This page is part of the FHIR Specification (v5.0.0-snapshot3: R5 Snapshot #3, to support Connectathon 32). 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
Vocabulary Work Group | Maturity Level: 2 | Trial Use | Security Category: Anonymous | Compartments: Not linked to any defined compartments |
Detailed Descriptions for the elements in the NamingSystem resource.
NamingSystem | |||||||||||||
Element Id | NamingSystem | ||||||||||||
Definition | A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc. Represents a "System" used within the Identifier and Coding data types. | ||||||||||||
Short Display | System of unique identification | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | MetadataResource | ||||||||||||
Summary | false | ||||||||||||
Invariants |
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NamingSystem.url | |||||||||||||
Element Id | NamingSystem.url | ||||||||||||
Definition | An absolute URI that is used to identify this naming system 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 naming system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the naming system is stored on different servers. | ||||||||||||
Short Display | Canonical identifier for this naming system, represented as a URI (globally unique) | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | uri | ||||||||||||
Requirements | Allows the naming system to be referenced by a single globally unique identifier. | ||||||||||||
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 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 |
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NamingSystem.identifier | |||||||||||||
Element Id | NamingSystem.identifier | ||||||||||||
Definition | A formal identifier that is used to identify this naming system when it is represented in other formats, or referenced in a specification, model, design or an instance. | ||||||||||||
Short Display | Additional identifier for the naming system (business identifier) | ||||||||||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | Identifier | ||||||||||||
Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the naming system. | ||||||||||||
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 naming system outside of FHIR, where it is not possible to use the logical URI. | ||||||||||||
NamingSystem.version | |||||||||||||
Element Id | NamingSystem.version | ||||||||||||
Definition | The identifier that is used to identify this version of the naming system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the naming system 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. | ||||||||||||
Short Display | Business version of the naming system | ||||||||||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | true | ||||||||||||
Comments | There may be different naming system 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 naming system with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version. | ||||||||||||
NamingSystem.name | |||||||||||||
Element Id | NamingSystem.name | ||||||||||||
Definition | A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation. | ||||||||||||
Short Display | Name for this naming system (computer friendly) | ||||||||||||
Cardinality | 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.The"symbolic name" for an OID would be captured as an extension. | ||||||||||||
Invariants |
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NamingSystem.title | |||||||||||||
Element Id | NamingSystem.title | ||||||||||||
Definition | A short, descriptive, user-friendly title for the naming system. | ||||||||||||
Short Display | Title for this naming system (human friendly) | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | true | ||||||||||||
Comments | This title does not need to be machine-processing friendly and may contain punctuation, white-space, etc. | ||||||||||||
NamingSystem.status | |||||||||||||
Element Id | NamingSystem.status | ||||||||||||
Definition | The status of this naming system. Enables tracking the life-cycle of the content. | ||||||||||||
Short Display | draft | active | retired | unknown | ||||||||||||
Cardinality | 1..1 | ||||||||||||
Terminology Binding | PublicationStatus (Required) | ||||||||||||
Type | code | ||||||||||||
Is Modifier | true (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration) | ||||||||||||
Summary | true | ||||||||||||
Comments | Allows filtering of naming systems that are appropriate for use versus not. | ||||||||||||
NamingSystem.kind | |||||||||||||
Element Id | NamingSystem.kind | ||||||||||||
Definition | Indicates the purpose for the naming system - what kinds of things does it make unique? | ||||||||||||
Short Display | codesystem | identifier | root | ||||||||||||
Cardinality | 1..1 | ||||||||||||
Terminology Binding | NamingSystemType (Required) | ||||||||||||
Type | code | ||||||||||||
Summary | true | ||||||||||||
NamingSystem.experimental | |||||||||||||
Element Id | NamingSystem.experimental | ||||||||||||
Definition | A Boolean value to indicate that this naming system is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. | ||||||||||||
