Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

StructureDefinition: Contract_eltss - Detailed Descriptions

Definitions for the Contract-eltss Profile.

1. Contract
Definition

A legally enforceable, formally recorded unilateral or bilateral directive (i.e., a policy or agreement).

Control0..*
InvariantsDefined on this element
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (: text.div.exists())
2. Contract.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. Contract.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Control0..1
TypeMeta
4. Contract.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

5. Contract.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHOULD be taken from CommonLanguages
Max Binding: AllLanguages
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

6. Contract.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

7. Contract.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

8. Contract.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. 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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

9. Contract.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, 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.

10. Contract.identifier
Definition

Unique identifier for this Contract or a derivative that references a Source Contract.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

This is the business identifier of the contract content conveyed. It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is contained in the Contract.binding referenced Contract.

11. Contract.url
Definition

Canonical identifier for this contract, represented as a URI (globally unique).

Control0..1
Typeuri
Requirements

An absolute URI that is used to identify this contract when it is referenced in a specification, model, design, instance or a contract derivative; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which this plan definition is (or will be) published.

Comments

Used in a domain that uses a supplied contract repository.

12. Contract.version
Definition

An edition identifier used for business purposes to label business significant variants.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..1
Typestring
Requirements

The identifier that is used to identify this version of the contract when it is referenced in a specification, model, design, instance, or contract derivative. This is an arbitrary value managed by the contract 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.

Comments

Note - This is a business versionId, not a resource version id (see discussion http://build.fhir.org/resource.html#versions) Comments - There may be different contract 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 plan definition with the format [url]|[version].

13. Contract.status
Definition

The status of the resource instance.

Control0..1
BindingA code specifying the state of the resource instance.
The codes SHALL be taken from ContractResourceStatusCodes
Typecode
Is Modifiertrue
Requirements

This is the Contract Business Workflow Status.

Comments

This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.

14. Contract.legalState
Definition

Legal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement.

Control0..1
BindingDetailed codes for the legal state of a contract.
The codes SHALL be taken from ContractResourceLegalStateCodes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements

The legal state of a contract follows a prescribed flow as defined by the legal community and these state may be indepenedent of the workflow state.

15. Contract.instantiatesCanonical
Definition

The URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract.

Control0..1
TypeReference(Contract_eltss)
16. Contract.instantiatesUri
Definition

The URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract.

Control0..1
Typeuri
17. Contract.contentDerivative
Definition

The minimal content derived from the basal information source at a specific stage in its lifecycle.

Control0..1
BindingThis is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source.
For example codes, see ContractContentDerivationCodes
TypeCodeableConcept
Requirements

In the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding. The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.

18. Contract.issued
Definition

When this Contract was issued.

Control0..1
TypedateTime
Requirements

The Contract issuance dateTime often precedes the Contract effective dateTime.

19. Contract.applies
Definition

Relevant time or time-period when this Contract is applicable.

Control0..1
TypePeriod
Requirements

The dateTime upon which the Contract is binding.

20. Contract.expirationType
Definition

Event resulting in discontinuation or termination of this Contract instance by one or more parties to the contract.

Control0..1
BindingCodes for the Cessation of Contracts.
For example codes, see ContractResourceExpirationTypeCodes
TypeCodeableConcept
21. Contract.subject
Definition

The target entity impacted by or of interest to parties to the agreement.

Control0..*
TypeReference(Resource)
Requirements

The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.

Alternate NamesPatient
Comments

The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.

22. Contract.authority
Definition

A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.

Control0..*
TypeReference(Organization)
Requirements

The governance framework responsible for ensuring compliance with or enforcement of the contract or policy.

23. Contract.domain
Definition

Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.

Control0..*
TypeReference(Location_eltss)
Requirements

The entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.

Alternate Namesscope of governance jurisdiction
24. Contract.site
Definition

Sites in which the contract is complied with, exercised, or in force.

