Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Extension: ExtensionDocumentReference_Attester - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the ext-R5-DocumentReference.attester extension.

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

0. Extension
Definition

R5: DocumentReference.attester (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortR5: Attests to accuracy of the document (new)Optional Extensions Element
Comments

Element DocumentReference.attester has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Only list each attester once.

Control0..*
This element is affected by the following invariants: ele-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 manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

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.

Control10..*
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 Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:mode
    Slice Namemode
    Definition

    R5: DocumentReference.attester.mode (new:CodeableConcept)

    ShortR5: personal | professional | legal | official (new)Additional content defined by implementations
    Comments

    Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control10..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Indicates the level of authority of the attestation. Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    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:mode.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 Valuemode
    8. Extension.extension:mode.value[x]
    Definition

    The type of attestation the authenticator offers.


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

    Shortpersonal | professional | legal | officialValue of extension
    Control10..1
    BindingThe codes SHOULD be taken from For codes, see CompositionAttestationMode
    (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

    The way in which a person authenticated a document.

    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, 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:time
    Slice Nametime
    Definition

    R5: DocumentReference.attester.time (new:dateTime)

    ShortR5: When the document was attested (new)Additional content defined by implementations
    Comments

    Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Identifies when the information in the document was deemed accurate. (Things may have changed since then.). Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    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:time.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 Valuetime
    14. Extension.extension:time.value[x]
    Definition

    When the document was attested by the party.


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

    ShortWhen the document was attestedValue of extension
    Control0..1
    TypedateTime, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [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()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Extension.extension:party
    Slice Nameparty
    Definition

    R5: DocumentReference.attester.party (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))

    ShortR5: Who attested the document (new)Additional content defined by implementations
    Comments

    Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Identifies who has taken on the responsibility for accuracy of the document content. Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    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:party.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 Valueparty
    20. Extension.extension:party.value[x]
    Definition

    Who attested the document in the specified way.


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

    ShortWho attested the documentValue of extension
    Control0..1
    TypeReference(Cross-version Profile for R5.Patient for use in FHIR R4, Patient, Cross-version Profile for R5.RelatedPerson for use in FHIR R4, RelatedPerson, Cross-version Profile for R5.Practitioner for use in FHIR R4, Practitioner, Cross-version Profile for R5.PractitionerRole for use in FHIR R4, PractitionerRole, Cross-version Profile for R5.Organization for use in FHIR R4, Organization), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, 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.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/5.0/StructureDefinition/extension-DocumentReference.attester
    24. 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..01
    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
    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()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

    0. Extension
    Definition

    R5: DocumentReference.attester (new:BackboneElement)

    ShortR5: Attests to accuracy of the document (new)
    Comments

    Element DocumentReference.attester has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Only list each attester once.

    Control0..*
    Is Modifierfalse
    2. Extension.extension
    Control1..*
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Extension.extension:mode
      Slice Namemode
      Definition

      R5: DocumentReference.attester.mode (new:CodeableConcept)

      ShortR5: personal | professional | legal | official (new)
      Comments

      Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control1..1
      Requirements

      Indicates the level of authority of the attestation. Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      6. Extension.extension:mode.url
      Control1..1
      Fixed Valuemode
      8. Extension.extension:mode.value[x]
      Definition

      The type of attestation the authenticator offers.

      Shortpersonal | professional | legal | official
      Control1..1
      BindingThe codes SHOULD be taken from CompositionAttestationMode
      (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

      The way in which a person authenticated a document.

      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      10. Extension.extension:time
      Slice Nametime
      Definition

      R5: DocumentReference.attester.time (new:dateTime)

      ShortR5: When the document was attested (new)
      Comments

      Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Identifies when the information in the document was deemed accurate. (Things may have changed since then.). Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      12. Extension.extension:time.url
      Control1..1
      Fixed Valuetime
      14. Extension.extension:time.value[x]
      Definition

      When the document was attested by the party.

