Profile_R5_NutritionIntake_R4 - Definitions - Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1.0

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

Resource Profile: Profile_R5_NutritionIntake_R4 - Detailed Descriptions

Page standards status: Trial-use

Maturity Level: 0

Definitions for the profile-NutritionIntake resource profile.

Key Elements Table
Differential Elements Table
Snapshot Elements Table

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

0. Basic
Definition	Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.
Short	Resource for non-supported content
Control	0..*
Is Modifier	false
Summary	false
Alternate Names	Z-resource, Extension-resource, Custom-resource
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (text.`div`.exists()) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Basic.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short	A set of rules under which this content was created
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control	0..1
Type	uri
Is Modifier	true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Basic.extension
Definition	An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and 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.
Short	ExtensionAdditional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	10..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Basic.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. Basic.extension:instantiatesCanonical
Slice Name	instantiatesCanonical
Definition	R5: `NutritionIntake.instantiatesCanonical` (new:canonical(ActivityDefinition,ChargeItemDefinition,ClinicalUseDefinition,EventDefinition,Measure,MessageDefinition,ObservationDefinition,OperationDefinition,PlanDefinition,Questionnaire,Requirements,SubscriptionTopic,TestPlan,TestScript))
Short	R5: Instantiates FHIR protocol or definition (new)
Comments	Element `NutritionIntake.instantiatesCanonical` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.instantiatesCanonical` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Instantiates FHIR protocol or definition (new)) (Extension Type: canonical(Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.ChargeItemDefinition for use in FHIR R4, ChargeItemDefinition, Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic, Cross-version Profile for R5.EventDefinition for use in FHIR R4, EventDefinition, Cross-version Profile for R5.Measure for use in FHIR R4, Measure, Cross-version Profile for R5.MessageDefinition for use in FHIR R4, MessageDefinition, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition, Cross-version Profile for R5.OperationDefinition for use in FHIR R4, OperationDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition, Cross-version Profile for R5.Questionnaire for use in FHIR R4, Questionnaire, Cross-version Profile for R5.Requirements for use in FHIR R4, Basic, Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic, Cross-version Profile for R5.TestPlan for use in FHIR R4, Basic, Cross-version Profile for R5.TestScript for use in FHIR R4, TestScript))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Basic.extension:instantiatesUri
Slice Name	instantiatesUri
Definition	R5: `NutritionIntake.instantiatesUri` (new:uri)
Short	R5: Instantiates external protocol or definition (new)
Comments	Element `NutritionIntake.instantiatesUri` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.instantiatesUri` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Instantiates external protocol or definition (new)) (Extension Type: uri)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Basic.extension:basedOn
Slice Name	basedOn
Definition	R5: `NutritionIntake.basedOn` (new:Reference(NutritionOrder,CarePlan,ServiceRequest))
Short	R5: Fulfils plan, proposal or order (new)
Comments	Element `NutritionIntake.basedOn` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.basedOn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Fulfils plan, proposal or order (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionOrder for use in FHIR R4, NutritionOrder, Cross-version Profile for R5.CarePlan for use in FHIR R4, CarePlan, Cross-version Profile for R5.ServiceRequest for use in FHIR R4, ServiceRequest))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Basic.extension:partOf
Slice Name	partOf
Definition	R5: `NutritionIntake.partOf` (new:Reference(NutritionIntake,Procedure,Observation))
Short	R5: Part of referenced event (new)
Comments	Element `NutritionIntake.partOf` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.partOf` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Part of referenced event (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionIntake for use in FHIR R4, Basic, Cross-version Profile for R5.Procedure for use in FHIR R4, Procedure, Cross-version Profile for R5.Observation for use in FHIR R4, Observation))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Basic.extension:statusReason
