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

Resource Profile: Profile_R5_SubscriptionStatus_R4 - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-SubscriptionStatus resource profile.

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.

ShortResource for non-supported content
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesZ-resource, Extension-resource, Custom-resource
Invariantsdom-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.

ShortA 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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
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()))
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.

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 Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Basic.extension:status
    Slice Namestatus
    Definition

    R5: SubscriptionStatus.status (new:code)

    ShortR5: requested | active | error | off | entered-in-error (new)
    Comments

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

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: requested | active | error | off | entered-in-error (new)) (Extension Type: code)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Basic.extension:eventsSinceSubscriptionStart
    Slice NameeventsSinceSubscriptionStart
    Definition

    R5: SubscriptionStatus.eventsSinceSubscriptionStart (new:integer64)

    ShortR5: Events since the Subscription was created (new)
    Comments

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

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Events since the Subscription was created (new)) (Extension Type: string)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Basic.extension:notificationEvent
    Slice NamenotificationEvent
    Definition

    R5: SubscriptionStatus.notificationEvent (new:BackboneElement)

    ShortR5: Detailed information about any events relevant to this notification (new)
    Comments

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

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Detailed information about any events relevant to this notification (new)) (Complex Extension)
    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())
    12. Basic.extension:subscription
    Slice Namesubscription
    Definition

    R5: SubscriptionStatus.subscription (new:Reference(Subscription))

    ShortR5: Reference to the Subscription responsible for this notification (new)
    Comments

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

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Reference to the Subscription responsible for this notification (new)) (Extension Type: Reference(Cross-version Profile for R5.Subscription for use in FHIR R4, Subscription))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Basic.extension:topic
    Slice Nametopic
    Definition

    R5: SubscriptionStatus.topic (new:canonical(SubscriptionTopic))

    ShortR5: Reference to the SubscriptionTopic this notification relates to (new)
    Comments

    Element SubscriptionStatus.topic is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.topic has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This value SHOULD NOT be present when using empty payloads, MAY be present when using id-only payloads, and SHOULD be present when using full-resource payloads.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Reference to the SubscriptionTopic this notification relates to (new)) (Extension Type: canonical(Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Basic.extension:error
    Slice Nameerror
    Definition

    R5: SubscriptionStatus.error (new:CodeableConcept)

    ShortR5: List of errors on the subscription (new)
    Comments

    Element SubscriptionStatus.error is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.error has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Recommended practice: clear errors when status is updated.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: List of errors on the subscription (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. 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).

    ShortExtensionExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

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

    Alternate Namesextensions, user content
    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 Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 20. Basic.modifierExtension:type
      Slice Nametype
      Definition

      R5: SubscriptionStatus.type (new:code)

      ShortR5: handshake | heartbeat | event-notification | query-status | query-event (new)
      Comments

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

      Control1..1
      This element is affected by the following invariants: ele-1
      TypeExtension(R5: handshake | heartbeat | event-notification | query-status | query-event (new)) (Extension Type: code)
      Is Modifiertrue because Not known why this is labelled a modifier
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      22. Basic.code
      Definition

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

      ShortKind 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.

      Control1..1
      BindingFor 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.

      TypeCodeableConcept
      Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
      Summarytrue
      Requirements

      Must be able to distinguish different types of Basic resources.

      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. Basic
      2. Basic.extension
      Control1..*
      SlicingThis 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:status
        Slice Namestatus
        Definition

        R5: SubscriptionStatus.status (new:code)

        ShortR5: requested | active | error | off | entered-in-error (new)
        Comments

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

        Control0..1
        TypeExtension(R5: requested | active | error | off | entered-in-error (new)) (Extension Type: code)
        6. Basic.extension:eventsSinceSubscriptionStart
        Slice NameeventsSinceSubscriptionStart
        Definition

        R5: SubscriptionStatus.eventsSinceSubscriptionStart (new:integer64)

        ShortR5: Events since the Subscription was created (new)
        Comments

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

        Control0..1
        TypeExtension(R5: Events since the Subscription was created (new)) (Extension Type: string)
        8. Basic.extension:notificationEvent
        Slice NamenotificationEvent
        Definition

        R5: SubscriptionStatus.notificationEvent (new:BackboneElement)

        ShortR5: Detailed information about any events relevant to this notification (new)
        Comments

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

        Control0..*
        TypeExtension(R5: Detailed information about any events relevant to this notification (new)) (Complex Extension)
        10. Basic.extension:subscription
        Slice Namesubscription
        Definition

        R5: SubscriptionStatus.subscription (new:Reference(Subscription))

        ShortR5: Reference to the Subscription responsible for this notification (new)
        Comments

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

        Control1..1
        TypeExtension(R5: Reference to the Subscription responsible for this notification (new)) (Extension Type: Reference(Cross-version Profile for R5.Subscription for use in FHIR R4, Subscription))
        12. Basic.extension:topic
        Slice Nametopic
        Definition

        R5: SubscriptionStatus.topic (new:canonical(SubscriptionTopic))

        ShortR5: Reference to the SubscriptionTopic this notification relates to (new)
        Comments

        Element SubscriptionStatus.topic is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.topic has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This value SHOULD NOT be present when using empty payloads, MAY be present when using id-only payloads, and SHOULD be present when using full-resource payloads.

