Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
Definitions for the profile-CodeSystem resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. CodeSystem | |
| Definition | The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. |
| Short | Declares the existence of and describes a code system or code system supplement |
| Control | 0..* |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))csd-1: Within a code system definition, all the codes SHALL be unique ( concept.code.combine($this.descendants().concept.code).isDistinct())dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources ( contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}')) csd-1: Within a code system definition, all the codes SHALL be unique (concept.code.combine($this.descendants().concept.code).isDistinct()) 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.exists() and ('#'+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(uri) = '#').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. CodeSystem.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 |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 4. CodeSystem.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 | 0..* |
| Type | Extension |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on CodeSystem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. CodeSystem.extension:versionAlgorithm | |
| Slice Name | versionAlgorithm |
| Definition | R5: |
| Short | R5: How to compare versions (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 8. CodeSystem.extension:copyrightLabel | |
| Slice Name | copyrightLabel |
| Definition | R5: |
| Short | R5: Copyright holder and year(s) (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Artifact Copyright Label) (Extension Type: string) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 10. CodeSystem.extension:approvalDate | |
| Slice Name | approvalDate |
| Definition | R5: |
| Short | R5: When the CodeSystem was approved by publisher (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Approval Date) (Extension Type: date) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 12. CodeSystem.extension:lastReviewDate | |
| Slice Name | lastReviewDate |
| Definition | R5: |
| Short | R5: When the CodeSystem was last reviewed by the publisher (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Last Review Date) (Extension Type: date) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 14. CodeSystem.extension:effectivePeriod | |
| Slice Name | effectivePeriod |
| Definition | R5: |
| Short | R5: When the CodeSystem is expected to be used (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Effective Period) (Extension Type: Period) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 16. CodeSystem.extension:topic | |
| Slice Name | topic |
| Definition | R5: |
| Short | R5: E.g. Education, Treatment, Assessment, etc (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Topic) (Extension Type: CodeableConcept) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 18. CodeSystem.extension:author | |
| Slice Name | author |
| Definition | R5: |
| Short | R5: Who authored the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Author) (Extension Type: ContactDetail) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 20. CodeSystem.extension:editor | |
| Slice Name | editor |
| Definition | R5: |
| Short | R5: Who edited the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Editor) (Extension Type: ContactDetail) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 22. CodeSystem.extension:reviewer | |
| Slice Name | reviewer |
| Definition | R5: |
| Short | R5: Who reviewed the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Reviewer) (Extension Type: ContactDetail) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 24. CodeSystem.extension:endorser | |
| Slice Name | endorser |
| Definition | R5: |
| Short | R5: Who endorsed the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Endorser) (Extension Type: ContactDetail) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 26. CodeSystem.extension:relatedArtifact | |
| Slice Name | relatedArtifact |
| Definition | R5: |
| Short | R5: Additional documentation, citations, etc (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact related artifact) (Extension Type: RelatedArtifact) |
| Is Modifier | false |
| Must Support | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 28. CodeSystem.modifierExtension | |
| Definition | 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 | Extensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Must Support | false |
| Summary | 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()) |
| 30. CodeSystem.status | |
| Definition | The date (and optionally time) when the code system resource was created or revised. |
| Short | draft | active | retired | unknown |
| Comments | Allows filtering of code systems that are appropriate for use versus not. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.3.0 (required to http://hl7.org/fhir/ValueSet/publication-status|4.3.0)The lifecycle status of an artifact. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 32. CodeSystem.content | |
| Definition | The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance. |
| Short | not-present | example | fragment | complete | supplement |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CodeSystemContentModehttp://hl7.org/fhir/ValueSet/codesystem-content-mode|4.3.0 (required to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.3.0)The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. CodeSystem | |
| 2. CodeSystem.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on CodeSystem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. CodeSystem.extension:versionAlgorithm | |
| Slice Name | versionAlgorithm |
| Definition | R5: |
| Short | R5: How to compare versions (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding) |
| 6. CodeSystem.extension:copyrightLabel | |
| Slice Name | copyrightLabel |
| Definition | R5: |
| Short | R5: Copyright holder and year(s) (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Artifact Copyright Label) (Extension Type: string) |
| 8. CodeSystem.extension:approvalDate | |
| Slice Name | approvalDate |
| Definition | R5: |
| Short | R5: When the CodeSystem was approved by publisher (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Approval Date) (Extension Type: date) |
| 10. CodeSystem.extension:lastReviewDate | |
| Slice Name | lastReviewDate |
| Definition | R5: |