Slice Name	statusReason
Definition	R5: `NutritionIntake.statusReason` (new:CodeableConcept)
Short	R5: Reason for current status (new)
Comments	Element `NutritionIntake.statusReason` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.statusReason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Reason for current status (new)) (Extension Type: CodeableConcept)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Basic.extension:code
Slice Name	code
Definition	R5: `NutritionIntake.code` (new:CodeableConcept)
Short	R5: Code representing an overall type of nutrition intake (new)
Comments	Element `NutritionIntake.code` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: Code representing an overall type of nutrition intake (new)) (Extension Type: CodeableConcept)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Basic.extension:encounter
Slice Name	encounter
Definition	R5: `NutritionIntake.encounter` (new:Reference(Encounter))
Short	R5: Encounter associated with NutritionIntake (new)
Comments	Element `NutritionIntake.encounter` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: Encounter associated with NutritionIntake (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4, Encounter))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. Basic.extension:occurrence
Slice Name	occurrence
Definition	R5: `NutritionIntake.occurrence[x]` (new:dateTime, Period)
Short	R5: The date/time or interval when the food or fluid is/was consumed (new)
Comments	Element `NutritionIntake.occurrence[x]` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.occurrence[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This attribute reflects the period over which the patient consumed the food fluid and is expected to be populated on the majority of NutritionIntake. If the food or fluid is still being taken and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: The date/time or interval when the food or fluid is/was consumed (new)) (Extension Type: Choice of: dateTime, Period)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Basic.extension:recorded
Slice Name	recorded
Definition	R5: `NutritionIntake.recorded` (new:dateTime)
Short	R5: When the intake was recorded (new)
Comments	Element `NutritionIntake.recorded` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.recorded` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: When the intake was recorded (new)) (Extension Type: dateTime)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. Basic.extension:reported
Slice Name	reported
Definition	R5: `NutritionIntake.reported[x]` (new:boolean, Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))
Short	R5: Person or organization that provided the information about the consumption of this food or fluid (new)
Comments	Element `NutritionIntake.reported[x]` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.reported[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: Person or organization that provided the information about the consumption of this food or fluid (new)) (Extension Type: Choice of: boolean, Reference(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))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Basic.extension:consumedItem
Slice Name	consumedItem
Definition	R5: `NutritionIntake.consumedItem` (new:BackboneElement)
Short	R5: What food or fluid product or item was consumed (new)
Comments	Element `NutritionIntake.consumedItem` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.consumedItem` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..* This element is affected by the following invariants: ele-1
Type	Extension(R5: What food or fluid product or item was consumed (new)) (Complex Extension)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
28. Basic.extension:ingredientLabel
Slice Name	ingredientLabel
Definition	R5: `NutritionIntake.ingredientLabel` (new:BackboneElement)
Short	R5: Total nutrient for the whole meal, product, serving (new)
Comments	Element `NutritionIntake.ingredientLabel` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.ingredientLabel` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Individual item nutrients are not currently included in the resource and will likely end up as a reference in nutritionProduct to represent the individual items.
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Total nutrient for the whole meal, product, serving (new)) (Complex Extension)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
30. Basic.extension:performer
Slice Name	performer
Definition	R5: `NutritionIntake.performer` (new:BackboneElement)
Short	R5: Who was performed in the intake (new)