      ShortWhen the document was attested
      Control0..1
      TypedateTime
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. Extension.extension:party
      Slice Nameparty
      Definition

      R5: DocumentReference.attester.party (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))

      ShortR5: Who attested the document (new)
      Comments

      Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Identifies who has taken on the responsibility for accuracy of the document content. Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      18. Extension.extension:party.url
      Control1..1
      Fixed Valueparty
      20. Extension.extension:party.value[x]
      Definition

      Who attested the document in the specified way.

      ShortWho attested the document
      Control0..1
      TypeReference(Cross-version Profile for R5.Patient for use in FHIR R4, Patient, Cross-version Profile for R5.RelatedPerson for use in FHIR R4, RelatedPerson, Cross-version Profile for R5.Practitioner for use in FHIR R4, Practitioner, Cross-version Profile for R5.PractitionerRole for use in FHIR R4, PractitionerRole, Cross-version Profile for R5.Organization for use in FHIR R4, Organization)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      22. Extension.url
      Control1..1
      Fixed Valuehttp://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
      24. Extension.value[x]
      Control0..0

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

      0. Extension
      Definition

      R5: DocumentReference.attester (new:BackboneElement)

      ShortR5: Attests to accuracy of the document (new)
      Comments

      Element DocumentReference.attester has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Only list each attester once.

      Control0..*
      This element is affected by the following invariants: ele-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
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control1..*
      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 Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Extension.extension:mode
        Slice Namemode
        Definition

        R5: DocumentReference.attester.mode (new:CodeableConcept)

        ShortR5: personal | professional | legal | official (new)
        Comments

        Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        Control1..1
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Indicates the level of authority of the attestation. Element DocumentReference.attester.mode is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.mode has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.mode has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

        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:mode.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
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        10. Extension.extension:mode.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        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:mode.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 Valuemode
          14. Extension.extension:mode.value[x]
          Definition

          The type of attestation the authenticator offers.

          Shortpersonal | professional | legal | official
          Control1..1
          BindingThe codes SHOULD be taken from CompositionAttestationMode
          (preferred to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

          The way in which a person authenticated a document.

          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()))
          16. Extension.extension:time
          Slice Nametime
          Definition

          R5: DocumentReference.attester.time (new:dateTime)

          ShortR5: When the document was attested (new)
          Comments

          Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..1
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Requirements

          Identifies when the information in the document was deemed accurate. (Things may have changed since then.). Element DocumentReference.attester.time is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.time has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.time has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.time has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          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:time.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
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          20. Extension.extension:time.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          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:time.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 Valuetime
            24. Extension.extension:time.value[x]
            Definition

            When the document was attested by the party.

            ShortWhen the document was attested
            Control0..1
            TypedateTime
            [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()))
            26. Extension.extension:party
            Slice Nameparty
            Definition

            R5: DocumentReference.attester.party (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))

            ShortR5: Who attested the document (new)
            Comments

            Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            Control0..1
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Requirements

            Identifies who has taken on the responsibility for accuracy of the document content. Element DocumentReference.attester.party is part of an existing definition because parent element DocumentReference.attester requires a cross-version extension. Element DocumentReference.attester.party has a context of DocumentReference based on following the parent source element upwards and mapping to DocumentReference. Element DocumentReference.attester.party has a context of Media based on following the parent source element upwards and mapping to Media. Element DocumentReference.attester.party has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

            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:party.id
            Definition

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

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            30. Extension.extension:party.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            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:party.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 Valueparty
              34. Extension.extension:party.value[x]
              Definition

              Who attested the document in the specified way.

              ShortWho attested the document
              Control0..1
              TypeReference(Cross-version Profile for R5.Patient for use in FHIR R4, Patient, Cross-version Profile for R5.RelatedPerson for use in FHIR R4, RelatedPerson, Cross-version Profile for R5.Practitioner for use in FHIR R4, Practitioner, Cross-version Profile for R5.PractitionerRole for use in FHIR R4, PractitionerRole, Cross-version Profile for R5.Organization for use in FHIR R4, Organization)
              [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.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/5.0/StructureDefinition/extension-DocumentReference.attester
              38. 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..0
              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
              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()))