection</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> If a context is provided, a context direction may also be provided. Valid values are:</p> 

              <ul> 

                <li> 'incoming': the codes a client can use for PUT/POST operations,  and</li> 

                <li> 'outgoing', the codes a client might receive from the server.</li> 

              </ul> 

              <p> The purpose is to inform the server whether to use the value set associated with the context
                 for reading or writing purposes (note: for most elements, this is the same value set,
                 but there are a few elements where the reading and writing value sets are different)</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> filter</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> A text filter that is applied to restrict the codes that are returned (this is useful
                 in a UI context). The interpretation of this is delegated to the server in order to allow
                 to determine the most optimal search approach for the context. The server can document
                 the way this parameter works in 
                <a href="terminologycapabilities.html">TerminologyCapabilities</a> ..expansion.textFilter. Typical usage of this parameter includes functionality like:
              </p> 

              <ul> 

                <li> using left matching e.g. &quot;acut ast&quot;</li> 

                <li> allowing for wild cards such as %, &amp;, ?</li> 

                <li> searching on definition as well as display(s)</li> 

                <li> allowing for search conditions (and / or / exclusions)</li> 

              </ul> 

              <p> Text Search engines such as Lucene or Solr, long with their considerable functionality,
                 might also be used. The optional text search might also be code system specific, and servers
                 might have different implementations for different code systems</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> date</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The date for which the expansion should be generated.  if a date is provided, it means
                 that the server should use the value set / code system definitions as they were on the
                 given date, or return an error if this is not possible.  Normally, the date is the current
                 conditions (which is the default value) but under some circumstances, systems need to
                 generate an expansion as it would have been in the past. A typical example of this would
                 be where code selection is constrained to the set of codes that were available when the
                 patient was treated, not when the record is being edited. Note that which date is appropriate
                 is a matter for implementation policy.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> offset</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#integer">integer</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Paging support - where to start if a subset is desired (default = 0). Offset is number
                 of records (not number of pages)</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> count</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#integer">integer</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Paging support - how many codes should be provided in a partial page view. Paging only
                 applies to flat expansions - servers ignore paging if the expansion is not flat.  If count
                 = 0, the client is asking how large the expansion is. Servers SHOULD honor this request
                 for hierarchical expansions as well, and simply return the overall count</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> includeDesignations</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether concept designations are to be included or excluded in value set expansions</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> designation</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> A 
                <a href="search.html#token">token</a>  that specifies a system+code that is either a use or a language. Designations that match
                 by language or use are included in the expansion. If no designation is specified, it is
                 at the server discretion which designations to return
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> includeDefinition</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether the value set definition is included or excluded in value set expansions</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> activeOnly</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether inactive concepts are included or excluded in value set expansions. Note
                 that if the value set explicitly specifies that inactive codes are included, this parameter
                 can still remove them from a specific expansion, but this parameter cannot include them
                 if the value set excludes them</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> useSupplement</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The supplement must be used when performing an expansion. Use of this parameter should
                 result in $expand behaving the same way as if the supplements were included in the value
                 set definition using the 
                <a href="extension-valueset-supplement.html">supplement extension</a> 
              </p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> excludeNested</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether or not the value set expansion may nest codes or not (i.e. ValueSet.expansion.conta
                ins.contains). If excludeNested is set to true, the expansion MUST be flat (no nesting).
                 If excludeNested is set to false (default),  however, nesting is possible but not required</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> excludeNotForUI</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether or not the value set expansion might include</p> 

              <ul> 

                <li> codes from the CodeSystem with a notSelectable property set to true as specified in 
                  <a href="codesystem.html#status">status</a> ] and in 
                  <a href="codesystem-concept-properties.html">Concept Properties</a> 
                </li> 

                <li> nested contains with no code (see 
                  <a href="valueset-definitions.html#ValueSet.expansion.contains.code">Contains</a> )
                </li> 

                <li> nested contains in the ValueSet with 
                  <a href="valueset-definitions.html#ValueSet.expansion.contains.abstract">abstract = true</a> 
                </li> 