Comments	Element `NutritionIntake.performer` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.performer` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Who was performed in the intake (new)) (Complex Extension)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. Basic.extension:location
Slice Name	location
Definition	R5: `NutritionIntake.location` (new:Reference(Location))
Short	R5: Where the intake occurred (new)
Comments	Element `NutritionIntake.location` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.location` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: Where the intake occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Basic.extension:derivedFrom
Slice Name	derivedFrom
Definition	R5: `NutritionIntake.derivedFrom` (new:Reference(Resource))
Short	R5: Additional supporting information (new)
Comments	Element `NutritionIntake.derivedFrom` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.derivedFrom` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers.
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Additional supporting information (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. Basic.extension:reason
Slice Name	reason
Definition	R5: `NutritionIntake.reason` (new:CodeableReference(Condition,Observation,DiagnosticReport,DocumentReference))
Short	R5: Reason for why the food or fluid is /was consumed (new)
Comments	Element `NutritionIntake.reason` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Reason for why the food or fluid is /was consumed (new)) (Complex Extension)
Is Modifier	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. Basic.extension:note
Slice Name	note
Definition	R5: `NutritionIntake.note` (new:Annotation)
Short	R5: Further information about the consumption (new)
Comments	Element `NutritionIntake.note` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(R5: Further information about the consumption (new)) (Extension Type: Annotation)
Is Modifier	false
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Basic.modifierExtension
Definition	An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	ExtensionExtensions that cannot be ignored
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary	false
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Basic.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
42. Basic.modifierExtension:status
Slice Name	status
Definition	R5: `NutritionIntake.status` (new:code)
Short	R5: preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown (new)
Comments	Element `NutritionIntake.status` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). NutritionIntake is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for NutritionIntake.status contains codes that assert the status of the consumption of the food or fluid by the patient (for example, stopped or on hold) as well as codes that assert the status of the Nutrition Intake itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control	1..1 This element is affected by the following invariants: ele-1
Type	Extension(R5: preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown (new)) (Extension Type: code)
Is Modifier	true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
44. Basic.code
Definition	Identifies the 'type' of resource - equivalent to the resource name for other resources.
Short	Kind of Resource
Comments	Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code. This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.
Control	1..1
Binding	For example codes, see BasicResourceTypeshttp://hl7.org/fhir/ValueSet/basic-resource-type\|4.0.1 (example to `http://hl7.org/fhir/ValueSet/basic-resource-type\|4.0.1`) Codes for identifying types of resources not yet defined by FHIR.
Type	CodeableConcept
Is Modifier	true because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
Summary	true
Requirements	Must be able to distinguish different types of Basic resources.
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. Basic
2. Basic.extension
Control	1..*
Slicing	This element introduces a set of slices on `Basic.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Basic.extension:instantiatesCanonical
Slice Name	instantiatesCanonical
Definition	R5: `NutritionIntake.instantiatesCanonical` (new:canonical(ActivityDefinition,ChargeItemDefinition,ClinicalUseDefinition,EventDefinition,Measure,MessageDefinition,ObservationDefinition,OperationDefinition,PlanDefinition,Questionnaire,Requirements,SubscriptionTopic,TestPlan,TestScript))
Short	R5: Instantiates FHIR protocol or definition (new)
