FHIR Cross-Version Extensions package for FHIR R5 from FHIR R3
0.0.1-snapshot-2 - informative International flag

FHIR Cross-Version Extensions package for FHIR R5 from FHIR R3 - Version 0.0.1-snapshot-2. See the Directory of published versions

Extension: Ext_R3_DocumentReference_context - Detailed Descriptions

Page standards status: Informative Maturity Level: 0

Definitions for the ext-R3-DocumentReference.context extension.

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

0. Extension
Definition

The clinical context in which the document was prepared.

ShortClinical context of document
Comments

DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

Control0..1
2. Extension.extension
Control0..*
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:encounter
    Slice Nameencounter
    Definition

    Describes the clinical encounter or type of care that the document content is associated with.

    ShortContext of the document content
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..1
    6. Extension.extension:encounter.url
    Control1..1
    Fixed Valueencounter
    8. Extension.extension:encounter.value[x]
    Definition

    Describes the clinical encounter or type of care that the document content is associated with.

    ShortContext of the document content
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    TypeReference
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    10. Extension.extension:event
    Slice Nameevent
    Definition

    This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

    ShortMain clinical acts documented
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..*
    12. Extension.extension:event.url
    Control1..1
    Fixed Valueevent
    14. Extension.extension:event.value[x]
    Definition

    This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

    ShortMain clinical acts documented
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    BindingFor example codes, see R3_v3_ActCode_for_R5 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/3.0/ValueSet/R3-v3-ActCode-for-R5|0.0.1-snapshot-2)

    This list of codes represents the main clinical acts being documented.

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    16. Extension.extension:period
    Slice Nameperiod
    Definition

    The time period over which the service that is described by the document was provided.

    ShortTime of service that is being documented
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..1
    18. Extension.extension:period.url
    Control1..1
    Fixed Valueperiod
    20. Extension.extension:period.value[x]
    Definition

    The time period over which the service that is described by the document was provided.

    ShortTime of service that is being documented
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    TypePeriod
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    22. Extension.extension:facilityType
    Slice NamefacilityType
    Definition

    The kind of facility where the patient was seen.

    ShortKind of facility where patient was seen
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..1
    24. Extension.extension:facilityType.url
    Control1..1
    Fixed ValuefacilityType
    26. Extension.extension:facilityType.value[x]
    Definition

    The kind of facility where the patient was seen.

    ShortKind of facility where patient was seen
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    BindingFor example codes, see R3_c80_facilitycodes_for_R5 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-facilitycodes-for-R5|0.0.1-snapshot-2)

    XDS Facility Type.

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    28. Extension.extension:practiceSetting
    Slice NamepracticeSetting
    Definition

    This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.

    ShortAdditional details about where the content was created (e.g. clinical specialty)
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..1
    30. Extension.extension:practiceSetting.url
    Control1..1
    Fixed ValuepracticeSetting
    32. Extension.extension:practiceSetting.value[x]
    Definition

    This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.

    ShortAdditional details about where the content was created (e.g. clinical specialty)
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    BindingFor example codes, see R3_c80_practice_codes_for_R5 (0.0.1-snapshot-2)
    (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-practice-codes-for-R5|0.0.1-snapshot-2)

    Additional details about where the content was created (e.g. clinical specialty).

    TypeCodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    34. Extension.extension:sourcePatientInfo
    Slice NamesourcePatientInfo
    Definition

    The Patient Information as known when the document was published. May be a reference to a version specific, or contained.

    ShortPatient demographics from source
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..1
    36. Extension.extension:sourcePatientInfo.url
    Control1..1
    Fixed ValuesourcePatientInfo
    38. Extension.extension:sourcePatientInfo.value[x]
    Definition

    The Patient Information as known when the document was published. May be a reference to a version specific, or contained.

    ShortPatient demographics from source
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    TypeReference
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    40. Extension.extension:related
    Slice Namerelated
    Definition

    Related identifiers or resources associated with the DocumentReference.

    ShortRelated identifiers or resources
    Comments

    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

    Control0..*
    42. Extension.extension:related.extension
    Control0..*
    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
    • value @ url
    • 44. Extension.extension:related.extension:identifier
      Slice Nameidentifier
      Definition

      Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.

      ShortIdentifier of related objects or events
      Comments

      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

      Control0..1
      46. Extension.extension:related.extension:identifier.url
      Control1..1
      Fixed Valueidentifier
      48. Extension.extension:related.extension:identifier.value[x]
      Definition

      Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.

      ShortIdentifier of related objects or events
      Comments

      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

      TypeIdentifier
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      50. Extension.extension:related.extension:ref
      Slice Nameref
      Definition

      Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.