Control0..*
TypeReference(Location_eltss)
25. Contract.name
Definition

A natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Control0..1
Typestring
Requirements

Support human navigation and code generation.

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.

26. Contract.title
Definition

A short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.

Control0..1
Typestring
27. Contract.subtitle
Definition

An explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.

Control0..1
Typestring
28. Contract.alias
Definition

Alternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation.

Control0..*
Typestring
29. Contract.author
Definition

The individual or organization that authored the Contract definition, derivative, or instance in any legal state.

Control0..1
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | USCoreOrganizationProfile)
30. Contract.scope
Definition

A selector of legal concerns for this Contract definition, derivative, or instance in any legal state.

Control0..1
BindingCodes for the range of legal concerns.
For example codes, see ContractResourceScopeCodes
TypeCodeableConcept
31. Contract.topic[x]
Definition

Narrows the range of legal concerns to focus on the achievement of specific contractual objectives.

Control0..1
TypeChoice of: CodeableConcept, Reference(Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

Requirement: May be used to focus the topic of a Contract definition, derivative, or instance in any legal state. Comment: Contractual areas of concern are very broad. This element supports narrowing the area of concern to more specific term topics within this Contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. One way to determine the Contract.topic is to answer the question: “What is the overall objective of this legal instrument. The Contract.topic is described with more detail by the terms of the Contract.

32. Contract.type
Definition

A high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state. Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract.

Control0..1
BindingList of overall contract codes.
For example codes, see ContractTypeCodes
TypeCodeableConcept
33. Contract.subType
Definition

Sub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope.

Control0..*
BindingDetailed codes within the above.
For example codes, see ContractSubtypeCodes
TypeCodeableConcept
34. Contract.contentDefinition
Definition

Precusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract.

Control0..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. Contract.contentDefinition.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
36. Contract.contentDefinition.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

37. Contract.contentDefinition.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

38. Contract.contentDefinition.type
Definition

Precusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation.

Control1..1
BindingDetailed codes for the definition of contracts.
For example codes, see ContractResourceDefinitionTypeCodes
TypeCodeableConcept
39. Contract.contentDefinition.subType
Definition

Detailed Precusory content type.

Control0..1
BindingDetailed codes for the additional definition of contracts.
For example codes, see ContractResourceDefinitionSubtypeCodes
TypeCodeableConcept
40. Contract.contentDefinition.publisher
Definition

The individual or organization that published the Contract precursor content.

Control0..1
TypeReference(Practitioner_eltss | USCorePractitionerRoleProfile | USCoreOrganizationProfile)
41. Contract.contentDefinition.publicationDate
Definition

The date (and optionally time) when the contract was published. 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 contract changes.

Control0..1
TypedateTime
42. Contract.contentDefinition.publicationStatus
Definition

draft | active | retired | unknown.

Control1..1
BindingStatus of the publication of contract content.
The codes SHALL be taken from ContractResourcePublicationStatusCodes
Typecode
43. Contract.contentDefinition.copyright
Definition

A copyright statement relating to Contract precursor content. Copyright statements are generally legal restrictions on the use and publishing of the Contract precursor content.

Control0..1
Typemarkdown
44. Contract.term
Definition

One or more Contract Provisions which may be related and conveyed as a group and may contain nested groups.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Contract.term.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
46. Contract.term.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

47. Contract.term.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

48. Contract.term.identifier
Definition

Unique identifier for this particular Contract Provision.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
49. Contract.term.issued
Definition

When this Contract Provision was issued.

Control0..1
TypedateTime
50. Contract.term.applies
Definition

Relevant time or time-period when this Contract Provision is applicable.

Control0..1
TypePeriod
51. Contract.term.topic[x]
Definition

The entity that the term applies to.

Control0..1
TypeChoice of: CodeableConcept, Reference(Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
52. Contract.term.type
Definition

A legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time.

Control0..1
BindingDetailed codes for the types of contract provisions.
For example codes, see ContractTermTypeCodes
TypeCodeableConcept
53. Contract.term.subType
Definition

A specialized legal clause or condition based on overarching contract type.

