2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

6.23.10 Resource ValueSet - Detailed Descriptions

Detailed Descriptions for the elements in the ValueSet resource.

ValueSet
Definition

A value set specifies a set of codes drawn from one or more code systems.

Control1..1
InvariantsDefined on this element
vsd-2: A value set with only one import SHALL also have an include and/or an exclude unless the value set defines its own codes (xpath: not(exists(f:compose)) or (count(f:compose/f:import)!=1 or exists(f:compose/f:include) or exists(f:compose/f:exclude) or exists(f:define)))
vsd-5: Value set SHALL contain either a define, a compose, or an expansion element (xpath: exists(f:define) or exists(f:compose) or exists(f:expansion))
vsd-7: A defined code system (if present) SHALL have a different identifier to the value set itself (xpath: not(f:define/f:system/@value = f:identifier/@value))
ValueSet.url
Definition

The uri that is used to identify this value set when it is referenced in a specification, model, design or an instance (should be globally unique URI, and an be urn:uuid: or urn:oid:).

Control0..1
Typeuri
Summarytrue
ValueSet.identifier
Definition

Formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance.

Control0..1
TypeIdentifier
Summarytrue
Comments

Typically, this is used for values that can go in a v3 II data type.

ValueSet.version
Definition

The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the profile author manually and the value should be a timestamp.

Control0..1
Typestring
Summarytrue
Comments

There may be multiple resource versions of the value set that have the same identifier.

ValueSet.name
Definition

A free text natural language name describing the value set.

Control0..1
Typestring
Requirements

Support human navigation.

Summarytrue
Comments

The name is not expected to be unique. A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.

ValueSet.immutable
Definition

If this is set to 'true', then no new versions of the content logical definition can be created. Note: Other metadata might still change.

Control0..1
Typeboolean
Comments

Normally immutability is set to 'false', which is the default assumption if it is not populated. Note that the implication is that if this is set to 'true', there may be only one Value Set Version for this Definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change. For example "All specializations of ACT in ActClassCode" - Where there's no safe way to express the "Purpose" such that someone else could safely make changes to the value set definition Source workflow control must guarantee that the same URI always yields the same definition.

ValueSet.publisher
Definition

The name of the individual or organization that published the value set.

Control0..1
Typestring
Requirements

Helps establish the "authority/credibility" of the value set. May also allow for contact.

Summarytrue
Comments

Usually an organization, but may be an individual. This item SHOULD be populated unless the information is available from context.

ValueSet.contact
Definition

Contacts to assist a user in finding and communicating with the publisher.

Control0..*
Summarytrue
Comments

May be a web site, an email address, a telephone number (tel:), etc.

ValueSet.contact.name
Definition

The name of an individual to contact regarding the value set.

Control0..1
Typestring
Summarytrue
Comments

If there is no named individual, the telecom is for the organization as a whole.

ValueSet.contact.telecom
Definition

Contact details for individual (if a name was provided) or the publisher.

Control0..*
TypeContactPoint
Summarytrue
ValueSet.description
Definition

A free text natural language description of the use of the value set - reason for definition, "the semantic space" to be included in the value set, conditions of use, etc. The description may include a list of expected usages for the value set and can also describe the approach taken to build the value set.

Control0..1
Typestring
Requirements

Human understandability.

Alternate NamesScope; Purpose
Summarytrue
Comments

The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. . A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description.

ValueSet.requirements
Definition

Explains why this value set is needed and why it's been constrained as it has.

Control0..1
Typestring
Comments

This element does not describe the usage of the value set (that's done in comments), rather it's for traceability of why the element is either needed or why the constraints exist as they do. This may be used to point to source materials or specifications that drove the structure of this data element.

ValueSet.copyright
Definition

A copyright statement relating to the value set and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the value set.

Control0..1
Typestring
Alternate NamesLicense; Restrictions
Comments

Frequently, the copyright differs between the value set, and codes that are included. The copyright statement should clearly differentiate between these when required.

ValueSet.status
Definition

The status of the value set.

Control1..1
BindingValueSetStatus: Required: http://hl7.org/fhir/valueset-status (The lifecycle status of a Value Set or Concept Map)
Typecode
Is Modifiertrue
Requirements

Identify when/if the value set should be used.

Summarytrue
Comments

Allows filtering of valuesets that are appropriate for use vs. not.

ValueSet.experimental
Definition

This valueset was authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage.

Control0..1
Typeboolean
Summarytrue
Comments

Allows filtering of valuesets that are appropriate for use vs. not.

ValueSet.extensible
Definition

Whether this is intended to be used with an extensible binding or not.

Control0..1
Typeboolean
Requirements

It is not required to say whether this intent applies.

ValueSet.date
Definition

The date that the value set status was last changed.