| Short | R5: When the CodeSystem was last reviewed by the publisher (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Last Review Date) (Extension Type: date) |
| 12. CodeSystem.extension:effectivePeriod | |
| Slice Name | effectivePeriod |
| Definition | R5: |
| Short | R5: When the CodeSystem is expected to be used (new) |
| Comments | Element See guidance around (not) making local changes to elements here. |
| Control | 0..1 |
| Type | Extension(Artifact Effective Period) (Extension Type: Period) |
| 14. CodeSystem.extension:topic | |
| Slice Name | topic |
| Definition | R5: |
| Short | R5: E.g. Education, Treatment, Assessment, etc (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Topic) (Extension Type: CodeableConcept) |
| 16. CodeSystem.extension:author | |
| Slice Name | author |
| Definition | R5: |
| Short | R5: Who authored the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Author) (Extension Type: ContactDetail) |
| 18. CodeSystem.extension:editor | |
| Slice Name | editor |
| Definition | R5: |
| Short | R5: Who edited the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Editor) (Extension Type: ContactDetail) |
| 20. CodeSystem.extension:reviewer | |
| Slice Name | reviewer |
| Definition | R5: |
| Short | R5: Who reviewed the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Reviewer) (Extension Type: ContactDetail) |
| 22. CodeSystem.extension:endorser | |
| Slice Name | endorser |
| Definition | R5: |
| Short | R5: Who endorsed the CodeSystem (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact Endorser) (Extension Type: ContactDetail) |
| 24. CodeSystem.extension:relatedArtifact | |
| Slice Name | relatedArtifact |
| Definition | R5: |
| Short | R5: Additional documentation, citations, etc (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(Artifact related artifact) (Extension Type: RelatedArtifact) |
| 26. CodeSystem.filter | |
| 28. CodeSystem.filter.operator | |
| 30. CodeSystem.filter.operator.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on CodeSystem.filter.operator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. CodeSystem.filter.operator.extension:operator | |
| Slice Name | operator |
| Definition | R5: |
| Short | R5: = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists |
| Comments | Element |
| Control | 0..* |
| Type | Extension(R5: = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists) (Extension Type: code) |
| 34. CodeSystem.concept | |
| 36. CodeSystem.concept.designation | |
| 38. CodeSystem.concept.designation.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on CodeSystem.concept.designation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 40. CodeSystem.concept.designation.extension:additionalUse | |
| Slice Name | additionalUse |
| Definition | R5: |
| Short | R5: Additional ways how this designation would be used (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(R5: Additional ways how this designation would be used (new)) (Extension Type: Coding) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. CodeSystem | |||||
| Definition | The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content. | ||||
| Short | Declares the existence of and describes a code system or code system supplement | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation (name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))csd-1: Within a code system definition, all the codes SHALL be unique ( concept.code.combine($this.descendants().concept.code).isDistinct())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.exists() and ('#'+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(uri) = '#').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. CodeSystem.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 | id | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| 4. CodeSystem.meta | |||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. CodeSystem.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 | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. CodeSystem.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|4.3.0)IETF language tag
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. CodeSystem.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 | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. CodeSystem.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 | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| Invariants | dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems (($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)) | ||||
| 14. CodeSystem.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on CodeSystem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 16. CodeSystem.extension:versionAlgorithm | |||||
| Slice Name | versionAlgorithm | ||||
| Definition | R5: | ||||
| Short | R5: How to compare versions (new) | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(Artifact Version Algorithm) (Extension Type: Choice of: string, Coding) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 18. CodeSystem.extension:copyrightLabel | |||||
| Slice Name | copyrightLabel | ||||
| Definition | R5: | ||||
| Short | R5: Copyright holder and year(s) (new) | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(Artifact Copyright Label) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 20. CodeSystem.extension:approvalDate | |||||
| Slice Name | approvalDate | ||||
| Definition | R5: | ||||
| Short | R5: When the CodeSystem was approved by publisher (new) | ||||
| Comments | Element See guidance around (not) making local changes to elements here. | ||||
| Control | 0..1 | ||||
| Type | Extension(Artifact Approval Date) (Extension Type: date) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 22. CodeSystem.extension:lastReviewDate | |||||
| Slice Name | lastReviewDate | ||||
| Definition | R5: | ||||
| Short | R5: When the CodeSystem was last reviewed by the publisher (new) | ||||
| Comments | Element See guidance around (not) making local changes to elements here. | ||||
| Control | 0..1 | ||||
| Type | Extension(Artifact Last Review Date) (Extension Type: date) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 24. CodeSystem.extension:effectivePeriod | |||||
| Slice Name | effectivePeriod | ||||
| Definition | R5: | ||||
| Short | R5: When the CodeSystem is expected to be used (new) | ||||
| Comments | Element See guidance around (not) making local changes to elements here. | ||||
| Control | 0..1 | ||||
| Type | Extension(Artifact Effective Period) (Extension Type: Period) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 26. CodeSystem.extension:topic | |||||