      ShortRelated Resource
      Comments

      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

      Control0..1
      52. Extension.extension:related.extension:ref.url
      Control1..1
      Fixed Valueref
      54. Extension.extension:related.extension:ref.value[x]
      Definition

      Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.

      ShortRelated Resource
      Comments

      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

      TypeReference
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      56. Extension.extension:related.url
      Control1..1
      Fixed Valuerelated
      58. Extension.url
      Control1..1
      Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentReference.context

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

      0. Extension
      Definition

      The clinical context in which the document was prepared.


      Optional Extension Element - found in all resources.

      ShortClinical context of documentOptional Extensions Element
      Comments

      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

      Control0..1*
      Is Modifierfalse
      Invariantsele-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())
      2. Extension.extension
      Definition

      An Extension


      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 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.

      ShortExtensionAdditional 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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
      • value @ url
      • 4. Extension.extension:encounter
        Slice Nameencounter
        Definition

        Describes the clinical encounter or type of care that the document content is associated with.

        ShortContext of the document contentAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        6. Extension.extension:encounter.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueencounter
        8. Extension.extension:encounter.value[x]
        Definition

        Describes the clinical encounter or type of care that the document content is associated with.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortContext of the document contentValue of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        10. Extension.extension:event
        Slice Nameevent
        Definition

        This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

        ShortMain clinical acts documentedAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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. Extension.extension:event.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueevent
        14. Extension.extension:event.value[x]
        Definition

        This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortMain clinical acts documentedValue of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        BindingFor example codes, see For codes, see R3_v3_ActCode_for_R5 (0.0.1-snapshot-2)
        (example to http://hl7.org/fhir/3.0/ValueSet/R3-v3-ActCode-for-R5|0.0.1-snapshot-2)

        This list of codes represents the main clinical acts being documented.

        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        16. Extension.extension:period
        Slice Nameperiod
        Definition

        The time period over which the service that is described by the document was provided.

        ShortTime of service that is being documentedAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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. Extension.extension:period.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed Valueperiod
        20. Extension.extension:period.value[x]
        Definition

        The time period over which the service that is described by the document was provided.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortTime of service that is being documentedValue of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        TypePeriod, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        22. Extension.extension:facilityType
        Slice NamefacilityType
        Definition

        The kind of facility where the patient was seen.

        ShortKind of facility where patient was seenAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        24. Extension.extension:facilityType.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed ValuefacilityType
        26. Extension.extension:facilityType.value[x]
        Definition

        The kind of facility where the patient was seen.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortKind of facility where patient was seenValue of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        BindingFor example codes, see For codes, see R3_c80_facilitycodes_for_R5 (0.0.1-snapshot-2)
        (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-facilitycodes-for-R5|0.0.1-snapshot-2)

        XDS Facility Type.

        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        28. Extension.extension:practiceSetting
        Slice NamepracticeSetting
        Definition

        This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.

        ShortAdditional details about where the content was created (e.g. clinical specialty)Additional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        30. Extension.extension:practiceSetting.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed ValuepracticeSetting
        32. Extension.extension:practiceSetting.value[x]
        Definition

        This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortAdditional details about where the content was created (e.g. clinical specialty)Value of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        BindingFor example codes, see For codes, see R3_c80_practice_codes_for_R5 (0.0.1-snapshot-2)
        (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-practice-codes-for-R5|0.0.1-snapshot-2)

        Additional details about where the content was created (e.g. clinical specialty).

        TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        34. Extension.extension:sourcePatientInfo
        Slice NamesourcePatientInfo
        Definition

        The Patient Information as known when the document was published. May be a reference to a version specific, or contained.

        ShortPatient demographics from sourceAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        36. Extension.extension:sourcePatientInfo.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Fixed ValuesourcePatientInfo
        38. Extension.extension:sourcePatientInfo.value[x]
        Definition

        The Patient Information as known when the document was published. May be a reference to a version specific, or contained.


        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortPatient demographics from sourceValue of extension
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..1
        This element is affected by the following invariants: ext-1
        TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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()))
        40. Extension.extension:related
        Slice Namerelated
        Definition

        Related identifiers or resources associated with the DocumentReference.

        ShortRelated identifiers or resourcesAdditional content defined by implementations
        Comments

        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        42. Extension.extension:related.extension
        Definition

        An Extension


        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 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.

        ShortExtensionAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and ClosedOpen, and can be differentiated using the following discriminators:
        • value @ url
        • 44. Extension.extension:related.extension:identifier
          Slice Nameidentifier
          Definition

          Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.

          ShortIdentifier of related objects or eventsAdditional content defined by implementations
          Comments

          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

          Control0..1*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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())
          46. Extension.extension:related.extension:identifier.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valueidentifier
          48. Extension.extension:related.extension:identifier.value[x]
          Definition

          Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.