Comments	Element `NutritionIntake.instantiatesCanonical` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.instantiatesCanonical` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Instantiates FHIR protocol or definition (new)) (Extension Type: canonical(Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.ChargeItemDefinition for use in FHIR R4, ChargeItemDefinition, Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic, Cross-version Profile for R5.EventDefinition for use in FHIR R4, EventDefinition, Cross-version Profile for R5.Measure for use in FHIR R4, Measure, Cross-version Profile for R5.MessageDefinition for use in FHIR R4, MessageDefinition, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition, Cross-version Profile for R5.OperationDefinition for use in FHIR R4, OperationDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition, Cross-version Profile for R5.Questionnaire for use in FHIR R4, Questionnaire, Cross-version Profile for R5.Requirements for use in FHIR R4, Basic, Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic, Cross-version Profile for R5.TestPlan for use in FHIR R4, Basic, Cross-version Profile for R5.TestScript for use in FHIR R4, TestScript))
6. Basic.extension:instantiatesUri
Slice Name	instantiatesUri
Definition	R5: `NutritionIntake.instantiatesUri` (new:uri)
Short	R5: Instantiates external protocol or definition (new)
Comments	Element `NutritionIntake.instantiatesUri` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.instantiatesUri` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Instantiates external protocol or definition (new)) (Extension Type: uri)
8. Basic.extension:basedOn
Slice Name	basedOn
Definition	R5: `NutritionIntake.basedOn` (new:Reference(NutritionOrder,CarePlan,ServiceRequest))
Short	R5: Fulfils plan, proposal or order (new)
Comments	Element `NutritionIntake.basedOn` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.basedOn` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Fulfils plan, proposal or order (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionOrder for use in FHIR R4, NutritionOrder, Cross-version Profile for R5.CarePlan for use in FHIR R4, CarePlan, Cross-version Profile for R5.ServiceRequest for use in FHIR R4, ServiceRequest))
10. Basic.extension:partOf
Slice Name	partOf
Definition	R5: `NutritionIntake.partOf` (new:Reference(NutritionIntake,Procedure,Observation))
Short	R5: Part of referenced event (new)
Comments	Element `NutritionIntake.partOf` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.partOf` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Part of referenced event (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionIntake for use in FHIR R4, Basic, Cross-version Profile for R5.Procedure for use in FHIR R4, Procedure, Cross-version Profile for R5.Observation for use in FHIR R4, Observation))
12. Basic.extension:statusReason
Slice Name	statusReason
Definition	R5: `NutritionIntake.statusReason` (new:CodeableConcept)
Short	R5: Reason for current status (new)
Comments	Element `NutritionIntake.statusReason` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.statusReason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
Control	0..*
Type	Extension(R5: Reason for current status (new)) (Extension Type: CodeableConcept)
14. Basic.extension:code
Slice Name	code
Definition	R5: `NutritionIntake.code` (new:CodeableConcept)
Short	R5: Code representing an overall type of nutrition intake (new)
Comments	Element `NutritionIntake.code` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(R5: Code representing an overall type of nutrition intake (new)) (Extension Type: CodeableConcept)
16. Basic.extension:encounter
Slice Name	encounter
Definition	R5: `NutritionIntake.encounter` (new:Reference(Encounter))
Short	R5: Encounter associated with NutritionIntake (new)
Comments	Element `NutritionIntake.encounter` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.encounter` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(R5: Encounter associated with NutritionIntake (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4, Encounter))
18. Basic.extension:occurrence
Slice Name	occurrence
Definition	R5: `NutritionIntake.occurrence[x]` (new:dateTime, Period)
Short	R5: The date/time or interval when the food or fluid is/was consumed (new)
Comments	Element `NutritionIntake.occurrence[x]` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.occurrence[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This attribute reflects the period over which the patient consumed the food fluid and is expected to be populated on the majority of NutritionIntake. If the food or fluid is still being taken and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
Control	0..1
Type	Extension(R5: The date/time or interval when the food or fluid is/was consumed (new)) (Extension Type: Choice of: dateTime, Period)
20. Basic.extension:recorded
Slice Name	recorded
Definition	R5: `NutritionIntake.recorded` (new:dateTime)
Short	R5: When the intake was recorded (new)
Comments	Element `NutritionIntake.recorded` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.recorded` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(R5: When the intake was recorded (new)) (Extension Type: dateTime)
22. Basic.extension:reported