              </ul> 

              <p> One purpose of such concepts is helping a user navigate through the list efficiently.
                 If excludeNotForUI is set to true, the concepts as described above will be excluded from
                 the expansion. If excludeNotForUI is set to false (default), all concepts as described
                 above may be part of the expansion. In the FHIR Specification itself, the value set expansions
                 are generated with excludeNotForUI = false, and the expansions used when generating schema
                 / code etc, or performing validation, are all excludeNotForUI = true.</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> excludePostCoordinated</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Controls whether or not the value set expansion includes post coordinated codes</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> displayLanguage</td> 
          <td> 0..1</td> 
          <td> 
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Specifies the language to be used for description in the expansions i.e. the language
                 to be used for ValueSet.expansion.contains.display</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> property</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> A request to return a particular property in the expansion. The returned property may
                 include subproperties. May be either a code from the code system definition (convenient)
                 or a the formal URI that refers to the property. Note that property names can clash, so
                 using a URI is recommended. The special value '*' means all properties and their sub-properties
                 known to the server</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> exclude-system</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Code system, or a particular version of a code system to be excluded from the value set
                 expansion. The format is the same as a canonical URL: [system]|[version] - e.g. http://loinc.org|2.5
                6</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> system-version</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Specifies a version to use for a system, if the value set does not specify which one to
                 use. The format is the same as a canonical URL: [system]|[version] - e.g. http://loinc.org|2.56</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> check-system-version</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Edge Case: Specifies a version to use for a system. If a value set specifies a different
                 version, an error is returned instead of the expansion. The format is the same as a canonical
                 URL: [system]|[version] - e.g. http://loinc.org|2.56</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> IN</td> 
          <td> force-system-version</td> 
          <td> 0..*</td> 
          <td> 
            <a href="datatypes.html#canonical">canonical</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> Edge Case: Specifies a version to use for a system. This parameter overrides any specified
                 version in the value set (and any it depends on). The format is the same as a canonical
                 URL: [system]|[version] - e.g. http://loinc.org|2.56. Note that this has obvious safety
                 issues, in that it may result in a value set expansion giving a different list of codes
                 that is both wrong and unsafe, and implementers should only use this capability reluctantly.
                 It primarily exists to deal with situations where specifications have fallen into decay
                 as time passes. If the value is override, the version used SHALL explicitly be represented
                 in the expansion parameters</p> 

            </div> 
          </td> 
        </tr> 
        <tr> 
          <td> OUT</td> 
          <td> return</td> 
          <td> 1..1</td> 
          <td> 
            <a href="valueset.html">ValueSet</a> 
          </td> 
          <td/>  
          <td> 
            <div> 
              <p> The result of the expansion. Servers generating expansions SHOULD ensure that all the
                 parameters that affect the contents of the expansion are recorded in the ValueSet.expansion.paramete
                r list</p> 

            </div> 
          </td> 
        </tr> 
      </table> 
      <div> 
        <p> The value set expansion returned by this query should be treated as a transient result
           that will change over time (whether it does or not depends on how the value set is specified),
           so applications should repeat the operation each time the value set is used.</p> 

        <p> When available, ValueSet.status and ValueSet.version from the ValueSet resource instance
           which contains the definition SHALL be persisted to the ValueSet resource instance which
           contains the expansion.</p> 

        <p> If the expansion is too large (at the discretion of the server), the server MAY return
           an error (OperationOutcome with code too-costly). Clients can work through large flat
           expansions in a set of pages (partial views of the full expansion) instead of just getting
           the full expansion in a single exchange by using offset and count parameters, or use the
           count parameter to request a subset of the expansion for limited purposes. Servers are
           not obliged to support paging, but if they do, SHALL support both the offset and count
           parameters. Hierarchical expansions are not subject to paging and servers simply return
           the entire expansion.</p> 

        <p> Different servers may return different results from expanding a value set for the following
           reasons:</p> 

