Profile_R2_DocumentManifest_R5 - Definitions - Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 v0.1.0

Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R2_DocumentManifest_R5 - Detailed Descriptions

Page standards status: Trial-use

Maturity Level: 0

Definitions for the profile-DocumentManifest resource profile.

Key Elements Table
Differential Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Basic
Definition	Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.
Short	Resource for non-supported content
Control	0..*
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	Z-resource, Extension-resource, Custom-resource
Invariants	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().ofType(canonical) \| %resource.descendants().ofType(uri) \| %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()) 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().ofType(canonical) \| %resource.descendants().ofType(uri) \| %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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. Basic.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.
Short	A set of rules under which this content was created
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 its narrative along with other profiles, value sets, etc.
Control	0..1
Type	uri
Is Modifier	true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Basic.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
Short	Contained, inline 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.
Control	0..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
Type	Resource
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	inline resources, anonymous resources, contained resources
6. Basic.extension
Definition	An Extension 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 managable, 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.
Short	ExtensionAdditional content defined by implementations
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.
Control	10..*
Type	Extension
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Basic.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. Basic.extension:masterIdentifier
Slice Name	masterIdentifier
Definition	DSTU2: `DocumentManifest.masterIdentifier` (new:Identifier)
Short	DSTU2: Unique Identifier for the set of documents (new)
Comments	Element `DocumentManifest.masterIdentifier` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.masterIdentifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Unique Identifier for the set of documents (new)) (Extension Type: Identifier)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Basic.extension:recipient
Slice Name	recipient
Definition	DSTU2: `DocumentManifest.recipient` (new:Reference(Patient,Practitioner,RelatedPerson,Organization))
Short	DSTU2: Intended to get notified about this set of documents (new)
Comments	Element `DocumentManifest.recipient` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.recipient` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.
Control	0..*
Type	Extension(DSTU2: Intended to get notified about this set of documents (new)) (Extension Type: Reference(Cross-version Profile for DSTU2.Patient for use in FHIR R5, Patient, Cross-version Profile for DSTU2.Practitioner for use in FHIR R5, PractitionerRole, Cross-version Profile for DSTU2.RelatedPerson for use in FHIR R5, RelatedPerson, Cross-version Profile for DSTU2.Organization for use in FHIR R5, Organization))
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Basic.extension:type
Slice Name	type
Definition	DSTU2: `DocumentManifest.type` (new:CodeableConcept)
Short	DSTU2: Kind of document set (new)
Comments	Element `DocumentManifest.type` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.type` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Kind of document set (new)) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Basic.extension:source
Slice Name	source
Definition	DSTU2: `DocumentManifest.source` (new:uri)
Short	DSTU2: The source system/application/software (new)
Comments	Element `DocumentManifest.source` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.source` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: The source system/application/software (new)) (Extension Type: uri)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Basic.extension:description
Slice Name	description
Definition	DSTU2: `DocumentManifest.description` (new:string)
Short	DSTU2: Human-readable description (title) (new)
Comments	Element `DocumentManifest.description` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note").
Control	0..1
Type	Extension(DSTU2: Human-readable description (title) (new)) (Extension Type: string)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Basic.extension:content
Slice Name	content
Definition	DSTU2: `DocumentManifest.content` (new:BackboneElement)
Short	DSTU2: The items included (new)
Comments	Element `DocumentManifest.content` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.content` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..*
Type	Extension(DSTU2: The items included (new)) (Complex Extension)
Is Modifier	false
Must Support	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Basic.extension:related
Slice Name	related
Definition	DSTU2: `DocumentManifest.related` (new:BackboneElement)
Short	DSTU2: Related things (new)
Comments	Element `DocumentManifest.related` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.related` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May be identifiers or resources that caused the DocumentManifest to be created.
Control	0..*
Type	Extension(DSTU2: Related things (new)) (Complex Extension)
Is Modifier	false
Must Support	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. Basic.modifierExtension
