This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CRMI Publishable CodeSystem

Defines and enforces the minimum expectations for publication and distribution of a code system, typically as part of an artifact repository or implementation guide publication

Usage:

• Examples for this Resource Profile: ANCMConceptCodes

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CodeSystem

Name	Flags	Card.	Type	Description & Constraints
CodeSystem		1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement
Slices for extension				Content/Rules for all slices
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
identifier	S	0..*	Identifier	Additional identifier for the code system (business identifier)
date	S	1..1	dateTime	Date last changed
contact	S	0..*	ContactDetail	Contact details for the publisher
useContext	S	0..*	UsageContext	The context that the content is intended to support
jurisdiction	S	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable)
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CodeSystem	C	1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation csd-1: Within a code system definition, all the codes SHALL be unique
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Additional identifier for the code system (business identifier)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	Date last changed
contact	SΣ	0..*	ContactDetail	Contact details for the publisher
useContext	SΣ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
content	Σ	1..1	code	not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CodeSystem.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
CodeSystem.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
CodeSystem.content	required	CodeSystemContentMode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
csd-0	warning	CodeSystem	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
csd-1	error	CodeSystem	Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct()
dom-2	error	CodeSystem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CodeSystem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CodeSystem	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	error	CodeSystem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CodeSystem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
CodeSystem	C	1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation csd-1: Within a code system definition, all the codes SHALL be unique
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
identifier	SΣ	0..*	Identifier	Additional identifier for the code system (business identifier)
version	Σ	0..1	string	Business version of the code system (Coding.version)
name	ΣC	0..1	string	Name for this code system (computer friendly)
title	Σ	0..1	string	Name for this code system (human friendly)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	SΣ	0..*	ContactDetail	Contact details for the publisher
description		0..1	markdown	Natural language description of the code system
useContext	SΣ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
caseSensitive	Σ	0..1	boolean	If code comparison is case sensitive
valueSet	Σ	0..1	canonical(ValueSet)	Canonical reference to the value set with entire code system
hierarchyMeaning	Σ	0..1	code	grouped-by | is-a | part-of | classified-with Binding: CodeSystemHierarchyMeaning (required): The meaning of the hierarchy of concepts in a code system.
compositional	Σ	0..1	boolean	If code system defines a compositional grammar
versionNeeded	Σ	0..1	boolean	If definitions are not stable
content	Σ	1..1	code	not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.
supplements	Σ	0..1	canonical(CodeSystem)	Canonical URL of Code System this adds designations and properties to
count	Σ	0..1	unsignedInt	Total concepts in the code system
filter	Σ	0..*	BackboneElement	Filter that can be used in a value set
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	Code that identifies the filter
description	Σ	0..1	string	How or why the filter is used
operator	Σ	1..*	code	= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter.
value	Σ	1..1	string	What to use for the value
property	Σ	0..*	BackboneElement	Additional information supplied about each concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	Identifies the property on the concepts, and when referred to in operations
uri	Σ	0..1	uri	Formal identifier for the property
description	Σ	0..1	string	Why the property is defined, and/or what it conveys
type	Σ	1..1	code	code | Coding | string | integer | boolean | dateTime | decimal Binding: PropertyType (required): The type of a property value.
concept		0..*	BackboneElement	Concepts in the code system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Code that identifies concept
display		0..1	string	Text to display to the user
definition		0..1	string	Formal definition
designation		0..*	BackboneElement	Additional representations for the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		0..1	code	Human language of the designation Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
use		0..1	Coding	Details how this designation would be used Binding: DesignationUse (extensible): Details of how a designation would be used.
value		1..1	string	The text value for this designation
property		0..*	BackboneElement	Property value for the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Reference to CodeSystem.property.code
value[x]		1..1		Value of the property for this concept
valueCode			code
valueCoding			Coding
valueString			string
valueInteger			integer
valueBoolean			boolean
valueDateTime			dateTime
valueDecimal			decimal
concept		0..*	See concept (CodeSystem)	Child Concepts (is-a/contains/categorizes)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CodeSystem.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CodeSystem.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
CodeSystem.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
CodeSystem.hierarchyMeaning	required	CodeSystemHierarchyMeaning http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1 from the FHIR Standard
CodeSystem.content	required	CodeSystemContentMode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 from the FHIR Standard
CodeSystem.filter.operator	required	FilterOperator http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 from the FHIR Standard
CodeSystem.property.type	required	PropertyType http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1 from the FHIR Standard
CodeSystem.concept.designation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CodeSystem.concept.designation.use	extensible	DesignationUse http://hl7.org/fhir/ValueSet/designation-use from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
csd-0	warning	CodeSystem	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
csd-1	error	CodeSystem	Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct()
dom-2	error	CodeSystem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CodeSystem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CodeSystem	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	error	CodeSystem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CodeSystem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CodeSystem