Slice Name	reported
Definition	R5: `NutritionIntake.reported[x]` (new:boolean, Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))
Short	R5: Person or organization that provided the information about the consumption of this food or fluid (new)
Comments	Element `NutritionIntake.reported[x]` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.reported[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(R5: Person or organization that provided the information about the consumption of this food or fluid (new)) (Extension Type: Choice of: boolean, Reference(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))
24. Basic.extension:consumedItem
Slice Name	consumedItem
Definition	R5: `NutritionIntake.consumedItem` (new:BackboneElement)
Short	R5: What food or fluid product or item was consumed (new)
Comments	Element `NutritionIntake.consumedItem` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.consumedItem` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	1..*
Type	Extension(R5: What food or fluid product or item was consumed (new)) (Complex Extension)
26. Basic.extension:ingredientLabel
Slice Name	ingredientLabel
Definition	R5: `NutritionIntake.ingredientLabel` (new:BackboneElement)
Short	R5: Total nutrient for the whole meal, product, serving (new)
Comments	Element `NutritionIntake.ingredientLabel` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.ingredientLabel` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Individual item nutrients are not currently included in the resource and will likely end up as a reference in nutritionProduct to represent the individual items.
Control	0..*
Type	Extension(R5: Total nutrient for the whole meal, product, serving (new)) (Complex Extension)
28. Basic.extension:performer
Slice Name	performer
Definition	R5: `NutritionIntake.performer` (new:BackboneElement)
Short	R5: Who was performed in the intake (new)
Comments	Element `NutritionIntake.performer` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.performer` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Who was performed in the intake (new)) (Complex Extension)
30. Basic.extension:location
Slice Name	location
Definition	R5: `NutritionIntake.location` (new:Reference(Location))
Short	R5: Where the intake occurred (new)
Comments	Element `NutritionIntake.location` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.location` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..1
Type	Extension(R5: Where the intake occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location))
32. Basic.extension:derivedFrom
Slice Name	derivedFrom
Definition	R5: `NutritionIntake.derivedFrom` (new:Reference(Resource))
Short	R5: Additional supporting information (new)
Comments	Element `NutritionIntake.derivedFrom` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.derivedFrom` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers.
Control	0..*
Type	Extension(R5: Additional supporting information (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))
34. Basic.extension:reason
Slice Name	reason
Definition	R5: `NutritionIntake.reason` (new:CodeableReference(Condition,Observation,DiagnosticReport,DocumentReference))
Short	R5: Reason for why the food or fluid is /was consumed (new)
Comments	Element `NutritionIntake.reason` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.reason` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Reason for why the food or fluid is /was consumed (new)) (Complex Extension)
36. Basic.extension:note
Slice Name	note
Definition	R5: `NutritionIntake.note` (new:Annotation)
Short	R5: Further information about the consumption (new)
Comments	Element `NutritionIntake.note` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Control	0..*
Type	Extension(R5: Further information about the consumption (new)) (Extension Type: Annotation)
38. Basic.modifierExtension
Control	0..*
Slicing	This element introduces a set of slices on `Basic.modifierExtension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. Basic.modifierExtension:status
Slice Name	status
Definition	R5: `NutritionIntake.status` (new:code)
Short	R5: preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown (new)
Comments	Element `NutritionIntake.status` is not mapped to FHIR R4, since FHIR R5 `NutritionIntake` is not mapped. Element `NutritionIntake.status` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). NutritionIntake is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for NutritionIntake.status contains codes that assert the status of the consumption of the food or fluid by the patient (for example, stopped or on hold) as well as codes that assert the status of the Nutrition Intake itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control	1..1
Type	Extension(R5: preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown (new)) (Extension Type: code)