Control0..1
TypedateTime
Requirements

Need to know when a value set was first legal for use or became withdrawn or replaced.

Summarytrue
Comments

Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set.

ValueSet.stableDate
Definition

If a Stability Date is expanded by evaluating the Content Logical Definition using the current version of all referenced code system(s) and value sets as of the Stability Date.

Control0..1
Typedate
Comments

With a defined Stability Date the value set is considered "Static". Otherwise, the value set is considered to be "Dynamic" and may have different expansions as underlying code systems and/or value sets evolve.

ValueSet.define
Definition

When value set defines its own codes.

Control0..1
Summarytrue
InvariantsDefined on this element
vsd-3: Within a code system definition, all the codes SHALL be unique (xpath: count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept))
vsd-8: Codes must be unique (xpath: count(descendant::f:concept)=count(distinct-values(descendant::f:concept/f:code/@value)))
Affect this element
vsd-5: Value set SHALL contain either a define, a compose, or an expansion element (xpath: exists(f:define) or exists(f:compose) or exists(f:expansion))
ValueSet.define.system
Definition

URI to identify the code system.

Control1..1
Typeuri
Summarytrue
ValueSet.define.version
Definition

The version of this code system that defines the codes. Note that the version is optional because a well maintained code system does not suffer from versioning, and therefore the version does not need to be maintained. However many code systems are not well maintained, and the version needs to be defined and tracked.

Control0..1
Typestring
Summarytrue
ValueSet.define.caseSensitive
Definition

If code comparison is case sensitive when codes within this system are compared to each other.

Control0..1
Typeboolean
Summarytrue
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.

ValueSet.define.concept
Definition

Concepts in the code system.

Control0..*
ValueSet.define.concept.code
Definition

Code that identifies concept.

Control1..1
Typecode
ValueSet.define.concept.abstract
Definition

If this code is not for use as a real concept.

Control0..1
Typeboolean
Default Valuefalse
ValueSet.define.concept.display
Definition

Text to Display to the user.

Control0..1
Typestring
ValueSet.define.concept.definition
Definition

The formal definition of the concept. Formal definitions are not required, because of the prevalence of legacy systems without them, but they are highly recommended, as without them there is no formal meaning associated with the concept.

Control0..1
Typestring
ValueSet.define.concept.designation
Definition

Additional representations for the concept - other languages, aliases, specialised purposes, used for particular purposes, etc.

Control0..*
Requirements

many concept definition systems support mltiple representations, in multiple languages, and for mltiple purposes.

ValueSet.define.concept.designation.language
Definition

The language this designation is defined for.

Control0..1
BindingLanguage: Required: IETF language tag (A human language)
Typecode
Comments

In the absense of a language, the resource language applies.

ValueSet.define.concept.designation.use
Definition

A code that details how this designation would be used.

Control0..1
BindingConceptDesignationUse: Preferred: See http://hl7.org/fhir/vs/designation-use (Details of how a designation would be used)
TypeCoding
Comments

if no use is provided, the designation can be assumed to be suitable for general display to a human user.

ValueSet.define.concept.designation.value
Definition

The text value for this designation.

Control1..1
Typestring
ValueSet.define.concept.concept
Definition

Child Concepts (is-a / contains).

Control0..*
TypeSee ValueSet.define.concept
ValueSet.compose
Definition

When value set includes codes from elsewhere.

Control0..1
InvariantsDefined on this element
vsd-1: A value set composition SHALL have an include or an import (xpath: exists(f:include) or exists(f:import))
Affect this element
vsd-5: Value set SHALL contain either a define, a compose, or an expansion element (xpath: exists(f:define) or exists(f:compose) or exists(f:expansion))
ValueSet.compose.import
Definition

Includes the contents of the referenced value set as a part of the contents of this value set.

Control0..*
Typeuri
Summarytrue
Comments

The value set URI is either a logical reference to a defined value set such as a SNOMED CT reference set, or a literal reference to a value set definition (not an expansion). If the reference is a logical one, it may not reference a actual FHIR value set resource; in this case, the referenced definition of a set of coded values needs to be clear about how versions are resolved.

InvariantsAffect this element
vsd-1: A value set composition SHALL have an include or an import (xpath: exists(f:include) or exists(f:import))
ValueSet.compose.include
Definition

Include one or more codes from a code system.

Control0..*
Summarytrue
Comments

If there are no codes or filters, the entire code system is included. Note that the set of codes hat are included may contain abstract codes.

InvariantsAffect this element
vsd-1: A value set composition SHALL have an include or an import (xpath: exists(f:include) or exists(f:import))
ValueSet.compose.include.system
Definition

The code system from which the selected codes come from.