Definition	An Extension 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 managable, 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).
Short	ExtensionExtensions that cannot be ignored
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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Support	false
Summary	true
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 Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Basic.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. Basic.modifierExtension:status
Slice Name	status
Definition	DSTU2: `DocumentManifest.status` (new:code)
Short	DSTU2: current \| superseded \| entered-in-error (new)
Comments	Element `DocumentManifest.status` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..1
Type	Extension(DSTU2: current \| superseded \| entered-in-error (new)) (Extension Type: code)
Is Modifier	true because This extension is a modifier because the source element `DocumentManifest.status` is flagged as a modifier element.
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Basic.code
Definition	Identifies the 'type' of resource - equivalent to the resource name for other resources.
Short	Kind of Resource
Comments	Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code. This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.
Control	1..1
Binding	For example codes, see BasicResourceTypeshttp://hl7.org/fhir/ValueSet/basic-resource-type\|5.0.0 (example to `http://hl7.org/fhir/ValueSet/basic-resource-type\|5.0.0`) HL7-maintained set of codes for "Basic" resources
Type	CodeableConcept
Is Modifier	true because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
Must Support	false
Summary	true
Requirements	Must be able to distinguish different types of Basic resources.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Basic
2. Basic.extension
Control	1..*
Slicing	This element introduces a set of slices on `Basic.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Basic.extension:masterIdentifier
Slice Name	masterIdentifier
Definition	DSTU2: `DocumentManifest.masterIdentifier` (new:Identifier)
Short	DSTU2: Unique Identifier for the set of documents (new)
Comments	Element `DocumentManifest.masterIdentifier` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.masterIdentifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Unique Identifier for the set of documents (new)) (Extension Type: Identifier)
6. Basic.extension:recipient
Slice Name	recipient
Definition	DSTU2: `DocumentManifest.recipient` (new:Reference(Patient,Practitioner,RelatedPerson,Organization))
Short	DSTU2: Intended to get notified about this set of documents (new)
Comments	Element `DocumentManifest.recipient` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.recipient` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.
Control	0..*
Type	Extension(DSTU2: Intended to get notified about this set of documents (new)) (Extension Type: Reference(Cross-version Profile for DSTU2.Patient for use in FHIR R5, Patient, Cross-version Profile for DSTU2.Practitioner for use in FHIR R5, PractitionerRole, Cross-version Profile for DSTU2.RelatedPerson for use in FHIR R5, RelatedPerson, Cross-version Profile for DSTU2.Organization for use in FHIR R5, Organization))
8. Basic.extension:type
Slice Name	type
Definition	DSTU2: `DocumentManifest.type` (new:CodeableConcept)
Short	DSTU2: Kind of document set (new)
Comments	Element `DocumentManifest.type` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.type` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Kind of document set (new)) (Extension Type: CodeableConcept)
10. Basic.extension:source
Slice Name	source
Definition	DSTU2: `DocumentManifest.source` (new:uri)
Short	DSTU2: The source system/application/software (new)
Comments	Element `DocumentManifest.source` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.source` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: The source system/application/software (new)) (Extension Type: uri)
12. Basic.extension:description
Slice Name	description
Definition	DSTU2: `DocumentManifest.description` (new:string)
Short	DSTU2: Human-readable description (title) (new)
Comments	Element `DocumentManifest.description` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note").
Control	0..1
Type	Extension(DSTU2: Human-readable description (title) (new)) (Extension Type: string)
14. Basic.extension:content
Slice Name	content
Definition	DSTU2: `DocumentManifest.content` (new:BackboneElement)
Short	DSTU2: The items included (new)
Comments	Element `DocumentManifest.content` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.content` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..*
Type	Extension(DSTU2: The items included (new)) (Complex Extension)
16. Basic.extension:related
Slice Name	related
Definition	DSTU2: `DocumentManifest.related` (new:BackboneElement)
Short	DSTU2: Related things (new)
Comments	Element `DocumentManifest.related` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.related` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May be identifiers or resources that caused the DocumentManifest to be created.
Control	0..*
Type	Extension(DSTU2: Related things (new)) (Complex Extension)
18. Basic.modifierExtension
Control	0..*
Slicing	This element introduces a set of slices on `Basic.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. Basic.modifierExtension:status
Slice Name	status
Definition	DSTU2: `DocumentManifest.status` (new:code)
Short	DSTU2: current \| superseded \| entered-in-error (new)
Comments	Element `DocumentManifest.status` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..1
Type	Extension(DSTU2: current \| superseded \| entered-in-error (new)) (Extension Type: code)