          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          ShortIdentifier of related objects or eventsValue of extension
          Comments

          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

          Control0..1
          This element is affected by the following invariants: ext-1
          TypeIdentifier, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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()))
          50. Extension.extension:related.extension:ref
          Slice Nameref
          Definition

          Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.

          ShortRelated ResourceAdditional content defined by implementations
          Comments

          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

          Control0..1*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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())
          52. Extension.extension:related.extension:ref.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valueref
          54. Extension.extension:related.extension:ref.value[x]
          Definition

          Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.


          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          ShortRelated ResourceValue of extension
          Comments

          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

          Control0..1
          This element is affected by the following invariants: ext-1
          TypeReference, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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()))
          56. Extension.extension:related.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuerelated
          58. Extension.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentReference.context

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

          0. Extension
          Definition

          The clinical context in which the document was prepared.

          ShortClinical context of document
          Comments

          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

          Control0..1
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          2. Extension.id
          Definition

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

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typeid
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          4. Extension.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-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())
          SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • value @ url
          • 6. Extension.extension:encounter
            Slice Nameencounter
            Definition

            Describes the clinical encounter or type of care that the document content is associated with.

            ShortContext of the document content
            Comments

            DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

            Control0..1
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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())
            8. Extension.extension:encounter.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            This element is affected by the following invariants: ele-1
            Typeid
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            10. Extension.extension:encounter.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 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.

            ShortAdditional 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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 12. Extension.extension:encounter.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valueencounter
              14. Extension.extension:encounter.value[x]
              Definition

              Describes the clinical encounter or type of care that the document content is associated with.

              ShortContext of the document content
              Comments

              DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

              Control0..1
              This element is affected by the following invariants: ext-1
              TypeReference
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              16. Extension.extension:event
              Slice Nameevent
              Definition

              This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

              ShortMain clinical acts documented
              Comments

              DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-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. Extension.extension:event.id
              Definition

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

              ShortUnique id for inter-element referencing
              Control0..1
              This element is affected by the following invariants: ele-1
              Typeid
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              20. Extension.extension:event.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 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.

              ShortAdditional 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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 22. Extension.extension:event.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed Valueevent
                24. Extension.extension:event.value[x]
                Definition

                This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

                ShortMain clinical acts documented
                Comments

                DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                Control0..1
                This element is affected by the following invariants: ext-1
                BindingFor example codes, see R3_v3_ActCode_for_R5 (0.0.1-snapshot-2)
                (example to http://hl7.org/fhir/3.0/ValueSet/R3-v3-ActCode-for-R5|0.0.1-snapshot-2)

                This list of codes represents the main clinical acts being documented.

                TypeCodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. Extension.extension:period
                Slice Nameperiod
                Definition

                The time period over which the service that is described by the document was provided.

                ShortTime of service that is being documented
                Comments

                DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                Control0..1
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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. Extension.extension:period.id
                Definition

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

                ShortUnique id for inter-element referencing
                Control0..1
                This element is affected by the following invariants: ele-1
                Typeid
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                30. Extension.extension:period.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 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.

                ShortAdditional 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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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())
                SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 32. Extension.extension:period.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed Valueperiod
                  34. Extension.extension:period.value[x]
                  Definition

                  The time period over which the service that is described by the document was provided.

                  ShortTime of service that is being documented
                  Comments

                  DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                  Control0..1
                  This element is affected by the following invariants: ext-1
                  TypePeriod
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  36. Extension.extension:facilityType
                  Slice NamefacilityType
                  Definition

                  The kind of facility where the patient was seen.

                  ShortKind of facility where patient was seen
                  Comments

                  DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                  Control0..1
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-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())
                  38. Extension.extension:facilityType.id
                  Definition

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

                  ShortUnique id for inter-element referencing
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typeid
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  40. Extension.extension:facilityType.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 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.

                  ShortAdditional 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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-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())
                  SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 42. Extension.extension:facilityType.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed ValuefacilityType
                    44. Extension.extension:facilityType.value[x]
                    Definition

                    The kind of facility where the patient was seen.

                    ShortKind of facility where patient was seen
                    Comments

                    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                    Control0..1
                    This element is affected by the following invariants: ext-1
                    BindingFor example codes, see R3_c80_facilitycodes_for_R5 (0.0.1-snapshot-2)
                    (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-facilitycodes-for-R5|0.0.1-snapshot-2)

                    XDS Facility Type.

                    TypeCodeableConcept
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    46. Extension.extension:practiceSetting
                    Slice NamepracticeSetting
                    Definition

                    This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.

                    ShortAdditional details about where the content was created (e.g. clinical specialty)
                    Comments

                    DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                    Control0..1
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-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())
                    48. Extension.extension:practiceSetting.id
                    Definition

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

                    ShortUnique id for inter-element referencing
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    Typeid
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    50. Extension.extension:practiceSetting.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 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.