Control0..1
BindingDetailed codes for the subtypes of contract provisions.
For example codes, see ContractTermSubtypeCodes
TypeCodeableConcept
54. Contract.term.text
Definition

Statement of a provision in a policy or a contract.

Control0..1
Typestring
55. Contract.term.securityLabel
Definition

Security labels that protect the handling of information about the term and its elements, which may be specifically identified..

Control0..*
TypeBackboneElement
Requirements

Requirement - Within a Contract, a security label may apply to the one to many nested group of terms or to a term, whether inside a group or a singleton. This security label protects the term and its contained provision elements. The security label on the entire set of term provision elements may be different from the security labels on a contained offer, asset, valuedItem, or data such as sensitive information, and must be the high water mark of all security labels within the term. Rationale is that a labelled term, which may be disaggregated from the Contract, and must persist the label on the term and on contained elements within other contexts. Requirement - If more than one policy dictates a level of confidentiality of the term, then each applicable policy may be represented by a security label specific to its requirements. Comment - A Security Label is comprised of 1..1 confidentiality code and 0..* other security label codes (aka "privacy tags". A Security Label is metadata assigned (aka "tagged") to Resources and Resource elements, which specify the confidentiality and sensitivity of the Resource or element and their related attributes, the purposes for which tagged items may be collected, access, used or disclosed, any limitation on the type of entities authorized to engage in permitted purposes, and handling instructions that obligate or prohibit certain actions on the tagged items.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
56. Contract.term.securityLabel.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
57. Contract.term.securityLabel.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

58. Contract.term.securityLabel.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

59. Contract.term.securityLabel.number
Definition

Number used to link this term or term element to the applicable Security Label.

Control0..*
TypeunsignedInt
60. Contract.term.securityLabel.classification
Definition

Security label privacy tag that species the level of confidentiality protection required for this term and/or term elements.

Control1..1
BindingCodes for confidentiality protection.
For example codes, see ContractResourceScopeCodes
TypeCoding
61. Contract.term.securityLabel.category
Definition

Security label privacy tag that species the applicable privacy and security policies governing this term and/or term elements.

Control0..*
BindingCodes for policy category.
For example codes, see ContractResourceScopeCodes
TypeCoding
62. Contract.term.securityLabel.control
Definition

Security label privacy tag that species the manner in which term and/or term elements are to be protected.

Control0..*
BindingCodes for handling instructions.
For example codes, see ContractResourceSecurityControlCodes
TypeCoding
63. Contract.term.offer
Definition

The matter of concern in the context of this agreement provision.

Control1..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
64. Contract.term.offer.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
65. Contract.term.offer.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

66. Contract.term.offer.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

67. Contract.term.offer.identifier
Definition

Unique identifier for this particular Contract Provision.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
68. Contract.term.offer.party
Definition

Recipient of the Offer

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
69. Contract.term.offer.party.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
70. Contract.term.offer.party.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

71. Contract.term.offer.party.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

72. Contract.term.offer.party.reference
Definition

Participant in the offer.

Control1..*
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | Group | USCoreOrganizationProfile)
73. Contract.term.offer.party.role
Definition

How the party participates in the offer.

Control1..1
BindingCodes for offer participant roles.
For example codes, see ContractResourcePartyRoleCodes
TypeCodeableConcept
74. Contract.term.offer.topic
Definition

The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).

Control0..1
TypeReference(Resource)
Requirements

In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. One way to determine the Contract.topic is to answer the question: “What is the object of negotiation?” Answer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any) Contract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. Contract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. AContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.

Comments

The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.

75. Contract.term.offer.type
Definition

Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.

Control0..1
BindingDetailed codes for the types of contract provisions.
For example codes, see ContractTermTypeCodes
TypeCodeableConcept
76. Contract.term.offer.decision
Definition

Type of choice made by accepting party with respect to an offer made by an offeror/ grantee.

