<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="search-modifier-code"/><meta><lastUpdated value="2026-04-01T17:59:15.240+00:00"/></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem search-modifier-code</b></p><a name="search-modifier-code"> </a><a name="hcsearch-modifier-code"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/search-modifier-code</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">missing<a name="search-modifier-code-missing"> </a></td><td>Missing</td><td>The search parameter returns resources that have a value or not.</td></tr><tr><td style="white-space:nowrap">exact<a name="search-modifier-code-exact"> </a></td><td>Exact</td><td>The search parameter returns resources that have a value that exactly matches the supplied parameter (the whole string, including casing and accents).</td></tr><tr><td style="white-space:nowrap">contains<a name="search-modifier-code-contains"> </a></td><td>Contains</td><td>The search parameter returns resources that include the supplied parameter value anywhere within the field being searched.</td></tr><tr><td style="white-space:nowrap">not<a name="search-modifier-code-not"> </a></td><td>Not</td><td>The search parameter returns resources that do not contain a match.</td></tr><tr><td style="white-space:nowrap">text<a name="search-modifier-code-text"> </a></td><td>Text</td><td>The search parameter is processed as a string that searches text associated with the code/value - either CodeableConcept.text, Coding.display, Identifier.type.text, or Reference.display.</td></tr><tr><td style="white-space:nowrap">in<a name="search-modifier-code-in"> </a></td><td>In</td><td>The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is in the specified value set.</td></tr><tr><td style="white-space:nowrap">not-in<a name="search-modifier-code-not-in"> </a></td><td>Not In</td><td>The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is not in the specified value set.</td></tr><tr><td style="white-space:nowrap">below<a name="search-modifier-code-below"> </a></td><td>Below</td><td>The search parameter tests whether the value in a resource is subsumed by the specified value (is-a, or hierarchical relationships).</td></tr><tr><td style="white-space:nowrap">above<a name="search-modifier-code-above"> </a></td><td>Above</td><td>The search parameter tests whether the value in a resource subsumes the specified value (is-a, or hierarchical relationships).</td></tr><tr><td style="white-space:nowrap">type<a name="search-modifier-code-type"> </a></td><td>Type</td><td>The search parameter only applies to the Resource Type specified as a modifier (e.g. the modifier is not actually :type, but :Patient etc.).</td></tr><tr><td style="white-space:nowrap">identifier<a name="search-modifier-code-identifier"> </a></td><td>Identifier</td><td>The search parameter applies to the identifier on the resource, not the reference.</td></tr><tr><td style="white-space:nowrap">of-type<a name="search-modifier-code-of-type"> </a></td><td>Of Type</td><td>The search parameter has the format system|code|value, where the system and code refer to an Identifier.type.coding.system and .code, and match if any of the type codes match. All 3 parts must be present.</td></tr><tr><td style="white-space:nowrap">code-text<a name="search-modifier-code-code-text"> </a></td><td>Code Text</td><td>Tests whether the textual display value in a resource (e.g., CodeableConcept.text, Coding.display, or Reference.display) matches the supplied parameter value.</td></tr><tr><td style="white-space:nowrap">text-advanced<a name="search-modifier-code-text-advanced"> </a></td><td>Text Advanced</td><td>Tests whether the value in a resource matches the supplied parameter value using advanced text handling that searches text associated with the code/value - e.g., CodeableConcept.text, Coding.display, or Identifier.type.text.</td></tr><tr><td style="white-space:nowrap">iterate<a name="search-modifier-code-iterate"> </a></td><td>Iterate</td><td>The search parameter indicates an inclusion directive (_include, _revinclude) that is applied to an included resource instead of the matching resource.</td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="fhir"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="normative"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"><valueInteger value="5"/></extension><url value="http://hl7.org/fhir/search-modifier-code"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.4.640"/></identifier><identifier><use value="old"/><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.1.625"/></identifier><identifier><use value="old"/><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.2.92"/></identifier><version value="6.0.0-ballot4"/><name value="SearchModifierCode"/><title value="Search Modifier Code"/><status value="active"/><experimental value="false"/><date value="2021-01-05T10:01:24+11:00"/><publisher value="HL7 International / FHIR Infrastructure"/><contact><telecom><system value="url"/><value value="http://hl7.org/fhir"/></telecom><telecom><system value="email"/><value value="fhir@lists.hl7.org"/></telecom></contact><contact><telecom><system value="url"/><value value="http://www.hl7.org/Special/committees/fiwg"/></telecom></contact><description value="A supported modifier for a search parameter."/><jurisdiction><coding><system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/><code value="001"/><display value="World"/></coding></jurisdiction><caseSensitive value="true"/><valueSet value="http://hl7.org/fhir/ValueSet/search-modifier-code"/><content value="complete"/><concept><code value="missing"/><display value="Missing"/><definition value="The search parameter returns resources that have a value or not."/></concept><concept><code value="exact"/><display value="Exact"/><definition value="The search parameter returns resources that have a value that exactly matches the supplied parameter (the whole string, including casing and accents)."/></concept><concept><code value="contains"/><display value="Contains"/><definition value="The search parameter returns resources that include the supplied parameter value anywhere within the field being searched."/></concept><concept><code value="not"/><display value="Not"/><definition value="The search parameter returns resources that do not contain a match."/></concept><concept><code value="text"/><display value="Text"/><definition value="The search parameter is processed as a string that searches text associated with the code/value - either CodeableConcept.text, Coding.display, Identifier.type.text, or Reference.display."/></concept><concept><code value="in"/><display value="In"/><definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is in the specified value set."/></concept><concept><code value="not-in"/><display value="Not In"/><definition value="The search parameter is a URI (relative or absolute) that identifies a value set, and the search parameter tests whether the coding is not in the specified value set."/></concept><concept><code value="below"/><display value="Below"/><definition value="The search parameter tests whether the value in a resource is subsumed by the specified value (is-a, or hierarchical relationships)."/></concept><concept><code value="above"/><display value="Above"/><definition value="The search parameter tests whether the value in a resource subsumes the specified value (is-a, or hierarchical relationships)."/></concept><concept><code value="type"/><display value="Type"/><definition value="The search parameter only applies to the Resource Type specified as a modifier (e.g. the modifier is not actually :type, but :Patient etc.)."/></concept><concept><code value="identifier"/><display value="Identifier"/><definition value="The search parameter applies to the identifier on the resource, not the reference."/></concept><concept><code value="of-type"/><display value="Of Type"/><definition value="The search parameter has the format system|code|value, where the system and code refer to an Identifier.type.coding.system and .code, and match if any of the type codes match. All 3 parts must be present."/></concept><concept><code value="code-text"/><display value="Code Text"/><definition value="Tests whether the textual display value in a resource (e.g., CodeableConcept.text, Coding.display, or Reference.display) matches the supplied parameter value."/></concept><concept><code value="text-advanced"/><display value="Text Advanced"/><definition value="Tests whether the value in a resource matches the supplied parameter value using advanced text handling that searches text associated with the code/value - e.g., CodeableConcept.text, Coding.display, or Identifier.type.text."/></concept><concept><code value="iterate"/><display value="Iterate"/><definition value="The search parameter indicates an inclusion directive (_include, _revinclude) that is applied to an included resource instead of the matching resource."/></concept></CodeSystem>