HL7.FHIR.US.CQFMEASURES\CQFM Artifact Comment - Definitions

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

Extension: CQFMArtifactComment - Detailed Descriptions

Active as of 2019-02-13

Definitions for the cqfm-artifactComment extension.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here.

1. Extension
Definition	A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user. Optional Extension Element - found in all resources.
2. Extension.extension:type
SliceName	type
Definition	Indicates whether the comment is providing additional documentation, a review comment that requires resolution, or providing usage guidance to an artifact consumer.
Control	1..1
Type	Extension
3. Extension.extension:type.url
Control	0..?
Fixed Value	type
4. Extension.extension:type.value[x]
Control	0..?
Binding	The codes SHALL be taken from Artifact Comment Type The type of artifact comment (documentation, review, guidance
Type	code
[x] Note	See Choice of Data Types for further information about how to use [x]
5. Extension.extension:text
SliceName	text
Definition	The text content of the comment.
Control	1..1
Type	Extension
6. Extension.extension:text.url
Control	0..?
Fixed Value	text
7. Extension.extension:text.value[x]
Control	0..?
Type	markdown
[x] Note	See Choice of Data Types for further information about how to use [x]
8. Extension.extension:target
SliceName	target
Definition	A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.
Control	0..*
Type	Extension
Comments	The target element is used to point the comment to aspect of the artifact, typically a text range within a CQL library (e.g. Library/example#content?0:0-120:80).
9. Extension.extension:target.url
Control	0..?
Fixed Value	target
10. Extension.extension:target.value[x]
Control	0..?
Type	uri
[x] Note	See Choice of Data Types for further information about how to use [x]
11. Extension.extension:reference
SliceName	reference
Definition	Provides additional supporting information relevant to the comment.
Control	0..*
Type	Extension
Comments	The reference element is used to reference other relevant information. For example, a comment may point to a citation in a relatedArtifact element (e.g. Library/example#relatedArtifact[ABC]).
12. Extension.extension:reference.url
Control	0..?
Fixed Value	reference
13. Extension.extension:reference.value[x]
Control	0..?
Type	uri
[x] Note	See Choice of Data Types for further information about how to use [x]
14. Extension.extension:user
SliceName	user
Definition	Specifies the user that authored the comment.
Control	0..1
Type	Extension
15. Extension.extension:user.url
Control	0..?
Fixed Value	user
16. Extension.extension:user.value[x]
Control	0..?
Type	string
[x] Note	See Choice of Data Types for further information about how to use [x]
17. Extension.url
Fixed Value	http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
18. Extension.value[x]
Control	0..01
[x] Note	See Choice of Data Types for further information about how to use [x]

Guidance on how to interpret the contents of this table can be found here.

1. Extension
Definition	A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user. Optional Extension Element - found in all resources.
Control	0..* This element is affected by the following invariants: ele-1
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
2. Extension.extension:type
SliceName	type
Definition	Indicates whether the comment is providing additional documentation, a review comment that requires resolution, or providing usage guidance to an artifact consumer. 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.
Control	10..1*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
3. Extension.extension:type.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	type
4. Extension.extension:type.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Binding	The codes SHALL be taken from Artifact Comment TypeFor codes, see (unbound) The type of artifact comment (documentation, review, guidance
Type	Choice of: code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Extension.extension:text
SliceName	text
Definition	The text content of the comment. 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.
Control	10..1*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
6. Extension.extension:text.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	text
7. Extension.extension:text.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	Choice of: markdown, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
8. Extension.extension:target
SliceName	target
Definition	A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource. 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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	The target element is used to point the comment to aspect of the artifact, typically a text range within a CQL library (e.g. Library/example#content?0:0-120:80). 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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
9. Extension.extension:target.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	target
10. Extension.extension:target.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	Choice of: uri, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
11. Extension.extension:reference
SliceName	reference
Definition	Provides additional supporting information relevant to the comment. 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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	The reference element is used to reference other relevant information. For example, a comment may point to a citation in a relatedArtifact element (e.g. Library/example#relatedArtifact[ABC]). 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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
12. Extension.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	reference
13. Extension.extension:reference.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	Choice of: uri, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Extension.extension:user
SliceName	user
Definition	Specifies the user that authored the comment. 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.
Control	0..1*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
15. Extension.extension:user.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	user
16. Extension.extension:user.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	Choice of: string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
18. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..01
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here.

1. Extension
Definition	A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user.
Control	0..* This element is affected by the following invariants: ele-1
2. Extension.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
3. Extension.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
4. Extension.extension:type
SliceName	type
Definition	Indicates whether the comment is providing additional documentation, a review comment that requires resolution, or providing usage guidance to an artifact consumer.
Control	1..1
Type	Extension
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
5. Extension.extension:type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
6. Extension.extension:type.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
7. Extension.extension:type.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	type
8. Extension.extension:type.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Binding	The codes SHALL be taken from Artifact Comment Type The type of artifact comment (documentation, review, guidance
Type	code
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
9. Extension.extension:text
SliceName	text
Definition	The text content of the comment.
Control	1..1
Type	Extension
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. Extension.extension:text.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
11. Extension.extension:text.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
12. Extension.extension:text.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	text
13. Extension.extension:text.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	markdown
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. Extension.extension:target
SliceName	target
Definition	A URI that points to what the comment is about, such as a line of text in the CQL, or a specific element in a resource.
Control	0..*
Type	Extension
Comments	The target element is used to point the comment to aspect of the artifact, typically a text range within a CQL library (e.g. Library/example#content?0:0-120:80).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
15. Extension.extension:target.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
16. Extension.extension:target.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
17. Extension.extension:target.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	target
18. Extension.extension:target.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	uri
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Extension.extension:reference
SliceName	reference
Definition	Provides additional supporting information relevant to the comment.
Control	0..*
Type	Extension
Comments	The reference element is used to reference other relevant information. For example, a comment may point to a citation in a relatedArtifact element (e.g. Library/example#relatedArtifact[ABC]).
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
20. Extension.extension:reference.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
21. Extension.extension:reference.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
22. Extension.extension:reference.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	reference
23. Extension.extension:reference.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	uri
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Extension.extension:user
SliceName	user
Definition	Specifies the user that authored the comment.
Control	0..1
Type	Extension
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
25. Extension.extension:user.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control	0..1
Type	string
XML Representation	In the XML format, this property is represented as an attribute.
26. Extension.extension:user.extension
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.
Control	0..*
Type	Extension
Alternate Names	extensions, user content
Comments	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.
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing	This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
27. Extension.extension:user.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	user
28. Extension.extension:user.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..1
Type	string
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Control	1..1
Type	uri
XML Representation	In the XML format, this property is represented as an attribute.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
30. Extension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Control	0..0
Type	Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note	See Choice of Data Types for further information about how to use [x]
Invariants	Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))