Control0..1
BindingThe type of decision made by a grantor with respect to an offer made by a grantee.
The codes SHALL be taken from V3 Value SetActConsentDirective; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements

In some policy or contract contexts, the "offer" is made by an offeror wishing to be the "grantee" of the offer topic by the grantor. From this perspective, the grantor is the "offeree".

77. Contract.term.offer.decisionMode
Definition

How the decision about a Contract was conveyed.

Control0..*
BindingCodes for conveying a decision.
For example codes, see ContractResourceDecisionModeCodes
TypeCodeableConcept
78. Contract.term.offer.answer
Definition

Response to offer text.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
79. Contract.term.offer.answer.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
80. Contract.term.offer.answer.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

81. Contract.term.offer.answer.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

82. Contract.term.offer.answer.value[x]
Definition

Response to an offer clause or question text, which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warrently duration, or whether biospecimen may be used for further research.

Control1..1
TypeChoice of: boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
83. Contract.term.offer.text
Definition

Human readable form of this Contract Offer.

Control0..1
Typestring
84. Contract.term.offer.linkId
Definition

The id of the clause or question text of the offer in the referenced questionnaire/response.

Control0..*
Typestring
85. Contract.term.offer.securityLabelNumber
Definition

Security labels that protects the offer.

Control0..*
TypeunsignedInt
86. Contract.term.asset
Definition

Contract Term Asset List.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
87. Contract.term.asset.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
88. Contract.term.asset.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

89. Contract.term.asset.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

90. Contract.term.asset.scope
Definition

Differentiates the kind of the asset .

Control0..1
BindingCodes for scoping an asset.
For example codes, see ContractResourceAssetScopeCodes
TypeCodeableConcept
91. Contract.term.asset.type
Definition

Target entity type about which the term may be concerned.

Control0..*
BindingCondes for the type of an asset.
For example codes, see ContractResourceAssetTypeCodes
TypeCodeableConcept
92. Contract.term.asset.typeReference
Definition

Associated entities.

Control0..*
TypeReference(Resource)
93. Contract.term.asset.subtype
Definition

May be a subtype or part of an offered asset.

Control0..*
BindingCondes for the sub-type of an asset.
For example codes, see ContractResourceAssetSub-TypeCodes
TypeCodeableConcept
94. Contract.term.asset.relationship
Definition

Specifies the applicability of the term to an asset resource instance, and instances it refers to orinstances that refer to it, and/or are owned by the offeree.

Control0..1
BindingThe class (type) of information a consent rule covers.
The codes SHALL be taken from ConsentContentClass; other codes may be used where these codes are not suitable
TypeCoding
95. Contract.term.asset.context
Definition

Circumstance of the asset.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
96. Contract.term.asset.context.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
97. Contract.term.asset.context.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

98. Contract.term.asset.context.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

99. Contract.term.asset.context.reference
Definition

Asset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository), location held, e.g., building, jurisdiction.

Control0..1
TypeReference(Resource)
100. Contract.term.asset.context.code
Definition

Coded representation of the context generally or of the Referenced entity, such as the asset holder type or location.

Control0..*
BindingCodes for the context of the asset.
For example codes, see ContractResourceAssetContextCodes
TypeCodeableConcept
101. Contract.term.asset.context.text
Definition

Context description.

Control0..1
Typestring
102. Contract.term.asset.condition
Definition

Description of the quality and completeness of the asset that imay be a factor in its valuation.

Control0..1
Typestring
103. Contract.term.asset.periodType
Definition

Type of Asset availability for use or ownership.

Control0..*
BindingCodes for asset availability.
For example codes, see ContractResourceAssetAvailiabilityCodes
TypeCodeableConcept
104. Contract.term.asset.period
Definition

Asset relevant contractual time period.

Control0..*
TypePeriod
105. Contract.term.asset.usePeriod
Definition

Time period of asset use.

Control0..*
TypePeriod
106. Contract.term.asset.text
Definition

Clause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract.

