Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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

Annotation.profile.json

Modeling and Methodology Work GroupMaturity Level: N/AStandards Status: Informative

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

StructureDefinition for Annotation

{
  "resourceType" : "StructureDefinition",
  "id" : "Annotation",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+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/Annotation",
  "version" : "4.0.1",
  "name" : "Annotation",
  "status" : "active",
  "date" : "2019-11-01T09:29:23+11:00",
  "publisher" : "HL7 FHIR Standard",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "Base StructureDefinition for Annotation Type: A  text note which also  contains information about who made the statement and when.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "type" : "Annotation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "Annotation",
      "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" : "Annotation",
      "short" : "Text node with attribution",
      "definition" : "A  text note which also  contains information about who made the statement and when.",
      "comment" : "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Annotation",
        "min" : 0,
        "max" : "*"
      },
      "condition" : ["ele-1"],
      "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" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      },
      {
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act"
      }]
    },
    {
      "id" : "Annotation.id",
      "path" : "Annotation.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",
          "valueUrl" : "string"
        }],
        "code" : "http://hl7.org/fhirpath/System.String"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Annotation.extension",
      "path" : "Annotation.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" : "http://hl7.org/fhir/StructureDefinition/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" : "http://hl7.org/fhir/StructureDefinition/Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Annotation.author[x]",
      "path" : "Annotation.author[x]",
      "short" : "Individual responsible for the annotation",
      "definition" : "The individual responsible for making the annotation.",
      "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Annotation.author[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      },
      {
        "code" : "string"
      }],
      "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" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.participant[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Annotation.time",
      "path" : "Annotation.time",
      "short" : "When the annotation was made",
      "definition" : "Indicates when this particular annotation was made.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Annotation.time",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "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" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.effectiveTime"
      }]
    },
    {
      "id" : "Annotation.text",
      "path" : "Annotation.text",
      "short" : "The annotation  - text content (as markdown)",
      "definition" : "The text of the annotation in markdown format.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Annotation.text",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "markdown"
      }],
      "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" : "http://hl7.org/fhir/StructureDefinition/Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.text"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Annotation",
      "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" : "Annotation",
      "short" : "Text node with attribution",
      "definition" : "A  text note which also  contains information about who made the statement and when.",
      "comment" : "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time.  This element may need to be included in narrative because of the potential for modifying information.  *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act"
      }]
    },
    {
      "id" : "Annotation.author[x]",
      "path" : "Annotation.author[x]",
      "short" : "Individual responsible for the annotation",
      "definition" : "The individual responsible for making the annotation.",
      "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      },
      {
        "code" : "string"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.participant[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Annotation.time",
      "path" : "Annotation.time",
      "short" : "When the annotation was made",
      "definition" : "Indicates when this particular annotation was made.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.effectiveTime"
      }]
    },
    {
      "id" : "Annotation.text",
      "path" : "Annotation.text",
      "short" : "The annotation  - text content (as markdown)",
      "definition" : "The text of the annotation in markdown format.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "N/A"
      },
      {
        "identity" : "rim",
        "map" : "Act.text"
      }]
    }]
  }
}

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.