| Slice Name | topic | ||||
| Definition | R5: | ||||
| Short | R5: E.g. Education, Treatment, Assessment, etc (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact Topic) (Extension Type: CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 28. CodeSystem.extension:author | |||||
| Slice Name | author | ||||
| Definition | R5: | ||||
| Short | R5: Who authored the CodeSystem (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact Author) (Extension Type: ContactDetail) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 30. CodeSystem.extension:editor | |||||
| Slice Name | editor | ||||
| Definition | R5: | ||||
| Short | R5: Who edited the CodeSystem (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact Editor) (Extension Type: ContactDetail) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 32. CodeSystem.extension:reviewer | |||||
| Slice Name | reviewer | ||||
| Definition | R5: | ||||
| Short | R5: Who reviewed the CodeSystem (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact Reviewer) (Extension Type: ContactDetail) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 34. CodeSystem.extension:endorser | |||||
| Slice Name | endorser | ||||
| Definition | R5: | ||||
| Short | R5: Who endorsed the CodeSystem (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact Endorser) (Extension Type: ContactDetail) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 36. CodeSystem.extension:relatedArtifact | |||||
| Slice Name | relatedArtifact | ||||
| Definition | R5: | ||||
| Short | R5: Additional documentation, citations, etc (new) | ||||
| Comments | Element | ||||
| Control | 0..* | ||||
| Type | Extension(Artifact related artifact) (Extension Type: RelatedArtifact) | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 38. CodeSystem.modifierExtension | |||||
| Definition | 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 | Extensions that cannot be ignored | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Must Support | false | ||||
| Summary | 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()) | ||||
| 40. CodeSystem.url | |||||
| Definition | An absolute URI that is used to identify this code system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this code system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the code system is stored on different servers. This is used in Coding.system. | ||||
| Short | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) | ||||
| Comments | Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions. In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Allows the code system to be referenced by a single globally unique identifier. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 42. CodeSystem.identifier | |||||
| Definition | A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance. | ||||
| Short | Additional identifier for the code system (business identifier) | ||||
| Comments | Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this code system outside of FHIR, where it is not possible to use the logical URI. Note that HL7 defines at least three identifiers for many of its code systems - the FHIR canonical URL, the OID and the V2 Table 0396 mnemonic code. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 44. CodeSystem.version | |||||
| Definition | The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. This is used in Coding.version. | ||||
| Short | Business version of the code system (Coding.version) | ||||
| Comments | There may be different code system instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the code system with the format [url]|[version]. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 46. CodeSystem.name | |||||
| Definition | A natural language name identifying the code system. This name should be usable as an identifier for the module by machine processing applications such as code generation. | ||||
| Short | Name for this code system (computer friendly) | ||||
| Comments | The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Support human navigation and code generation. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. CodeSystem.title | |||||
| Definition | A short, descriptive, user-friendly title for the code system. | ||||
| Short | Name for this code system (human friendly) | ||||
| Comments | This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. CodeSystem.status | |||||
| Definition | The date (and optionally time) when the code system resource was created or revised. | ||||
| Short | draft | active | retired | unknown | ||||
| Comments | Allows filtering of code systems that are appropriate for use versus not. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from PublicationStatus (required to http://hl7.org/fhir/ValueSet/publication-status|4.3.0)The lifecycle status of an artifact. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. CodeSystem.experimental | |||||
| Definition | A Boolean value to indicate that this code system is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage. | ||||
| Short | For testing purposes, not real usage | ||||
| Comments | Allows filtering of code systems that are appropriate for use versus not. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Enables experimental content to be developed following the same lifecycle that would be used for a production-level code system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. CodeSystem.date | |||||
| Definition | The date (and optionally time) when the code system was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the code system changes. | ||||
| Short | Date last changed | ||||
| Comments | Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the code system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Alternate Names | Revision Date | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 56. CodeSystem.publisher | |||||
| Definition | The name of the organization or individual that published the code system. | ||||
| Short | Name of the publisher (organization or individual) | ||||
| Comments | Usually an organization but may be an individual. The publisher (or steward) of the code system is the organization or individual primarily responsible for the maintenance and upkeep of the code system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the code system. This item SHOULD be populated unless the information is available from context. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Helps establish the "authority/credibility" of the code system. May also allow for contact. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 58. CodeSystem.contact | |||||