        <ul> 

          <li> The underlying code systems are different (e.g. different versions, possibly with different
             defined behavior)</li> 

          <li> The server optimizes filter includes differently, such as sorting by code frequency</li> 

          <li> Servers introduce arbitrary groups to assist a user to navigate the lists based either
             on extensions in the definition, or additional knowledge available to the server</li> 

        </ul> 

        <p> When a server cannot correctly expand a value set because it does not fully understand
           the code systems (e.g. it has the wrong version, or incomplete definitions) then it SHALL
           return an error. If the value set itself is unbounded due to the inclusion of post-coordinated
           value sets (e.g. SNOMED CT, UCUM), then the extension 
          <a href="extension-valueset-unclosed.html">http://hl7.org/fhir/StructureDefinition/valueset-unclosed</a>  can be used to indicate that the expansion is incomplete
        </p> 

      </div> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="5"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/> 
  </extension> 
  <url value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"/> 
  <version value="5.0.0-ballot"/> 
  <name value="Expand"/> 
  <title value="Value Set Expansion"/> 
  <status value="active"/> 
  <kind value="operation"/> 
  <experimental value="false"/> 
  <date value="2022-09-07T10:58:29+10:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The definition of a value set is used to create a simple collection of codes suitable
   for use for data entry or validation. 

If the operation is not called at the instance level, one of the in parameters url, context
   or valueSet must be provided.  An expanded value set will be returned, or an OperationOutcome
   with an error message."/> 
  <affectsState value="false"/> 
  <code value="expand"/> 
  <comment value="The value set expansion returned by this query should be treated as a transient result
   that will change over time (whether it does or not depends on how the value set is specified),
   so applications should repeat the operation each time the value set is used.  

When available, ValueSet.status and ValueSet.version from the ValueSet resource instance
   which contains the definition SHALL be persisted to the ValueSet resource instance which
   contains the expansion.   

If the expansion is too large (at the discretion of the server), the server MAY return
   an error (OperationOutcome with code too-costly). Clients can work through large flat
   expansions in a set of pages (partial views of the full expansion) instead of just getting
   the full expansion in a single exchange by using offset and count parameters, or use the
   count parameter to request a subset of the expansion for limited purposes. Servers are
   not obliged to support paging, but if they do, SHALL support both the offset and count
   parameters. Hierarchical expansions are not subject to paging and servers simply return
   the entire expansion.  

Different servers may return different results from expanding a value set for the following
   reasons:  

* The underlying code systems are different (e.g. different versions, possibly with different
   defined behavior) 
* The server optimizes filter includes differently, such as sorting by code frequency
   
* Servers introduce arbitrary groups to assist a user to navigate the lists based either
   on extensions in the definition, or additional knowledge available to the server

When a server cannot correctly expand a value set because it does not fully understand
   the code systems (e.g. it has the wrong version, or incomplete definitions) then it SHALL
   return an error. If the value set itself is unbounded due to the inclusion of post-coordinated
   value sets (e.g. SNOMED CT, UCUM), then the extension [http://hl7.org/fhir/StructureDefinition/value
  set-unclosed](extension-valueset-unclosed.html) can be used to indicate that the expansion
   is incomplete"/> 
  <resource value="ValueSet"/> 
  <system value="false"/> 
  <type value="true"/> 
  <instance value="true"/> 
  <parameter> 
    <name value="url"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="A canonical reference to a value set. The server must know the value set (e.g. it is defined
     explicitly in the server's value sets, or it is defined implicitly by some code system
     known to the server"/> 
    <type value="uri"/> 
  </parameter> 
  <parameter> 
    <name value="valueSet"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The value set is provided directly as part of the request. Servers may choose not to accept
     value sets in this fashion"/> 
    <type value="ValueSet"/> 
  </parameter> 
  <parameter> 
    <name value="valueSetVersion"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The identifier that is used to identify a specific version of the value set to be used
     when generating the expansion. This is an arbitrary value managed by the value set 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."/> 
    <type value="string"/> 
  </parameter> 
  <parameter> 
    <name value="context"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The context of the value set, so that the server can resolve this to a value set to expand.
     The recommended format for this URI is [Structure Definition URL]#[name or path into structure
     definition] e.g. http://hl7.org/fhir/StructureDefinition/observation-hspc-height-hspcheight#Observat
    ion.interpretation. Other forms may be used but are not defined. This form is only usable
     if the terminology server also has access to the conformance registry that the server
     is using, but can be used to delegate the mapping from an application context to a binding
     at run-time"/> 
    <type value="uri"/> 
  </parameter> 
  <parameter> 
    <name value="contextDirection"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="If a context is provided, a context direction may also be provided. Valid values are:
     