Summary

Mandatory: 1 element
Must-Support: 17 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
• http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
• http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
• http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
• http://hl7.org/fhir/StructureDefinition/artifact-topic
• http://hl7.org/fhir/StructureDefinition/artifact-author
• http://hl7.org/fhir/StructureDefinition/artifact-editor
• http://hl7.org/fhir/StructureDefinition/artifact-reviewer
• http://hl7.org/fhir/StructureDefinition/artifact-endorser
• http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
• http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
• http://hl7.org/fhir/StructureDefinition/codesystem-otherName

Maturity: 3

Differential View

This structure is derived from CodeSystem

Name	Flags	Card.	Type	Description & Constraints
CodeSystem		1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement
Slices for extension				Content/Rules for all slices
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
identifier	S	0..*	Identifier	Additional identifier for the code system (business identifier)
date	S	1..1	dateTime	Date last changed
contact	S	0..*	ContactDetail	Contact details for the publisher
useContext	S	0..*	UsageContext	The context that the content is intended to support
jurisdiction	S	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable)
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CodeSystem	C	1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation csd-1: Within a code system definition, all the codes SHALL be unique
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Additional identifier for the code system (business identifier)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	Date last changed
contact	SΣ	0..*	ContactDetail	Contact details for the publisher
useContext	SΣ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
content	Σ	1..1	code	not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CodeSystem.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
CodeSystem.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
CodeSystem.content	required	CodeSystemContentMode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
csd-0	warning	CodeSystem	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
csd-1	error	CodeSystem	Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct()
dom-2	error	CodeSystem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CodeSystem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CodeSystem	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	error	CodeSystem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CodeSystem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CodeSystem	C	1..1	CodeSystem	Declares the existence of and describes a code system or code system supplement csd-0: Name should be usable as an identifier for the module by machine processing applications such as code generation csd-1: Within a code system definition, all the codes SHALL be unique
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
approvalDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
lastReviewDate	S	0..1	date	When the artifact was approved by publisher URL: http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
effectivePeriod	S	0..1	Period	When the artifact is expected to be used URL: http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
topic	S	0..*	CodeableConcept	E.g. Education, Treatment, Assessment, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-topic Binding: DefinitionTopic (example): Topics associated with the artifact
author	S	0..*	ContactDetail	Who authored the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-author
editor	S	0..*	ContactDetail	Who edited the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-editor
reviewer	S	0..*	ContactDetail	Who reviewed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-reviewer
endorser	S	0..*	ContactDetail	Who endorsed the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-endorser
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
sourceReference		0..1	uri	Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
otherName		0..*	(Complex)	Alternative names URL: http://hl7.org/fhir/StructureDefinition/codesystem-otherName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
identifier	SΣ	0..*	Identifier	Additional identifier for the code system (business identifier)
version	Σ	0..1	string	Business version of the code system (Coding.version)
name	ΣC	0..1	string	Name for this code system (computer friendly)
title	Σ	0..1	string	Name for this code system (human friendly)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	0..1	string	Name of the publisher (organization or individual)
contact	SΣ	0..*	ContactDetail	Contact details for the publisher
description		0..1	markdown	Natural language description of the code system
useContext	SΣ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this code system is defined
copyright	S	0..1	markdown	Use and/or publishing restrictions