| Definition | Contact details to assist a user in finding and communicating with the publisher. | ||||
| Short | Contact details for the publisher | ||||
| Comments | May be a web site, an email address, a telephone number, etc. | ||||
| Control | 0..* | ||||
| Type | ContactDetail | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 60. CodeSystem.description | |||||
| Definition | A free text natural language description of the code system from a consumer's perspective. | ||||
| Short | Natural language description of the code system | ||||
| Comments | This description can be used to capture details such as why the code system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the code system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the code system is presumed to be the predominant language in the place the code system was created). | ||||
| Control | 0..1 | ||||
| Type | markdown | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Alternate Names | Scope, Purpose | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 62. CodeSystem.useContext | |||||
| Definition | The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate code system instances. | ||||
| Short | The context that the content is intended to support | ||||
| Comments | When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. | ||||
| Control | 0..* | ||||
| Type | UsageContext | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Requirements | Assist in searching for appropriate content. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. CodeSystem.jurisdiction | |||||
| Definition | A legal or geographic region in which the code system is intended to be used. | ||||
| Short | Intended jurisdiction for code system (if applicable) | ||||
| Comments | It may be possible for the code system to be used in jurisdictions other than those for which it was originally designed or intended. | ||||
| Control | 0..* | ||||
| Binding | Unless not suitable, these codes SHALL be taken from Jurisdiction ValueSet (extensible to http://hl7.org/fhir/ValueSet/jurisdiction|4.3.0)Countries and regions within which this artifact is targeted for use. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. CodeSystem.purpose | |||||
| Definition | Explanation of why this code system is needed and why it has been designed as it has. | ||||
| Short | Why this code system is defined | ||||
| Comments | This element does not describe the usage of the code system. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this code system. | ||||
| Control | 0..1 | ||||
| Type | markdown | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 68. CodeSystem.copyright | |||||
| Definition | A copyright statement relating to the code system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the code system. | ||||
| Short | Use and/or publishing restrictions | ||||
| Comments | ... Sometimes, the copyright differs between the code system and the codes that are included. The copyright statement should clearly differentiate between these when required. | ||||
| Control | 0..1 | ||||
| Type | markdown | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Requirements | Consumers must be able to determine any legal restrictions on the use of the code system and/or its content. | ||||
| Alternate Names | License, Restrictions | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 70. CodeSystem.caseSensitive | |||||
| Definition | If code comparison is case sensitive when codes within this system are compared to each other. | ||||
| Short | If code comparison is case sensitive | ||||
| Comments | If this value is missing, then it is not specified whether a code system is case sensitive or not. When the rule is not known, Postel's law should be followed: produce codes with the correct case, and accept codes in any case. This element is primarily provided to support validation software. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 72. CodeSystem.valueSet | |||||
| Definition | Canonical reference to the value set that contains the entire code system. | ||||
| Short | Canonical reference to the value set with entire code system | ||||
| Comments | The definition of the value set SHALL include all codes from this code system and only codes from this code system, and it SHALL be immutable. | ||||
| Control | 0..1 | ||||
| Type | canonical(ValueSet) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 74. CodeSystem.hierarchyMeaning | |||||
| Definition | The meaning of the hierarchy of concepts as represented in this resource. | ||||
| Short | grouped-by | is-a | part-of | classified-with | ||||
| Comments | Note that other representations might have a different hierarchy or none at all, and represent the information using properties. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from CodeSystemHierarchyMeaning (required to http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.3.0)The meaning of the hierarchy of concepts in a code system. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. CodeSystem.compositional | |||||
| Definition | The code system defines a compositional (post-coordination) grammar. | ||||
| Short | If code system defines a compositional grammar | ||||
| Comments | Note that the code system resource does not define what the compositional grammar is, only whether or not there is one. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Alternate Names | grammar | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 78. CodeSystem.versionNeeded | |||||
| Definition | This flag is used to signify that the code system does not commit to concept permanence across versions. If true, a version must be specified when referencing this code system. | ||||
| Short | If definitions are not stable | ||||
| Comments | Best practice is that code systems do not redefine concepts, or that if concepts are redefined, a new code system definition is created. But this is not always possible, so some code systems may be defined as 'versionNeeded'. Most code systems occasionally refine the displays defined for concepts between versions. Contexts in which the concept display values are validated may require that the version be specified for some code systems irrespective of the value of this property. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. CodeSystem.content | |||||
| Definition | The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance. | ||||