Short Display | For testing purposes, not real usage | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | boolean | ||||||||||||
Meaning if Missing | If 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 naming system. | ||||||||||||
Summary | true | ||||||||||||
Comments | Allows filtering of naming systems that are appropriate for use versus not. | ||||||||||||
NamingSystem.date | |||||||||||||
Element Id | NamingSystem.date | ||||||||||||
Definition | The date (and optionally time) when the naming system 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 naming system changes. | ||||||||||||
Short Display | Date last changed | ||||||||||||
Cardinality | 1..1 | ||||||||||||
Type | dateTime | ||||||||||||
Alternate Names | Revision Date | ||||||||||||
Summary | true | ||||||||||||
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 naming system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. | ||||||||||||
NamingSystem.publisher | |||||||||||||
Element Id | NamingSystem.publisher | ||||||||||||
Definition | The name of the organization or individual responsible for the release and ongoing maintenance of the naming system. | ||||||||||||
Short Display | Name of the publisher/steward (organization or individual) | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Requirements | Helps establish the "authority/credibility" of the naming system. May also allow for contact. | ||||||||||||
Summary | true | ||||||||||||
Comments | Usually an organization but may be an individual. The publisher (or steward) of the naming system is the organization or individual primarily responsible for the maintenance and upkeep of the naming system. 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 naming system. This item SHOULD be populated unless the information is available from context. | ||||||||||||
NamingSystem.contact | |||||||||||||
Element Id | NamingSystem.contact | ||||||||||||
Definition | Contact details to assist a user in finding and communicating with the publisher. | ||||||||||||
Short Display | Contact details for the publisher | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | ContactDetail | ||||||||||||
Summary | true | ||||||||||||
Comments | May be a web site, an email address, a telephone number, etc. | ||||||||||||
NamingSystem.responsible | |||||||||||||
Element Id | NamingSystem.responsible | ||||||||||||
Definition | The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision. | ||||||||||||
Short Display | Who maintains system namespace? | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | false | ||||||||||||
Comments | This is the primary organization. Responsibility for some aspects of a namespace may be delegated. | ||||||||||||
NamingSystem.type | |||||||||||||
Element Id | NamingSystem.type | ||||||||||||
Definition | Categorizes a naming system for easier search by grouping related naming systems. | ||||||||||||
Short Display | e.g. driver, provider, patient, bank etc. | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Terminology Binding | NamingSystemIdentifierSystemType (Preferred) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Summary | false | ||||||||||||
Comments | This will most commonly be used for identifier namespaces, but categories could potentially be useful for code systems and authorities as well. | ||||||||||||
NamingSystem.description | |||||||||||||
Element Id | NamingSystem.description | ||||||||||||
Definition | A free text natural language description of the naming system from a consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc. | ||||||||||||
Short Display | Natural language description of the naming system | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | markdown | ||||||||||||
Summary | false | ||||||||||||
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 naming system 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 naming system is presumed to be the predominant language in the place the naming system was created). | ||||||||||||
NamingSystem.useContext | |||||||||||||
Element Id | NamingSystem.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 naming system instances. | ||||||||||||
Short Display | The context that the content is intended to support | ||||||||||||
Cardinality | 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. | ||||||||||||
NamingSystem.jurisdiction | |||||||||||||
Element Id | NamingSystem.jurisdiction | ||||||||||||
Definition | A legal or geographic region in which the naming system is intended to be used. | ||||||||||||
Short Display | Intended jurisdiction for naming system (if applicable) | ||||||||||||
Cardinality | 0..* | ||||||||||||
Terminology Binding | Jurisdiction ValueSet (Extensible) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Summary | true | ||||||||||||
Comments | It may be possible for the naming system to be used in jurisdictions other than those for which it was originally designed or intended. | ||||||||||||
NamingSystem.purpose | |||||||||||||