caseSensitive	Σ	0..1	boolean	If code comparison is case sensitive
valueSet	Σ	0..1	canonical(ValueSet)	Canonical reference to the value set with entire code system
hierarchyMeaning	Σ	0..1	code	grouped-by | is-a | part-of | classified-with Binding: CodeSystemHierarchyMeaning (required): The meaning of the hierarchy of concepts in a code system.
compositional	Σ	0..1	boolean	If code system defines a compositional grammar
versionNeeded	Σ	0..1	boolean	If definitions are not stable
content	Σ	1..1	code	not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.
supplements	Σ	0..1	canonical(CodeSystem)	Canonical URL of Code System this adds designations and properties to
count	Σ	0..1	unsignedInt	Total concepts in the code system
filter	Σ	0..*	BackboneElement	Filter that can be used in a value set
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	Code that identifies the filter
description	Σ	0..1	string	How or why the filter is used
operator	Σ	1..*	code	= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter.
value	Σ	1..1	string	What to use for the value
property	Σ	0..*	BackboneElement	Additional information supplied about each concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	Identifies the property on the concepts, and when referred to in operations
uri	Σ	0..1	uri	Formal identifier for the property
description	Σ	0..1	string	Why the property is defined, and/or what it conveys
type	Σ	1..1	code	code | Coding | string | integer | boolean | dateTime | decimal Binding: PropertyType (required): The type of a property value.
concept		0..*	BackboneElement	Concepts in the code system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Code that identifies concept
display		0..1	string	Text to display to the user
definition		0..1	string	Formal definition
designation		0..*	BackboneElement	Additional representations for the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		0..1	code	Human language of the designation Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
use		0..1	Coding	Details how this designation would be used Binding: DesignationUse (extensible): Details of how a designation would be used.
value		1..1	string	The text value for this designation
property		0..*	BackboneElement	Property value for the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Reference to CodeSystem.property.code
value[x]		1..1		Value of the property for this concept
valueCode			code
valueCoding			Coding
valueString			string
valueInteger			integer
valueBoolean			boolean
valueDateTime			dateTime
valueDecimal			decimal
concept		0..*	See concept (CodeSystem)	Child Concepts (is-a/contains/categorizes)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CodeSystem.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CodeSystem.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard
CodeSystem.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard
CodeSystem.hierarchyMeaning	required	CodeSystemHierarchyMeaning http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1 from the FHIR Standard
CodeSystem.content	required	CodeSystemContentMode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 from the FHIR Standard
CodeSystem.filter.operator	required	FilterOperator http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 from the FHIR Standard
CodeSystem.property.type	required	PropertyType http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1 from the FHIR Standard
CodeSystem.concept.designation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
CodeSystem.concept.designation.use	extensible	DesignationUse http://hl7.org/fhir/ValueSet/designation-use from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
csd-0	warning	CodeSystem	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
csd-1	error	CodeSystem	Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct()
dom-2	error	CodeSystem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CodeSystem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CodeSystem	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	error	CodeSystem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CodeSystem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CodeSystem

Summary

Mandatory: 1 element
Must-Support: 17 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
• http://hl7.org/fhir/StructureDefinition/artifact-approvalDate
• http://hl7.org/fhir/StructureDefinition/artifact-lastReviewDate
• http://hl7.org/fhir/StructureDefinition/artifact-effectivePeriod
• http://hl7.org/fhir/StructureDefinition/artifact-topic
• http://hl7.org/fhir/StructureDefinition/artifact-author
• http://hl7.org/fhir/StructureDefinition/artifact-editor
• http://hl7.org/fhir/StructureDefinition/artifact-reviewer
• http://hl7.org/fhir/StructureDefinition/artifact-endorser
• http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
• http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference
• http://hl7.org/fhir/StructureDefinition/codesystem-otherName

Maturity: 3

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