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

0. Basic

Definition

Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.

Short Resource for non-supported content

Control 0..*

Is Modifier false

Summary false

Alternate Names Z-resource, Extension-resource, Custom-resource

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

2. Basic.id

Definition

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

Short Logical id of this artifact

Comments

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

Control 0..1

Type

Is Modifier false

Summary true

4. Basic.meta

Definition

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

Short Metadata about the resource

Control 0..1

Type

Meta

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

6. Basic.implicitRules

Definition

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

Short A set of rules under which this content was created

Comments

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

Control 0..1

Type

uri

Is Modifier true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

8. Basic.language

Definition

The base language in which the resource is written.

Short Language of the resource content

Comments

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

Control 0..1

Binding

The codes SHOULD be taken from CommonLanguages

(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional Bindings

Purpose

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

10. Basic.text

Definition

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

Short Text summary of the resource, for human interpretation

Comments

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

Control 0..1

Type

Narrative

Is Modifier false

Summary false

Alternate Names narrative, html, xhtml, display

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

12. Basic.contained

Definition

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

Short Contained, inline Resources

Comments

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

Control 0..*

Type

Resource

Is Modifier false

Summary false

Alternate Names inline resources, anonymous resources, contained resources

14. Basic.extension

Definition

An Extension

Short Extension

Control 1..*

Type

Extension

Is Modifier false

Summary false

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())

Slicing

This element introduces a set of slices on Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

16. Basic.extension:instantiatesCanonical

Slice Name instantiatesCanonical

Definition

R5: NutritionIntake.instantiatesCanonical (new:canonical(ActivityDefinition,ChargeItemDefinition,ClinicalUseDefinition,EventDefinition,Measure,MessageDefinition,ObservationDefinition,OperationDefinition,PlanDefinition,Questionnaire,Requirements,SubscriptionTopic,TestPlan,TestScript))

Short R5: Instantiates FHIR protocol or definition (new)

Comments

Element NutritionIntake.instantiatesCanonical is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.instantiatesCanonical has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Instantiates FHIR protocol or definition (new)) (Extension Type: canonical(Cross-version Profile for R5.ActivityDefinition for use in FHIR R4, ActivityDefinition, Cross-version Profile for R5.ChargeItemDefinition for use in FHIR R4, ChargeItemDefinition, Cross-version Profile for R5.ClinicalUseDefinition for use in FHIR R4, Basic, Cross-version Profile for R5.EventDefinition for use in FHIR R4, EventDefinition, Cross-version Profile for R5.Measure for use in FHIR R4, Measure, Cross-version Profile for R5.MessageDefinition for use in FHIR R4, MessageDefinition, Cross-version Profile for R5.ObservationDefinition for use in FHIR R4, ObservationDefinition, Cross-version Profile for R5.OperationDefinition for use in FHIR R4, OperationDefinition, Cross-version Profile for R5.PlanDefinition for use in FHIR R4, PlanDefinition, Cross-version Profile for R5.Questionnaire for use in FHIR R4, Questionnaire, Cross-version Profile for R5.Requirements for use in FHIR R4, Basic, Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic, Cross-version Profile for R5.TestPlan for use in FHIR R4, Basic, Cross-version Profile for R5.TestScript for use in FHIR R4, TestScript))

Is Modifier false

Summary false

18. Basic.extension:instantiatesUri

Slice Name instantiatesUri

Definition

R5: NutritionIntake.instantiatesUri (new:uri)

Short R5: Instantiates external protocol or definition (new)

Comments

Element NutritionIntake.instantiatesUri is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.instantiatesUri has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Instantiates external protocol or definition (new)) (Extension Type: uri)

Is Modifier false

Summary false

20. Basic.extension:basedOn

Slice Name basedOn

Definition

R5: NutritionIntake.basedOn (new:Reference(NutritionOrder,CarePlan,ServiceRequest))

Short R5: Fulfils plan, proposal or order (new)

Comments

Element NutritionIntake.basedOn is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.basedOn has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Fulfils plan, proposal or order (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionOrder for use in FHIR R4, NutritionOrder, Cross-version Profile for R5.CarePlan for use in FHIR R4, CarePlan, Cross-version Profile for R5.ServiceRequest for use in FHIR R4, ServiceRequest))

Is Modifier false

Summary false

22. Basic.extension:partOf

Slice Name partOf

Definition

R5: NutritionIntake.partOf (new:Reference(NutritionIntake,Procedure,Observation))

Short R5: Part of referenced event (new)

Comments

Element NutritionIntake.partOf is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.partOf has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Part of referenced event (new)) (Extension Type: Reference(Cross-version Profile for R5.NutritionIntake for use in FHIR R4, Basic, Cross-version Profile for R5.Procedure for use in FHIR R4, Procedure, Cross-version Profile for R5.Observation for use in FHIR R4, Observation))

Is Modifier false

Summary false

24. Basic.extension:statusReason

Slice Name statusReason

Definition

R5: NutritionIntake.statusReason (new:CodeableConcept)