Element Id | NamingSystem.purpose | ||||||||||||
Definition | Explanation of why this naming system is needed and why it has been designed as it has. | ||||||||||||
Short Display | Why this naming system is defined | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | markdown | ||||||||||||
Summary | false | ||||||||||||
Comments | This element does not describe the usage of the code system. 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 code system. | ||||||||||||
NamingSystem.copyright | |||||||||||||
Element Id | NamingSystem.copyright | ||||||||||||
Definition | A copyright statement relating to the naming system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the naming system. | ||||||||||||
Short Display | Use and/or publishing restrictions | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | markdown | ||||||||||||
Requirements | Consumers must be able to determine any legal restrictions on the use of the naming system and/or its content. | ||||||||||||
Alternate Names | License; Restrictions | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.approvalDate | |||||||||||||
Element Id | NamingSystem.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 Display | When the NamingSystem was approved by publisher | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | date | ||||||||||||
Summary | false | ||||||||||||
Comments | The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. | ||||||||||||
NamingSystem.lastReviewDate | |||||||||||||
Element Id | NamingSystem.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 Display | When the NamingSystem was last reviewed | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | date | ||||||||||||
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. | ||||||||||||
Summary | false | ||||||||||||
Comments | If specified, this date follows the original approval date. | ||||||||||||
NamingSystem.effectivePeriod | |||||||||||||
Element Id | NamingSystem.effectivePeriod | ||||||||||||
Definition | The period during which the NamingSystem content was or is planned to be in active use. | ||||||||||||
Short Display | When the NamingSystem is expected to be used | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | Period | ||||||||||||
Requirements | Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the NamingSystem are or are expected to be used instead. | ||||||||||||
Summary | true | ||||||||||||
Comments | The effective period for a NamingSystem 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. | ||||||||||||
NamingSystem.topic | |||||||||||||
Element Id | NamingSystem.topic | ||||||||||||
Definition | Descriptions related to the content of the NamingSystem. Topics provide a high-level categorization as well as keywords for the NamingSystem that can be useful for filtering and searching. | ||||||||||||
Short Display | E.g. Education, Treatment, Assessment, etc. | ||||||||||||
Cardinality | 0..* | ||||||||||||
Terminology Binding | DefinitionTopic (Example) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Requirements | Repositories must be able to determine how to categorize the NamingSystem so that it can be found by topical and keyword searches. | ||||||||||||
Summary | false | ||||||||||||
Comments | This element provides topical categorization and keywords for the NamingSystem, as opposed to the more structured context-of-use information provided in the useContext element | ||||||||||||
NamingSystem.author | |||||||||||||
Element Id | NamingSystem.author | ||||||||||||
Definition | An individiual or organization primarily involved in the creation and maintenance of the NamingSystem. | ||||||||||||
Short Display | Who authored the CodeSystem | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | ContactDetail | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.editor | |||||||||||||
Element Id | NamingSystem.editor | ||||||||||||
Definition | An individual or organization primarily responsible for internal coherence of the NamingSystem. | ||||||||||||
Short Display | Who edited the NamingSystem | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | ContactDetail | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.reviewer | |||||||||||||
Element Id | NamingSystem.reviewer | ||||||||||||
Definition | An individual or organization primarily responsible for review of some aspect of the NamingSystem. | ||||||||||||
Short Display | Who reviewed the NamingSystem | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | ContactDetail | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.endorser | |||||||||||||
Element Id | NamingSystem.endorser | ||||||||||||
Definition | An individual or organization responsible for officially endorsing the NamingSystem for use in some setting. | ||||||||||||
Short Display | Who endorsed the NamingSystem | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | ContactDetail | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.relatedArtifact | |||||||||||||
Element Id | NamingSystem.relatedArtifact | ||||||||||||