Control0..1
Typestring
107. Contract.term.asset.linkId
Definition

Id [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
108. Contract.term.asset.answer
Definition

Response to assets.

Control0..*
TypeSee Contract.term.offer.answer
109. Contract.term.asset.securityLabelNumber
Definition

Security labels that protects the asset.

Control0..*
TypeunsignedInt
110. Contract.term.asset.valuedItem
Definition

Contract Valued Item List.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
111. Contract.term.asset.valuedItem.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
112. Contract.term.asset.valuedItem.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

113. Contract.term.asset.valuedItem.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

114. Contract.term.asset.valuedItem.entity[x]
Definition

Specific type of Contract Valued Item that may be priced.

Control0..1
TypeChoice of: CodeableConcept, Reference(Resource)
[x] NoteSee Choice of Data Types for further information about how to use [x]
115. Contract.term.asset.valuedItem.identifier
Definition

Identifies a Contract Valued Item instance.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
116. Contract.term.asset.valuedItem.effectiveTime
Definition

Indicates the time during which this Contract ValuedItem information is effective.

Control0..1
TypedateTime
117. Contract.term.asset.valuedItem.quantity
Definition

Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.

Control0..1
TypeQuantity(SimpleQuantity)
118. Contract.term.asset.valuedItem.unitPrice
Definition

A Contract Valued Item unit valuation measure.

Control0..1
TypeMoney
119. Contract.term.asset.valuedItem.factor
Definition

A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.

Control0..1
Typedecimal
120. Contract.term.asset.valuedItem.points
Definition

An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.

Control0..1
Typedecimal
121. Contract.term.asset.valuedItem.net
Definition

Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.

Control0..1
TypeMoney
122. Contract.term.asset.valuedItem.payment
Definition

Terms of valuation.

Control0..1
Typestring
123. Contract.term.asset.valuedItem.paymentDate
Definition

When payment is due.

Control0..1
TypedateTime
124. Contract.term.asset.valuedItem.responsible
Definition

Who will make payment.

Control0..1
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | RelatedPerson | USCoreOrganizationProfile)
125. Contract.term.asset.valuedItem.recipient
Definition

Who will receive payment.

Control0..1
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | RelatedPerson | USCoreOrganizationProfile)
126. Contract.term.asset.valuedItem.linkId
Definition

Id of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
127. Contract.term.asset.valuedItem.securityLabelNumber
Definition

A set of security labels that define which terms are controlled by this condition.

Control0..*
TypeunsignedInt
128. Contract.term.action
Definition

An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.

Control0..*
TypeBackboneElement
Requirements

An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.

Comments

Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
129. Contract.term.action.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
130. Contract.term.action.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

131. Contract.term.action.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

132. Contract.term.action.doNotPerform
Definition

True if the term prohibits the action.

Control0..1
Typeboolean
Is Modifiertrue
133. Contract.term.action.type
Definition

Activity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term.

Control1..1
BindingDetailed codes for the contract action.
For example codes, see ContractActionCodes
TypeCodeableConcept
134. Contract.term.action.subject
Definition

Entity of the action to be performed.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
135. Contract.term.action.subject.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
136. Contract.term.action.subject.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

137. Contract.term.action.subject.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

138. Contract.term.action.subject.reference
Definition

The entity the action is performed or not performed on or for.

Control1..*
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | Group | USCoreOrganizationProfile)
139. Contract.term.action.subject.role
Definition

Role type of agent assigned roles in this Contract.

Control0..1
BindingDetailed codes for the contract actor role.
For example codes, see ContractActorRoleCodes
TypeCodeableConcept
140. Contract.term.action.intent
Definition

Reason or purpose for the action stipulated by this Contract Provision.

Control1..1
BindingDetailed codes for the contract action reason.
For example codes, see V3 Value SetPurposeOfUse
TypeCodeableConcept
141. Contract.term.action.linkId
Definition

Id [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
142. Contract.term.action.status
Definition

Current state of the term action.