Short R5: Reason for current status (new)

Comments

Element NutritionIntake.statusReason is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.statusReason has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Reason for current status (new)) (Extension Type: CodeableConcept)

Is Modifier false

Summary false

26. Basic.extension:code

Slice Name code

Definition

R5: NutritionIntake.code (new:CodeableConcept)

Short R5: Code representing an overall type of nutrition intake (new)

Comments

Element NutritionIntake.code is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.code has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Code representing an overall type of nutrition intake (new)) (Extension Type: CodeableConcept)

Is Modifier false

Summary false

28. Basic.extension:encounter

Slice Name encounter

Definition

R5: NutritionIntake.encounter (new:Reference(Encounter))

Short R5: Encounter associated with NutritionIntake (new)

Comments

Element NutritionIntake.encounter is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.encounter has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Encounter associated with NutritionIntake (new)) (Extension Type: Reference(Cross-version Profile for R5.Encounter for use in FHIR R4, Encounter))

Is Modifier false

Summary false

30. Basic.extension:occurrence

Slice Name occurrence

Definition

R5: NutritionIntake.occurrence[x] (new:dateTime, Period)

Short R5: The date/time or interval when the food or fluid is/was consumed (new)

Comments

Element NutritionIntake.occurrence[x] is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.occurrence[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This attribute reflects the period over which the patient consumed the food fluid and is expected to be populated on the majority of NutritionIntake. If the food or fluid is still being taken and is expected to continue indefinitely at the time the usage is recorded, the "end" date will be omitted. If the end date is known, then it is included as the "end date". The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: The date/time or interval when the food or fluid is/was consumed (new)) (Extension Type: Choice of: dateTime, Period)

Is Modifier false

Summary false

32. Basic.extension:recorded

Slice Name recorded

Definition

R5: NutritionIntake.recorded (new:dateTime)

Short R5: When the intake was recorded (new)

Comments

Element NutritionIntake.recorded is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.recorded has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: When the intake was recorded (new)) (Extension Type: dateTime)

Is Modifier false

Summary false

34. Basic.extension:reported

Slice Name reported

Definition

R5: NutritionIntake.reported[x] (new:boolean, Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))

Short R5: Person or organization that provided the information about the consumption of this food or fluid (new)

Comments

Element NutritionIntake.reported[x] is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.reported[x] has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Person or organization that provided the information about the consumption of this food or fluid (new)) (Extension Type: Choice of: boolean, Reference(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))

Is Modifier false

Summary false

36. Basic.extension:consumedItem

Slice Name consumedItem

Definition

R5: NutritionIntake.consumedItem (new:BackboneElement)

Short R5: What food or fluid product or item was consumed (new)

Comments

Element NutritionIntake.consumedItem is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.consumedItem has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 1..*
This element is affected by the following invariants: ele-1

Type Extension(R5: What food or fluid product or item was consumed (new)) (Complex Extension)

Is Modifier false

38. Basic.extension:ingredientLabel

Slice Name ingredientLabel

Definition

R5: NutritionIntake.ingredientLabel (new:BackboneElement)

Short R5: Total nutrient for the whole meal, product, serving (new)

Comments

Element NutritionIntake.ingredientLabel is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.ingredientLabel has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Individual item nutrients are not currently included in the resource and will likely end up as a reference in nutritionProduct to represent the individual items.