Definition | Related artifacts such as additional documentation, justification, dependencies, bibliographic references, and predecessor and successor artifacts. | ||||||||||||
Short Display | Additional documentation, citations, etc. | ||||||||||||
Cardinality | 0..* | ||||||||||||
Type | RelatedArtifact | ||||||||||||
Requirements | A NamingSystem 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. | ||||||||||||
Summary | false | ||||||||||||
Comments | Each related artifact is either an attachment, or a reference to another resource, but not both. | ||||||||||||
NamingSystem.usage | |||||||||||||
Element Id | NamingSystem.usage | ||||||||||||
Definition | Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc. | ||||||||||||
Short Display | How/where is it used | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | false | ||||||||||||
NamingSystem.uniqueId | |||||||||||||
Element Id | NamingSystem.uniqueId | ||||||||||||
Definition | Indicates how the system may be identified when referenced in electronic exchange. | ||||||||||||
Short Display | Unique identifiers used for system | ||||||||||||
Cardinality | 1..* | ||||||||||||
Summary | true | ||||||||||||
Comments | Multiple identifiers may exist, either due to duplicate registration, regional rules, needs of different communication technologies, etc. | ||||||||||||
NamingSystem.uniqueId.type | |||||||||||||
Element Id | NamingSystem.uniqueId.type | ||||||||||||
Definition | Identifies the unique identifier scheme used for this particular identifier. | ||||||||||||
Short Display | oid | uuid | uri | v2csmnemonic | other | ||||||||||||
Cardinality | 1..1 | ||||||||||||
Terminology Binding | NamingSystemIdentifierType (Required) | ||||||||||||
Type | code | ||||||||||||
Summary | true | ||||||||||||
Comments | Different identifier types may be used in different types of communications (OIDs for v3, URIs for FHIR, etc.). Other includes RUIDs from v3, standard v2 code name strings, etc. Preferred identifiers for the same identifier type SHOULD NOT overlap by period. | ||||||||||||
NamingSystem.uniqueId.value | |||||||||||||
Element Id | NamingSystem.uniqueId.value | ||||||||||||
Definition | The string that should be sent over the wire to identify the code system or identifier system. | ||||||||||||
Short Display | The unique identifier | ||||||||||||
Cardinality | 1..1 | ||||||||||||
Type | string | ||||||||||||
Summary | true | ||||||||||||
Comments | If the value is a URI intended for use as FHIR system identifier, the URI should not contain "" or "?" or "," since this makes escaping very difficult. | ||||||||||||
NamingSystem.uniqueId.preferred | |||||||||||||
Element Id | NamingSystem.uniqueId.preferred | ||||||||||||
Definition | Indicates whether this identifier is the "preferred" identifier of this type. | ||||||||||||
Short Display | Is this the id that should be used for this type | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | boolean | ||||||||||||
Meaning if Missing | If there are multiple ids, and one is labeled "preferred", then the assumption is that the others are not preferred. In the absence of any id marked as preferred, no inference can be drawn | ||||||||||||
Summary | false | ||||||||||||
Invariants |
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NamingSystem.uniqueId.comment | |||||||||||||
Element Id | NamingSystem.uniqueId.comment | ||||||||||||
Definition | Notes about the past or intended usage of this identifier. | ||||||||||||
Short Display | Notes about identifier usage | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | false | ||||||||||||
Comments | e.g. "must be used in Germany" or "was initially published in error with this value". | ||||||||||||
NamingSystem.uniqueId.period | |||||||||||||
Element Id | NamingSystem.uniqueId.period | ||||||||||||
Definition | Identifies the period of time over which this identifier is considered appropriate to refer to the naming system. Outside of this window, the identifier might be non-deterministic. | ||||||||||||
Short Display | When is identifier valid? | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | Period | ||||||||||||
Summary | false | ||||||||||||
Comments | Within a registry, a given identifier should only be "active" for a single namespace at a time. (Ideally, an identifier should only ever be associated with a single namespace across all time). The nuance of identifier deprecation is not represented with a separate element. When a determination is made that an identifier should not be used, the validity period end date is updated with the date the identifier is deemed to be deprecated. The identifier should no longer be used once the period end date is reached. | ||||||||||||
NamingSystem.uniqueId.authoritative | |||||||||||||
Element Id | NamingSystem.uniqueId.authoritative | ||||||||||||
Definition | Indicates whether this identifier ie endorsed by the official owner of the associated naming system. | ||||||||||||
Short Display | Whether the identifier is authoritative | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | boolean | ||||||||||||
Summary | false | ||||||||||||
Invariants |
|