| Short | not-present | example | fragment | complete | supplement | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from CodeSystemContentMode (required to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.3.0)The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 82. CodeSystem.supplements | |||||
| Definition | The canonical URL of the code system that this code system supplement is adding designations and properties to. | ||||
| Short | Canonical URL of Code System this adds designations and properties to | ||||
| Comments | The most common use of a code system supplement is to add additional language support. | ||||
| Control | 0..1 | ||||
| Type | canonical(CodeSystem) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 84. CodeSystem.count | |||||
| Definition | The total number of concepts defined by the code system. Where the code system has a compositional grammar, the basis of this count is defined by the system steward. | ||||
| Short | Total concepts in the code system | ||||
| Comments | The count of concepts defined in this resource cannot be more than this value but may be less for several reasons - see the content element. | ||||
| Control | 0..1 | ||||
| Type | unsignedInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 86. CodeSystem.filter | |||||
| Definition | A filter that can be used in a value set compose statement when selecting concepts using a filter. | ||||
| Short | Filter that can be used in a value set | ||||
| Comments | Note that filters defined in code systems usually require custom code on the part of any terminology engine that will make them available for use in value set filters. For this reason, they are generally only seen in high value published terminologies. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) | ||||
| 88. CodeSystem.filter.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 90. CodeSystem.filter.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional 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 | 0..* | ||||
| 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()) | ||||
| 92. CodeSystem.filter.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 | Extensions that cannot be ignored even if unrecognized | ||||
| 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 element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| 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()) | ||||
| 94. CodeSystem.filter.code | |||||
| Definition | The code that identifies this filter when it is used as a filter in ValueSet.compose.include.filter. | ||||
| Short | Code that identifies the filter | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 96. CodeSystem.filter.description | |||||
| Definition | A description of how or why the filter is used. | ||||
| Short | How or why the filter is used | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 98. CodeSystem.filter.operator | |||||
| Definition | A list of operators that can be used with the filter. | ||||
| Short | = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists | ||||
| Control | 1..* | ||||
| Binding | The codes SHALL be taken from FilterOperator (required to http://hl7.org/fhir/ValueSet/filter-operator|4.3.0)The kind of operation to perform as a part of a property based filter. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 100. CodeSystem.filter.operator.id | |||||
| Definition | unique id for the element within a resource (for internal references) | ||||
| Short | xml:id (or equivalent in JSON) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 102. CodeSystem.filter.operator.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| 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 CodeSystem.filter.operator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 104. CodeSystem.filter.operator.extension:operator | |||||
| Slice Name | operator | ||||
| Definition | R5: | ||||
| Short | R5: = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists | ||||
| Comments | Element | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | child-of | descendent-leaf | exists) (Extension Type: code) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 106. CodeSystem.filter.operator.value | |||||
| Definition | Primitive value for code | ||||
| Short | Primitive value for code | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 108. CodeSystem.filter.value | |||||
| Definition | A description of what the value for the filter should be. | ||||
| Short | What to use for the value | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 110. CodeSystem.property | |||||
| Definition | A property defines an additional slot through which additional information can be provided about a concept. | ||||
| Short | Additional information supplied about each concept | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) | ||||
| 112. CodeSystem.property.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 114. CodeSystem.property.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional 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 | 0..* | ||||
| 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()) | ||||
| 116. CodeSystem.property.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 | Extensions that cannot be ignored even if unrecognized | ||||
| 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 element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| 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()) | ||||
| 118. CodeSystem.property.code | |||||
| Definition | A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters. | ||||
| Short | Identifies the property on the concepts, and when referred to in operations | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 120. CodeSystem.property.uri | |||||
| Definition | Reference to the formal meaning of the property. One possible source of meaning is the Concept Properties code system. | ||||
| Short | Formal identifier for the property | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 122. CodeSystem.property.description | |||||
| Definition | A description of the property- why it is defined, and how its value might be used. | ||||
| Short | Why the property is defined, and/or what it conveys | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 124. CodeSystem.property.type | |||||
| Definition | The type of the property value. Properties of type "code" contain a code defined by the code system (e.g. a reference to another defined concept). | ||||