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Total nutrient for the whole meal, product, serving (new)) (Complex Extension)

Is Modifier false

40. Basic.extension:performer

Slice Name performer

Definition

R5: NutritionIntake.performer (new:BackboneElement)

Short R5: Who was performed in the intake (new)

Comments

Element NutritionIntake.performer is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.performer has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Who was performed in the intake (new)) (Complex Extension)

Is Modifier false

42. Basic.extension:location

Slice Name location

Definition

R5: NutritionIntake.location (new:Reference(Location))

Short R5: Where the intake occurred (new)

Comments

Element NutritionIntake.location is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.location has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..1
This element is affected by the following invariants: ele-1

Type Extension(R5: Where the intake occurred (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location))

Is Modifier false

Summary false

44. Basic.extension:derivedFrom

Slice Name derivedFrom

Definition

R5: NutritionIntake.derivedFrom (new:Reference(Resource))

Short R5: Additional supporting information (new)

Comments

Element NutritionIntake.derivedFrom is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.derivedFrom has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Likely references would be to AllergyIntolerance, Observation or QuestionnaireAnswers.

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Additional supporting information (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))

Is Modifier false

Summary false

46. Basic.extension:reason

Slice Name reason

Definition

R5: NutritionIntake.reason (new:CodeableReference(Condition,Observation,DiagnosticReport,DocumentReference))

Short R5: Reason for why the food or fluid is /was consumed (new)

Comments

Element NutritionIntake.reason is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.reason has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Reason for why the food or fluid is /was consumed (new)) (Complex Extension)

Is Modifier false

48. Basic.extension:note

Slice Name note

Definition

R5: NutritionIntake.note (new:Annotation)

Short R5: Further information about the consumption (new)

Comments

Element NutritionIntake.note is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.note has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Control 0..*
This element is affected by the following invariants: ele-1

Type Extension(R5: Further information about the consumption (new)) (Extension Type: Annotation)

Is Modifier false

Summary false

50. Basic.modifierExtension

Definition

An Extension

Short Extension

Control 0..*

Type

Extension

Is Modifier true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them

Summary false

Slicing

This element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:

value @ url

52. Basic.modifierExtension:status

Slice Name status

Definition

R5: NutritionIntake.status (new:code)

Comments

Element NutritionIntake.status is not mapped to FHIR R4, since FHIR R5 NutritionIntake is not mapped. Element NutritionIntake.status has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). NutritionIntake is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for NutritionIntake.status contains codes that assert the status of the consumption of the food or fluid by the patient (for example, stopped or on hold) as well as codes that assert the status of the Nutrition Intake itself (for example, entered in error).

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

Control 1..1
This element is affected by the following invariants: ele-1

Is Modifier true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid

Summary false

54. Basic.identifier

Definition

Identifier assigned to the resource for business purposes, outside the context of FHIR.

Short Business identifier

Note This is a business identifier, not a resource identifier (see discussion)

Control 0..*

Type

Identifier

Is Modifier false

Summary true

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

56. Basic.code

Definition

Identifies the 'type' of resource - equivalent to the resource name for other resources.

Short Kind of Resource

Comments

Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource. Refer to the resource notes section for information on appropriate terminologies for this code.

This element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.

Control 1..1

Binding

For example codes, see BasicResourceTypes
(example to http://hl7.org/fhir/ValueSet/basic-resource-type|4.0.1)

Codes for identifying types of resources not yet defined by FHIR.

Type

CodeableConcept

Is Modifier true because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.

Summary true

Requirements

Must be able to distinguish different types of Basic resources.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

58. Basic.subject

Definition

Identifies the patient, practitioner, device or any other resource that is the "focus" of this resource.

Short Identifies the focus of this resource

Comments

Optional as not all potential resources will have subjects. Resources associated with multiple subjects can handle this via extension.

Control 0..1

Type Reference(Resource)

Is Modifier false

Summary true

Requirements

Needed for partitioning the resource by Patient.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

60. Basic.created

Definition

Identifies when the resource was first created.

Short When created

Control 0..1

Type

date

Is Modifier false

Primitive Value This primitive element may be present, or absent, or replaced by an extension

Summary true

Requirements

Allows ordering resource instances by time.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

62. Basic.author

Definition

Indicates who was responsible for creating the resource instance.

Short Who created

Control 0..1

Type Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)

Is Modifier false

Summary true

Requirements

Needed for partitioning the resource.

Invariants ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))