Control1..1
BindingCodes for the status of an term action.
For example codes, see ContractResourceActionStatusCodes
TypeCodeableConcept
143. Contract.term.action.context
Definition

Encounter or Episode with primary association to specified term activity.

Control0..1
TypeReference(EpisodeOfCare_eltss | USCoreEncounterProfile)
144. Contract.term.action.contextLinkId
Definition

Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
145. Contract.term.action.occurrence[x]
Definition

When action happens.

Control0..1
TypeChoice of: dateTime, Period, Timing
[x] NoteSee Choice of Data Types for further information about how to use [x]
146. Contract.term.action.requester
Definition

Who or what initiated the action and has responsibility for its activation.

Control0..*
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | Group | USCoreOrganizationProfile)
147. Contract.term.action.requesterLinkId
Definition

Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
148. Contract.term.action.performerType
Definition

The type of individual that is desired or required to perform or not perform the action.

Control0..*
BindingCodes for the types of action perfomer.
For example codes, see ProvenanceParticipantType
TypeCodeableConcept
149. Contract.term.action.performerRole
Definition

The type of role or competency of an individual desired or required to perform or not perform the action.

Control0..1
BindingCodes for the role of the action performer.
For example codes, see ProvenanceParticipantRole
TypeCodeableConcept
150. Contract.term.action.performer
Definition

Indicates who or what is being asked to perform (or not perform) the ction.

Control0..1
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | Group | USCoreOrganizationProfile | Organization)
151. Contract.term.action.performerLinkId
Definition

Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
152. Contract.term.action.reasonCode
Definition

Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited.

Control0..*
BindingDetailed codes for the contract action reason.
For example codes, see V3 Value SetPurposeOfUse
TypeCodeableConcept
153. Contract.term.action.reasonReference
Definition

Indicates another resource whose existence justifies permitting or not permitting this action.

Control0..*
TypeReference(Condition_eltss | Observation_eltss | Questionnaire_eltss | USCoreDocumentReferenceProfile | DiagnosticReport | QuestionnaireResponse)
154. Contract.term.action.reason
Definition

Describes why the action is to be performed or not performed in textual form.

Control0..*
Typestring
155. Contract.term.action.reasonLinkId
Definition

Id [identifier??] of the clause or question text related to the reason type or reference of this action in the referenced form or QuestionnaireResponse.

Control0..*
Typestring
156. Contract.term.action.note
Definition

Comments made about the term action made by the requester, performer, subject or other participants.

Control0..*
TypeAnnotation
157. Contract.term.action.securityLabelNumber
Definition

Security labels that protects the action.

Control0..*
TypeunsignedInt
158. Contract.term.group
Definition

Nested group of Contract Provisions.

Control0..*
TypeSee Contract.term
159. Contract.supportingInfo
Definition

Information that may be needed by/relevant to the performer in their execution of this term action.

Control0..*
TypeReference(Resource)
160. Contract.relevantHistory
Definition

Links to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract. The Provence.entity indicates the target that was changed in the update. http://build.fhir.org/provenance-definitions.html#Provenance.entity.

Control0..*
TypeReference(Provenance)
161. Contract.signer
Definition

Person, Guardian / Legal Representative, Support Planner, or Service Provider Signature

Control0..*
TypeBackboneElement
Must Supporttrue
Requirements

The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal "source of truth". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.

Comments

FHIR includes a preferred coding for contract signatory roles, which map well to the eLTSS signatories. The primary one for the patient/beneficiary is "PAT" (patient), although implementers may use others as well. However, implementers must realize that type may be used to differentiate between the patient, service provider, planner, etc. so there need to be distinct role types utilized.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
162. Contract.signer.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
163. Contract.signer.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

164. Contract.signer.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

165. Contract.signer.type
Definition

Role of this Contract signer, e.g. notary, grantee.

Control1..1
BindingList of parties who may be signing.
The codes SHOULD be taken from ContractSignerTypeCodes
TypeCoding
Comments

Would probably use "CONSENTER" which represents "consent signature" in this use case.

