R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

Clinical Decision Support icon Work GroupMaturity Level: 3 Trial UseSecurity Category: Anonymous Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the Library resource.

Library
Element IdLibrary
Definition

The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets.

Short DisplayRepresents a library of quality improvement components
Cardinality0..*
TypeMetadataResource
Summaryfalse
Invariants
Defined on this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
Library.url
Element IdLibrary.url
Definition

An absolute URI that is used to identify this library 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 an authoritative instance of this library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers.

Short DisplayCanonical identifier for this library, represented as a URI (globally unique)
Cardinality0..1
Typeuri
Requirements

Allows the library to be referenced by a single globally unique identifier.

Summarytrue
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 determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Invariants
Defined on this element
cnl-1Warning URL should not contain | or # - these characters make processing canonical references problematicexists() implies matches('^[^|# ]+$')
Library.identifier
Element IdLibrary.identifier
Definition

A formal identifier that is used to identify this library when it is represented in other formats, or referenced in a specification, model, design or an instance. e.g. CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.

Short DisplayAdditional identifier for the library
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summarytrue
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI.

Library.version
Element IdLibrary.version
Definition

The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library 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. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.

Short DisplayBusiness version of the library
NoteThis is a business versionId, not a resource version id (see discussion)
Cardinality0..1
Typestring
Summarytrue
Comments

There may be different library 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 library with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

Library.versionAlgorithm[x]
Element IdLibrary.versionAlgorithm[x]
Definition

Indicates the mechanism used to compare versions to determine which is more current.

Short DisplayHow to compare versions
Cardinality0..1
Terminology BindingVersion Algorithm (Extensible)
Typestring|Coding
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Summarytrue
Comments

If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

Library.name
Element IdLibrary.name
Definition

A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Short DisplayName for this library (computer friendly)
Cardinality0..1
Typestring
Requirements

Support human navigation and code generation.

Summarytrue
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.

Invariants
Affect this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
Library.title
Element IdLibrary.title
Definition

A short, descriptive, user-friendly title for the library.

Short DisplayName for this library (human friendly)
Cardinality0..1
Typestring
Summarytrue
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

Library.subtitle
Element IdLibrary.subtitle
Definition

An explanatory or alternate title for the library giving additional information about its content.

Short DisplaySubordinate title of the library
Cardinality0..1
Typestring
Summaryfalse
Library.status
Element IdLibrary.status
Definition

The status of this library. Enables tracking the life-cycle of the content.

Short Displaydraft | active | retired | unknown
Cardinality1..1
Terminology BindingPublicationStatus (Required)
Typecode
Is Modifiertrue (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration)
Summarytrue
Comments

Allows filtering of libraries that are appropriate for use vs. not.

Library.experimental
Element IdLibrary.experimental
Definition

A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Short DisplayFor testing purposes, not real usage
Cardinality0..1
Typeboolean
Meaning if MissingIf absent, this resource is treated as though it is not experimental.
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level library.

Summarytrue
Comments

Allows filtering of librarys that are appropriate for use versus not.

Library.type
Element IdLibrary.type
Definition

Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition.

Short Displaylogic-library | model-definition | asset-collection | module-definition
Cardinality1..1
Terminology BindingLibrary Type (Extensible)
TypeCodeableConcept
Summarytrue
Library.subject[x]
Element IdLibrary.subject[x]
Definition

A code or group definition that describes the intended subject of the contents of the library.

Short DisplayType of individual the library content is focused on
Cardinality0..1
Terminology BindingParticipant Resource Types (Extensible)
TypeCodeableConcept|Reference(Group)
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Meaning if MissingPatient
Summaryfalse
Library.date
Element IdLibrary.date
Definition

The date (and optionally time) when the library was last significantly changed. 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 library changes.

Short DisplayDate last changed
Cardinality0..1
TypedateTime
Alternate NamesRevision Date
Summarytrue
Comments

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

Library.publisher
Element IdLibrary.publisher
Definition

The name of the organization or individual responsible for the release and ongoing maintenance of the library.

Short DisplayName of the publisher/steward (organization or individual)
Cardinality0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the library. May also allow for contact.

Summarytrue
Comments

Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. 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 library. This item SHOULD be populated unless the information is available from context.

Library.contact
Element IdLibrary.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Short DisplayContact details for the publisher
Cardinality0..*
TypeContactDetail
Summarytrue
Comments

May be a web site, an email address, a telephone number, etc.

Library.description
Element IdLibrary.description
Definition

A free text natural language description of the library from a consumer's perspective.

Short DisplayNatural language description of the library
Cardinality0..1
Typemarkdown
Summarytrue
Comments

This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the library 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 library is presumed to be the predominant language in the place the library was created).

Library.useContext
Element IdLibrary.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate library instances.