        Control0..1
        TypeExtension(R5: Reference to the SubscriptionTopic this notification relates to (new)) (Extension Type: canonical(Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic))
        14. Basic.extension:error
        Slice Nameerror
        Definition

        R5: SubscriptionStatus.error (new:CodeableConcept)

        ShortR5: List of errors on the subscription (new)
        Comments

        Element SubscriptionStatus.error is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.error has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Recommended practice: clear errors when status is updated.

        Control0..*
        TypeExtension(R5: List of errors on the subscription (new)) (Extension Type: CodeableConcept)
        16. Basic.modifierExtension
        Control0..*
        SlicingThis element introduces a set of slices on Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 18. Basic.modifierExtension:type
          Slice Nametype
          Definition

          R5: SubscriptionStatus.type (new:code)

          ShortR5: handshake | heartbeat | event-notification | query-status | query-event (new)
          Comments

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

          Control1..1
          TypeExtension(R5: handshake | heartbeat | event-notification | query-status | query-event (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.

          ShortResource for non-supported content
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate NamesZ-resource, Extension-resource, Custom-resource
          Invariantsdom-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.

          ShortLogical 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.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          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.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-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.

          ShortA 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.

          Control0..1
          Typeuri
          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-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.

          ShortLanguage 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).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages .
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          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()))
          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.

          ShortText 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.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-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.

          ShortContained, 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.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Basic.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 Basic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Basic.extension:status
            Slice Namestatus
            Definition

            R5: SubscriptionStatus.status (new:code)

            ShortR5: requested | active | error | off | entered-in-error (new)
            Comments

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

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: requested | active | error | off | entered-in-error (new)) (Extension Type: code)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Basic.extension:eventsSinceSubscriptionStart
            Slice NameeventsSinceSubscriptionStart
            Definition

            R5: SubscriptionStatus.eventsSinceSubscriptionStart (new:integer64)

            ShortR5: Events since the Subscription was created (new)
            Comments

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

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Events since the Subscription was created (new)) (Extension Type: string)
            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())
            20. Basic.extension:notificationEvent
            Slice NamenotificationEvent
            Definition

            R5: SubscriptionStatus.notificationEvent (new:BackboneElement)

            ShortR5: Detailed information about any events relevant to this notification (new)
            Comments

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

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Detailed information about any events relevant to this notification (new)) (Complex Extension)
            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())
            22. Basic.extension:subscription
            Slice Namesubscription
            Definition

            R5: SubscriptionStatus.subscription (new:Reference(Subscription))

            ShortR5: Reference to the Subscription responsible for this notification (new)
            Comments

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

            Control1..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Reference to the Subscription responsible for this notification (new)) (Extension Type: Reference(Cross-version Profile for R5.Subscription for use in FHIR R4, Subscription))
            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())
            24. Basic.extension:topic
            Slice Nametopic
            Definition

            R5: SubscriptionStatus.topic (new:canonical(SubscriptionTopic))

            ShortR5: Reference to the SubscriptionTopic this notification relates to (new)
            Comments

            Element SubscriptionStatus.topic is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.topic has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This value SHOULD NOT be present when using empty payloads, MAY be present when using id-only payloads, and SHOULD be present when using full-resource payloads.

            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: Reference to the SubscriptionTopic this notification relates to (new)) (Extension Type: canonical(Cross-version Profile for R5.SubscriptionTopic for use in FHIR R4, Basic))
            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())
            26. Basic.extension:error
            Slice Nameerror
            Definition

            R5: SubscriptionStatus.error (new:CodeableConcept)

            ShortR5: List of errors on the subscription (new)
            Comments

            Element SubscriptionStatus.error is not mapped to FHIR R4, since FHIR R5 SubscriptionStatus is not mapped. Element SubscriptionStatus.error has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Recommended practice: clear errors when status is updated.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension(R5: List of errors on the subscription (new)) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Basic.modifierExtension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            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 Basic.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 30. Basic.modifierExtension:type
              Slice Nametype
              Definition

              R5: SubscriptionStatus.type (new:code)

              ShortR5: handshake | heartbeat | event-notification | query-status | query-event (new)
              Comments

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

              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(R5: handshake | heartbeat | event-notification | query-status | query-event (new)) (Extension Type: code)
              Is Modifiertrue because Not known why this is labelled a modifier
              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())
              32. Basic.identifier
              Definition

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

              ShortBusiness identifier
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Basic.code
              Definition

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

              ShortKind 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.

              Control1..1
              BindingFor 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.

              TypeCodeableConcept
              Is Modifiertrue because This element determines what kind of resource is being represented which drives the meaning of all of the other elements.
              Summarytrue
              Requirements

              Must be able to distinguish different types of Basic resources.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Basic.subject
              Definition

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

              ShortIdentifies 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.

              Control0..1
              TypeReference(Resource)
              Is Modifierfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource by Patient.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Basic.created
              Definition

              Identifies when the resource was first created.

              ShortWhen created
              Control0..1
              Typedate
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows ordering resource instances by time.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Basic.author
              Definition

              Indicates who was responsible for creating the resource instance.

              ShortWho created
              Control0..1
              TypeReference(Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
              Is Modifierfalse
              Summarytrue
              Requirements

              Needed for partitioning the resource.

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