166. Contract.signer.party
Definition

Person, Guardian / Legal Representative, Support Planner, or Service Provider Printed Name

Control1..1
TypeReference(Patient_eltss | Practitioner_eltss | USCorePractitionerRoleProfile | RelatedPerson | USCoreOrganizationProfile)
Comments

Must match signature.who.

167. Contract.signer.signature
Definition

Legally binding Contract DSIG signature contents encoded in Base64.

Control1..*
TypeSignature
168. Contract.signer.signature.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
169. Contract.signer.signature.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

SlicingThis element introduces a set of slices on Contract.signer.signature.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
170. Contract.signer.signature.type
Definition

An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document.

Control1..*
BindingAn indication of the reason that an entity signed the object.
The codes SHOULD be taken from SignatureTypeCodes
TypeCoding
Comments

Would probably use "1.2.840.10065.1.12.1.7" which represents "consent signature" in this use case.

171. Contract.signer.signature.when
Definition

Person, Guardian / Legal Representative, Support Planner, or Service Provider Signature Date

Control1..1
Typeinstant
Comments

This should agree with the information in the signature.

172. Contract.signer.signature.who
Definition

Person, Guardian / Legal Representative, Support Planner, or Service Provider Signature

Control1..1
TypeReference(PractitionerRole | RelatedPerson | Organization | Practitioner_eltss | Patient_eltss)
Comments

Must match signer.party.

173. Contract.signer.signature.onBehalfOf
Definition

A reference to an application-usable description of the identity that is represented by the signature.

Control0..1
TypeReference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)
Requirements

used when the signature is on behalf of a non-signer.

Comments

The party that can't sign. For example a child.

174. Contract.signer.signature.targetFormat
Definition

A mime type that indicates the technical format of the target resources signed by the signature.

Control0..1
BindingThe mime type of an attachment. Any valid mime type is allowed.
The codes SHALL be taken from Mime Types
Typecode
Comments

"xml", "json" and "ttl" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.

175. Contract.signer.signature.sigFormat
Definition

A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc.

Control0..1
BindingThe mime type of an attachment. Any valid mime type is allowed.
The codes SHALL be taken from Mime Types
Typecode
176. Contract.signer.signature.data
Definition

The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.

Control0..1
Typebase64Binary
Comments

Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using XML-Signature (XMLDIG) "Detached Signature" form.

177. Contract.friendly
Definition

The "patient friendly language" versionof the Contract in whole or in parts. "Patient friendly language" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
178. Contract.friendly.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
179. Contract.friendly.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

180. Contract.friendly.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

181. Contract.friendly.content[x]
Definition

Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.

Control1..1
TypeChoice of: Attachment, Reference(Composition | DocumentReference | QuestionnaireResponse)
[x] NoteSee Choice of Data Types for further information about how to use [x]
182. Contract.legal
Definition

List of Legal expressions or representations of this Contract.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
183. Contract.legal.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
184. Contract.legal.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

185. Contract.legal.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

186. Contract.legal.content[x]
Definition

Contract legal text in human renderable form.

Control1..1
TypeChoice of: Attachment, Reference(Composition | DocumentReference | QuestionnaireResponse)
[x] NoteSee Choice of Data Types for further information about how to use [x]
187. Contract.rule
Definition

List of Computable Policy Rule Language Representation(s) of this Contract.

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
188. Contract.rule.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
189. Contract.rule.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.

Control0..*
TypeExtension
Alternate Namesextensions, 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.

190. Contract.rule.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
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.

191. Contract.rule.content[x]
Definition

Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).

Control1..1
TypeChoice of: Attachment, Reference(DocumentReference)
[x] NoteSee Choice of Data Types for further information about how to use [x]
192. Contract.legallyBinding[x]
Definition

Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the "source of truth" and which would be the basis for legal action related to enforcement of this Contract.

Control0..1
TypeChoice of: Attachment, Reference(Composition | DocumentReference | QuestionnaireResponse | Contract)
[x] NoteSee Choice of Data Types for further information about how to use [x]