* 'incoming': the codes a client can use for PUT/POST operations,  and 
* 'outgoing', the codes a client might receive from the server.

The purpose is to inform the server whether to use the value set associated with the context
     for reading or writing purposes (note: for most elements, this is the same value set,
     but there are a few elements where the reading and writing value sets are different)"/> 
    <type value="code"/> 
  </parameter> 
  <parameter> 
    <name value="filter"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="A text filter that is applied to restrict the codes that are returned (this is useful
     in a UI context). The interpretation of this is delegated to the server in order to allow
     to determine the most optimal search approach for the context. The server can document
     the way this parameter works in [TerminologyCapabilities](terminologycapabilities.html)..expansion.t
    extFilter. Typical usage of this parameter includes functionality like:

* using left matching e.g. &quot;acut ast&quot;
* allowing for wild cards such as %, &amp;, ?
* searching on definition as well as display(s)
* allowing for search conditions (and / or / exclusions)

Text Search engines such as Lucene or Solr, long with their considerable functionality,
     might also be used. The optional text search might also be code system specific, and servers
     might have different implementations for different code systems"/> 
    <type value="string"/> 
  </parameter> 
  <parameter> 
    <name value="date"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="The date for which the expansion should be generated.  if a date is provided, it means
     that the server should use the value set / code system definitions as they were on the
     given date, or return an error if this is not possible.  Normally, the date is the current
     conditions (which is the default value) but under some circumstances, systems need to
     generate an expansion as it would have been in the past. A typical example of this would
     be where code selection is constrained to the set of codes that were available when the
     patient was treated, not when the record is being edited. Note that which date is appropriate
     is a matter for implementation policy."/> 
    <type value="dateTime"/> 
  </parameter> 
  <parameter> 
    <name value="offset"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Paging support - where to start if a subset is desired (default = 0). Offset is number
     of records (not number of pages)"/> 
    <type value="integer"/> 
  </parameter> 
  <parameter> 
    <name value="count"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Paging support - how many codes should be provided in a partial page view. Paging only
     applies to flat expansions - servers ignore paging if the expansion is not flat.  If count
     = 0, the client is asking how large the expansion is. Servers SHOULD honor this request
     for hierarchical expansions as well, and simply return the overall count"/> 
    <type value="integer"/> 
  </parameter> 
  <parameter> 
    <name value="includeDesignations"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether concept designations are to be included or excluded in value set expansions"/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="designation"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="A [token](search.html#token) that specifies a system+code that is either a use or a language.
     Designations that match by language or use are included in the expansion. If no designation
     is specified, it is at the server discretion which designations to return"/> 
    <type value="string"/> 
  </parameter> 
  <parameter> 
    <name value="includeDefinition"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether the value set definition is included or excluded in value set expansions"/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="activeOnly"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether inactive concepts are included or excluded in value set expansions. Note
     that if the value set explicitly specifies that inactive codes are included, this parameter
     can still remove them from a specific expansion, but this parameter cannot include them
     if the value set excludes them"/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="useSupplement"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="The supplement must be used when performing an expansion. Use of this parameter should
     result in $expand behaving the same way as if the supplements were included in the value
     set definition using the [supplement extension](extension-valueset-supplement.html)"/> 
    <type value="canonical"/> 
  </parameter> 
  <parameter> 
    <name value="excludeNested"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether or not the value set expansion may nest codes or not (i.e. ValueSet.expansion.conta
    ins.contains). If excludeNested is set to true, the expansion MUST be flat (no nesting).
     If excludeNested is set to false (default),  however, nesting is possible but not required"/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="excludeNotForUI"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether or not the value set expansion might include