Short DisplayThe context that the content is intended to support
Cardinality0..*
TypeUsageContext
Requirements

Assist in searching for appropriate content.

Summarytrue
Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

Library.jurisdiction
Element IdLibrary.jurisdiction
Definition

A legal or geographic region in which the library is intended to be used.

Short DisplayIntended jurisdiction for library (if applicable)
Cardinality0..*
Terminology BindingJurisdiction ValueSet (Extensible)
TypeCodeableConcept
Summarytrue
Comments

It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended.

Library.purpose
Element IdLibrary.purpose
Definition

Explanation of why this library is needed and why it has been designed as it has.

Short DisplayWhy this library is defined
Cardinality0..1
Typemarkdown
Summaryfalse
Comments

This element does not describe the usage of the library. 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 library.

Library.usage
Element IdLibrary.usage
Definition

A detailed description of how the library is used from a clinical perspective.

Short DisplayDescribes the clinical usage of the library
Cardinality0..1
Typemarkdown
Summaryfalse
Library.copyright
Element IdLibrary.copyright
Definition

A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library.

Short DisplayUse and/or publishing restrictions
Cardinality0..1
Typemarkdown
Requirements

Consumers must be able to determine any legal restrictions on the use of the library and/or its content.

Alternate NamesLicense; Restrictions
Summaryfalse
Comments

The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.

Library.copyrightLabel
Element IdLibrary.copyrightLabel
Definition

A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').

Short DisplayCopyright holder and year(s)
Cardinality0..1
Typestring
Requirements

Defines the content expected to be rendered in all representations of the artifact.

Summaryfalse
Comments

The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

Library.approvalDate
Element IdLibrary.approvalDate
Definition

The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.

Short DisplayWhen the library was approved by publisher
Cardinality0..1
Typedate
Summaryfalse
Comments

The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.

Library.lastReviewDate
Element IdLibrary.lastReviewDate
Definition

The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.

Short DisplayWhen the library was last reviewed by the publisher
Cardinality0..1
Typedate
Requirements

Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.

Summaryfalse
Comments

If specified, this date follows the original approval date.

Library.effectivePeriod
Element IdLibrary.effectivePeriod
Definition

The period during which the library content was or is planned to be in active use.

Short DisplayWhen the library is expected to be used
Cardinality0..1
TypePeriod
Requirements

Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the library are or are expected to be used instead.

Summarytrue
Comments

The effective period for a library determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.

Library.topic
Element IdLibrary.topic
Definition

Descriptive topics related to the content of the library. Topics provide a high-level categorization of the library that can be useful for filtering and searching.

Short DisplayE.g. Education, Treatment, Assessment, etc
Cardinality0..*
Terminology BindingDefinition Topic (Example)
TypeCodeableConcept
Requirements

Repositories must be able to determine how to categorize the library so that it can be found by topical searches.

Summaryfalse
Library.author
Element IdLibrary.author
Definition

An individiual or organization primarily involved in the creation and maintenance of the content.

Short DisplayWho authored the content
Cardinality0..*
TypeContactDetail
Summaryfalse
Library.editor
Element IdLibrary.editor
Definition

An individual or organization primarily responsible for internal coherence of the content.

Short DisplayWho edited the content
Cardinality0..*
TypeContactDetail
Summaryfalse
Library.reviewer
Element IdLibrary.reviewer
Definition

An individual or organization asserted by the publisher to be primarily responsible for review of some aspect of the content.

Short DisplayWho reviewed the content
Cardinality0..*
TypeContactDetail
Summaryfalse
Library.endorser
Element IdLibrary.endorser
Definition

An individual or organization asserted by the publisher to be responsible for officially endorsing the content for use in some setting.

Short DisplayWho endorsed the content
Cardinality0..*
TypeContactDetail
Summaryfalse
Library.relatedArtifact
Element IdLibrary.relatedArtifact
Definition

Related artifacts such as additional documentation, justification, or bibliographic references.

Short DisplayAdditional documentation, citations, etc
Cardinality0..*
TypeRelatedArtifact
Requirements

Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.

Summaryfalse
Comments

Each related artifact is either an attachment, or a reference to another resource, but not both.

Library.parameter
Element IdLibrary.parameter
Definition

The parameter element defines parameters used by the library.

Short DisplayParameters defined by the library
Cardinality0..*
TypeParameterDefinition
Summaryfalse
Library.dataRequirement
Element IdLibrary.dataRequirement
Definition

Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library.

Short DisplayWhat data is referenced by this library
Cardinality0..*
TypeDataRequirement
Summaryfalse
Library.content
Element IdLibrary.content
Definition

The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content.

Short DisplayContents of the library, either embedded or referenced
Cardinality0..*
TypeAttachment
Summarytrue