                    ShortAdditional 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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 52. Extension.extension:practiceSetting.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      Fixed ValuepracticeSetting
                      54. Extension.extension:practiceSetting.value[x]
                      Definition

                      This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.

                      ShortAdditional details about where the content was created (e.g. clinical specialty)
                      Comments

                      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                      Control0..1
                      This element is affected by the following invariants: ext-1
                      BindingFor example codes, see R3_c80_practice_codes_for_R5 (0.0.1-snapshot-2)
                      (example to http://hl7.org/fhir/3.0/ValueSet/R3-c80-practice-codes-for-R5|0.0.1-snapshot-2)

                      Additional details about where the content was created (e.g. clinical specialty).

                      TypeCodeableConcept
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. Extension.extension:sourcePatientInfo
                      Slice NamesourcePatientInfo
                      Definition

                      The Patient Information as known when the document was published. May be a reference to a version specific, or contained.

                      ShortPatient demographics from source
                      Comments

                      DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                      Control0..1
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-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())
                      58. Extension.extension:sourcePatientInfo.id
                      Definition

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

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typeid
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      60. Extension.extension:sourcePatientInfo.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 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.

                      ShortAdditional 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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 62. Extension.extension:sourcePatientInfo.url
                        Definition

                        Source of the definition for the extension code - a logical name or a URL.

                        Shortidentifies the meaning of the extension
                        Comments

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Fixed ValuesourcePatientInfo
                        64. Extension.extension:sourcePatientInfo.value[x]
                        Definition

                        The Patient Information as known when the document was published. May be a reference to a version specific, or contained.

                        ShortPatient demographics from source
                        Comments

                        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                        Control0..1
                        This element is affected by the following invariants: ext-1
                        TypeReference
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        66. Extension.extension:related
                        Slice Namerelated
                        Definition

                        Related identifiers or resources associated with the DocumentReference.

                        ShortRelated identifiers or resources
                        Comments

                        DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-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())
                        68. Extension.extension:related.id
                        Definition

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

                        ShortUnique id for inter-element referencing
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        Typeid
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        70. Extension.extension:related.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-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())
                        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                        • value @ url
                        • 72. Extension.extension:related.extension:identifier
                          Slice Nameidentifier
                          Definition

                          Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.

                          ShortIdentifier of related objects or events
                          Comments

                          DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                          Control0..1
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-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())
                          74. Extension.extension:related.extension:identifier.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          Typeid
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          76. Extension.extension:related.extension:identifier.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 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.

                          ShortAdditional 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.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-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())
                          SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 78. Extension.extension:related.extension:identifier.url
                            Definition

                            Source of the definition for the extension code - a logical name or a URL.

                            Shortidentifies the meaning of the extension
                            Comments

                            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                            Control1..1
                            Typeuri
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            Fixed Valueidentifier
                            80. Extension.extension:related.extension:identifier.value[x]
                            Definition

                            Related identifier to this DocumentReference. If both id and ref are present they shall refer to the same thing.

                            ShortIdentifier of related objects or events
                            Comments

                            DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                            Control0..1
                            This element is affected by the following invariants: ext-1
                            TypeIdentifier
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            82. Extension.extension:related.extension:ref
                            Slice Nameref
                            Definition

                            Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.

                            ShortRelated Resource
                            Comments

                            DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                            Control0..1
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-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())
                            84. Extension.extension:related.extension:ref.id
                            Definition

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

                            ShortUnique id for inter-element referencing
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            Typeid
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            86. Extension.extension:related.extension:ref.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 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.

                            ShortAdditional 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.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-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())
                            SlicingThis element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 88. Extension.extension:related.extension:ref.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valueref
                              90. Extension.extension:related.extension:ref.value[x]
                              Definition

                              Related Resource to this DocumentReference. If both id and ref are present they shall refer to the same thing.

                              ShortRelated Resource
                              Comments

                              DocumentReference.context maps to R5 DocumentReference.context. Has no type mapping Changed from a single value to an array (max cardinality from 1 to *). So is mapped as RelatedTo.

                              Control0..1
                              This element is affected by the following invariants: ext-1
                              TypeReference
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              92. Extension.extension:related.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valuerelated
                              94. Extension.extension:related.value[x]
                              Definition

                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                              ShortValue of extension
                              Control0..1
                              This element is affected by the following invariants: ext-1
                              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              96. Extension.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              Fixed Valuehttp://hl7.org/fhir/3.0/StructureDefinition/extension-DocumentReference.context
                              98. Extension.value[x]
                              Definition

                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                              ShortValue of extension
                              Control0..1
                              This element is affected by the following invariants: ext-1
                              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))