Guidance on how to interpret the contents of this table can be foundhere

0. Basic
Definition	Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.
Short	Resource for non-supported content
Control	0..*
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	Z-resource, Extension-resource, Custom-resource
Invariants	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().ofType(canonical) \| %resource.descendants().ofType(uri) \| %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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. Basic.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short	Logical id of this artifact
Comments	Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
Control	0..1
Type	id
Is Modifier	false
Must Support	false
Summary	true
4. Basic.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.
Short	Metadata about the resource
Control	0..1
Type	Meta
Is Modifier	false
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Basic.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.
Short	A set of rules under which this content was created
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 its narrative along with other profiles, value sets, etc.
Control	0..1
Type	uri
Is Modifier	true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Basic.language
Definition	The base language in which the resource is written.
Short	Language of the resource content
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).
Control	0..1
Binding	The codes SHALL be taken from AllLanguages (required to `http://hl7.org/fhir/ValueSet/all-languages\|5.0.0`) IETF language tag for a human language
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Basic.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.
Short	Text summary of the resource, for human interpretation
Comments	Contained resources do not have a 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.
Control	0..1 This element is affected by the following invariants: dom-6
Type	Narrative
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	narrative, html, xhtml, display
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Basic.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
Short	Contained, inline 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.
Control	0..* This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
Type	Resource
Is Modifier	false
Must Support	false
Summary	false
Alternate Names	inline resources, anonymous resources, contained resources
14. Basic.extension
Definition	An Extension
Short	Extension
Control	1..*
Type	Extension
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `Basic.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Basic.extension:masterIdentifier
Slice Name	masterIdentifier
Definition	DSTU2: `DocumentManifest.masterIdentifier` (new:Identifier)
Short	DSTU2: Unique Identifier for the set of documents (new)
Comments	Element `DocumentManifest.masterIdentifier` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.masterIdentifier` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Unique Identifier for the set of documents (new)) (Extension Type: Identifier)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Basic.extension:recipient
Slice Name	recipient
Definition	DSTU2: `DocumentManifest.recipient` (new:Reference(Patient,Practitioner,RelatedPerson,Organization))
Short	DSTU2: Intended to get notified about this set of documents (new)
Comments	Element `DocumentManifest.recipient` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.recipient` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.
Control	0..*
Type	Extension(DSTU2: Intended to get notified about this set of documents (new)) (Extension Type: Reference(Cross-version Profile for DSTU2.Patient for use in FHIR R5, Patient, Cross-version Profile for DSTU2.Practitioner for use in FHIR R5, PractitionerRole, Cross-version Profile for DSTU2.RelatedPerson for use in FHIR R5, RelatedPerson, Cross-version Profile for DSTU2.Organization for use in FHIR R5, Organization))
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Basic.extension:type
Slice Name	type
Definition	DSTU2: `DocumentManifest.type` (new:CodeableConcept)
Short	DSTU2: Kind of document set (new)
Comments	Element `DocumentManifest.type` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.type` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: Kind of document set (new)) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. Basic.extension:source
Slice Name	source
Definition	DSTU2: `DocumentManifest.source` (new:uri)
Short	DSTU2: The source system/application/software (new)
Comments	Element `DocumentManifest.source` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.source` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(DSTU2: The source system/application/software (new)) (Extension Type: uri)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. Basic.extension:description
Slice Name	description
Definition	DSTU2: `DocumentManifest.description` (new:string)
Short	DSTU2: Human-readable description (title) (new)
Comments	Element `DocumentManifest.description` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.description` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note").
Control	0..1
Type	Extension(DSTU2: Human-readable description (title) (new)) (Extension Type: string)
Is Modifier	false
Must Support	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
26. Basic.extension:content
Slice Name	content
Definition	DSTU2: `DocumentManifest.content` (new:BackboneElement)
Short	DSTU2: The items included (new)
Comments	Element `DocumentManifest.content` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.content` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..*
Type	Extension(DSTU2: The items included (new)) (Complex Extension)
Is Modifier	false
Must Support	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
28. Basic.extension:related
Slice Name	related
Definition	DSTU2: `DocumentManifest.related` (new:BackboneElement)
Short	DSTU2: Related things (new)
Comments	Element `DocumentManifest.related` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.related` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). May be identifiers or resources that caused the DocumentManifest to be created.
Control	0..*
Type	Extension(DSTU2: Related things (new)) (Complex Extension)
Is Modifier	false
Must Support	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
30. Basic.modifierExtension
Definition	An Extension
Short	Extension
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `Basic.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. Basic.modifierExtension:status
Slice Name	status
Definition	DSTU2: `DocumentManifest.status` (new:code)
Short	DSTU2: current \| superseded \| entered-in-error (new)
Comments	Element `DocumentManifest.status` is not mapped to FHIR R5, since FHIR DSTU2 `DocumentManifest` is not mapped. Element `DocumentManifest.status` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).
Control	1..1
Type	Extension(DSTU2: current \| superseded \| entered-in-error (new)) (Extension Type: code)
Is Modifier	true because This extension is a modifier because the source element `DocumentManifest.status` is flagged as a modifier element.
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Basic.identifier
Definition	Identifier assigned to the resource for business purposes, outside the context of FHIR.
Short	Business identifier
Note	This is a business identifier, not a resource identifier (see discussion)
Control	0..*
Type	Identifier
Is Modifier	false
Must Support	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Basic.code
Definition	Identifies the 'type' of resource - equivalent to the resource name for other resources.
Short	Kind of Resource
Comments	Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code. This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.
Control	1..1
Binding	For example codes, see BasicResourceTypes (example to `http://hl7.org/fhir/ValueSet/basic-resource-type\|5.0.0`) HL7-maintained set of codes for "Basic" resources
Type	CodeableConcept
Is Modifier	true because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
Must Support	false
Summary	true
Requirements	Must be able to distinguish different types of Basic resources.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Basic.subject
Definition	Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.
Short	Identifies the focus of this resource
Comments	Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.
Control	0..1
Type	Reference(Resource)
Is Modifier	false
Must Support	false
Summary	true
Requirements	Needed for partitioning the resource by Patient.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Basic.created
Definition	Identifies when the resource was first created.
Short	When created
Control	0..1
Type	dateTime
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	false
Summary	true
Requirements	Allows ordering resource instances by time.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Basic.author
Definition	Indicates who was responsible for creating the resource instance.
Short	Who created
Control	0..1
Type	Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization, Device, CareTeam)
Is Modifier	false
Must Support	false
Summary	true
Requirements	Needed for partitioning the resource.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)