Control1..1
Typeuri
Summarytrue
Comments

See Coding.system for further documentation.

ValueSet.compose.include.version
Definition

The version of the code system that the codes are selected from.

Control0..1
Typestring
Summarytrue
Comments

This is used when selecting the descendents of a concept - they may change between versions. If no version is specified, then the exact contents of the value set may not be known until a context of use binds it to a particular version.

ValueSet.compose.include.concept
Definition

Specifies a concept to be included or excluded.

Control0..*
Comments

The list of concepts is considered ordered, though the order may not have any particular significance. Typically, the order an an expansion follows that defined in the compose.

ValueSet.compose.include.concept.code
Definition

Specifies a code for the concept to be included or excluded.

Control1..1
Typecode
Comments

Expressions are allowed if defined by the underlying code system.

ValueSet.compose.include.concept.display
Definition

The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system.

Control0..1
Typestring
Comments

The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.

ValueSet.compose.include.concept.designation
Definition

Additional representations for this concept when used in this value set - other languages, aliases, specialised purposes, used for particular purposes, etc.

Control0..*
TypeSee ValueSet.define.concept.designation
ValueSet.compose.include.filter
Definition

Select concepts by specify a matching criteria based on the properties (including relationships) defined by the system. If multiple filters are specified, they SHALL all be true.

Control0..*
Comments

Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.

ValueSet.compose.include.filter.property
Definition

A code that identifies a property defined in the code system.

Control1..1
Typecode
ValueSet.compose.include.filter.op
Definition

The kind of operation to perform as a part of the filter criteria.

Control1..1
BindingFilterOperator: Required: http://hl7.org/fhir/filter-operator (The kind of operation to perform as a part of a property based filter)
Typecode
ValueSet.compose.include.filter.value
Definition

The match value may be either a code defined by the system, or a string value which is used a regex match on the literal string of the property value.

Control1..1
Typecode
Comments

Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.

ValueSet.compose.exclude
Definition

Exclude one or more codes from the value set.

Control0..*
TypeSee ValueSet.compose.include
Comments

Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.

InvariantsAffect this element
vsd-2: A value set with only one import SHALL also have an include and/or an exclude unless the value set defines its own codes (xpath: not(exists(f:compose)) or (count(f:compose/f:import)!=1 or exists(f:compose/f:include) or exists(f:compose/f:exclude) or exists(f:define)))
ValueSet.expansion
Definition

A value set can also be "expanded", where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed.

Control0..1
Comments

Expansion is performed to produce a collection of codes that are ready to use for data entry or validation.

InvariantsAffect this element
vsd-5: Value set SHALL contain either a define, a compose, or an expansion element (xpath: exists(f:define) or exists(f:compose) or exists(f:expansion))
ValueSet.expansion.identifier
Definition

An identifier that uniquely identifies this expansion of the valueset. Systems may re-use the same identifier as long as the expansion and the definition remain the same, but are not required to do so.

Control0..1
TypeIdentifier
ValueSet.expansion.timestamp
Definition

The time at which the expansion was produced by the expanding system.

Control1..1
TypedateTime
Comments

This SHOULD have be a fully populated instant, but in some circumstances, value sets are expanded by hand, of the expansion is published without that precision.

ValueSet.expansion.contains
Definition

The codes that are contained in the value set expansion.

Control0..*
InvariantsDefined on this element
vsd-10: Must have a system if a code is present (xpath: exists(f:system) or not(exists(f:code)))
vsd-6: SHALL have a code or a display (xpath: exists(f:code) or exists(f:display))
vsd-9: Must have a code if not abstract (xpath: exists(f:code) or (f:display/@value = 'true'))
ValueSet.expansion.contains.system
Definition

The system in which the code for this item in the expansion is defined.

Control0..1
Typeuri
ValueSet.expansion.contains.abstract
Definition

If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value.

Control0..1
Typeboolean
Comments

This shouldn't be understood to exclude its use for searchig (e..g by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.

ValueSet.expansion.contains.version
Definition

The version of this code system that defined this code and/or display. This should only be used with code systems that do not enforce concept permanence.

Control0..1
Typestring
Comments

The exact value of the version string is specified by the system from which the code is derived.

ValueSet.expansion.contains.code
Definition

Code - if blank, this is not a choosable code.

Control0..1
Typecode
InvariantsAffect this element
vsd-6: SHALL have a code or a display (xpath: exists(f:code) or exists(f:display))
ValueSet.expansion.contains.display
Definition

User display for the concept.

Control0..1
Typestring
InvariantsAffect this element
vsd-6: SHALL have a code or a display (xpath: exists(f:code) or exists(f:display))
ValueSet.expansion.contains.contains
Definition

Codes contained in this concept.

Control0..*
TypeSee ValueSet.expansion.contains