| Short | code | Coding | string | integer | boolean | dateTime | decimal | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from PropertyType (required to http://hl7.org/fhir/ValueSet/concept-property-type|4.3.0)The type of a property value. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 126. CodeSystem.concept | |||||
| Definition | Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meanings of the hierarchical relationships are. | ||||
| Short | Concepts in the code system | ||||
| Comments | If this is empty, it means that the code system resource does not represent the content of the code system. | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) | ||||
| 128. CodeSystem.concept.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 130. CodeSystem.concept.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional 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 | 0..* | ||||
| 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()) | ||||
| 132. CodeSystem.concept.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 | Extensions that cannot be ignored even if unrecognized | ||||
| 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 element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| 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()) | ||||
| 134. CodeSystem.concept.code | |||||
| Definition | A code - a text symbol - that uniquely identifies the concept within the code system. | ||||
| Short | Code that identifies concept | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 136. CodeSystem.concept.display | |||||
| Definition | A human readable string that is the recommended default way to present this concept to a user. | ||||
| Short | Text to display to the user | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 138. CodeSystem.concept.definition | |||||
| Definition | The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept. | ||||
| Short | Formal definition | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 140. CodeSystem.concept.designation | |||||
| Definition | Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc. | ||||
| Short | Additional representations for the concept | ||||
| Comments | Concepts have both a | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Requirements | Many concept definition systems support multiple representations, in multiple languages, and for multiple purposes. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) | ||||
| 142. CodeSystem.concept.designation.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 144. CodeSystem.concept.designation.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| 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 CodeSystem.concept.designation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 146. CodeSystem.concept.designation.extension:additionalUse | |||||
| Slice Name | additionalUse | ||||
| Definition | R5: | ||||
| Short | R5: Additional ways how this designation would be used (new) | ||||
| Comments | Element | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Additional ways how this designation would be used (new)) (Extension Type: Coding) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters)ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 148. CodeSystem.concept.designation.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 | Extensions that cannot be ignored even if unrecognized | ||||
| 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 element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| 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()) | ||||
| 150. CodeSystem.concept.designation.language | |||||
| Definition | The language this designation is defined for. | ||||
| Short | Human language of the designation | ||||
| Comments | In the absence of a language, the resource language applies. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.3.0)IETF language tag
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 152. CodeSystem.concept.designation.use | |||||
| Definition | A code that details how this designation would be used. | ||||
| Short | Details how this designation would be used | ||||
| Comments | If no use is provided, the designation can be assumed to be suitable for general display to a human user. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from DesignationUse (extensible to http://hl7.org/fhir/ValueSet/designation-use|4.3.0)Details of how a designation would be used. | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 154. CodeSystem.concept.designation.value | |||||
| Definition | The text value for this designation. | ||||
| Short | The text value for this designation | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 156. CodeSystem.concept.property | |||||
| Definition | A property value for this concept. | ||||
| Short | Property value for the concept | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (hasValue() or (children().count() > id.count()) or $this is Parameters) | ||||
| 158. CodeSystem.concept.property.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 160. CodeSystem.concept.property.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional 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 | 0..* | ||||
| 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()) | ||||
| 162. CodeSystem.concept.property.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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 | Extensions that cannot be ignored even if unrecognized | ||||
| 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 element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| 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()) | ||||
| 164. CodeSystem.concept.property.code | |||||
| Definition | A code that is a reference to CodeSystem.property.code. | ||||
| Short | Reference to CodeSystem.property.code | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 166. CodeSystem.concept.property.value[x] | |||||
| Definition | The value of this property. | ||||
| Short | Value of the property for this concept | ||||
| Control | 1..1 | ||||
| Type | Choice of: code, Coding, string, integer, boolean, dateTime, decimal | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 168. CodeSystem.concept.concept | |||||
| Definition | Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning. | ||||
| Short | Child Concepts (is-a/contains/categorizes) | ||||
| Control | 0..* | ||||
| Type | Seettp://hl7.org/fhir/StructureDefinition/CodeSystem#CodeSystem.concept | ||||
| Is Modifier | false | ||||
| Must Support | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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