* codes from the CodeSystem with a notSelectable property set to true as specified in
     [status](codesystem.html#status)] and in [Concept Properties](codesystem-concept-properties.html)
* nested contains with no code (see [Contains](valueset-definitions.html#ValueSet.expansion.contains
    .code))
* nested contains in the ValueSet with [abstract = true](valueset-definitions.html#ValueSet.expansio
    n.contains.abstract)

One purpose of such concepts is helping a user navigate through the list efficiently.
     If excludeNotForUI is set to true, the concepts as described above will be excluded from
     the expansion. If excludeNotForUI is set to false (default), all concepts as described
     above may be part of the expansion. In the FHIR Specification itself, the value set expansions
     are generated with excludeNotForUI = false, and the expansions used when generating schema
     / code etc, or performing validation, are all excludeNotForUI = true."/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="excludePostCoordinated"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Controls whether or not the value set expansion includes post coordinated codes"/> 
    <type value="boolean"/> 
  </parameter> 
  <parameter> 
    <name value="displayLanguage"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="1"/> 
    <documentation value="Specifies the language to be used for description in the expansions i.e. the language
     to be used for ValueSet.expansion.contains.display"/> 
    <type value="code"/> 
  </parameter> 
  <parameter> 
    <name value="property"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="A request to return a particular property in the expansion. The returned property may
     include subproperties. May be either a code from the code system definition (convenient)
     or a the formal URI that refers to the property. Note that property names can clash, so
     using a URI is recommended. The special value '*' means all properties and their sub-properties
     known to the server"/> 
    <type value="string"/> 
  </parameter> 
  <parameter> 
    <name value="exclude-system"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="Code system, or a particular version of a code system to be excluded from the value set
     expansion. The format is the same as a canonical URL: [system]|[version] - e.g. http://loinc.org|2.5
    6"/> 
    <type value="canonical"/> 
  </parameter> 
  <parameter> 
    <name value="system-version"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="Specifies a version to use for a system, if the value set does not specify which one to
     use. The format is the same as a canonical URL: [system]|[version] - e.g. http://loinc.org|2.56"/> 
    <type value="canonical"/> 
  </parameter> 
  <parameter> 
    <name value="check-system-version"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="Edge Case: Specifies a version to use for a system. If a value set specifies a different
     version, an error is returned instead of the expansion. The format is the same as a canonical
     URL: [system]|[version] - e.g. http://loinc.org|2.56"/> 
    <type value="canonical"/> 
  </parameter> 
  <parameter> 
    <name value="force-system-version"/> 
    <use value="in"/> 
    <min value="0"/> 
    <max value="*"/> 
    <documentation value="Edge Case: Specifies a version to use for a system. This parameter overrides any specified
     version in the value set (and any it depends on). The format is the same as a canonical
     URL: [system]|[version] - e.g. http://loinc.org|2.56. Note that this has obvious safety
     issues, in that it may result in a value set expansion giving a different list of codes
     that is both wrong and unsafe, and implementers should only use this capability reluctantly.
     It primarily exists to deal with situations where specifications have fallen into decay
     as time passes. If the value is override, the version used SHALL explicitly be represented
     in the expansion parameters"/> 
    <type value="canonical"/> 
  </parameter> 
  <parameter> 
    <name value="return"/> 
    <use value="out"/> 
    <min value="1"/> 
    <max value="1"/> 
    <documentation value="The result of the expansion. Servers generating expansions SHOULD ensure that all the
     parameters that affect the contents of the expansion are recorded in the ValueSet.expansion.paramete
    r list"/> 
    <type value="ValueSet"/> 
  </parameter> 
</OperationDefinition> 

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.