Current Build
Financial Management Work GroupMaturity Level: 1 Trial Use Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the Contract resource.

Contract
Element IdContract
Definition

A formal agreement between parties regarding the conduct of business, exchange of information or other matters.

Control1..1
Contract.identifier
Element IdContract.identifier
Definition

Unique identifier for this Contract or a derivative that references a Source Contract.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Requirements

This is the business identifier of the contract content conveyed. It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is contained in the Contract.binding referenced Contract.

Summarytrue
Contract.status
Element IdContract.status
Definition

The status of the resource instance.

Control0..1
Terminology BindingContract Resource Status Codes (Required)
Typecode
Is Modifiertrue (Reason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Requirements

This is the Contract Business Workflow Status.

Summarytrue
Comments

This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.

Contract.contentDerivative
Element IdContract.contentDerivative
Definition

The minimal content derived from the basal information source at a specific stage in its lifecycle.

Control0..1
Terminology BindingContract Content Derivation Codes (Example)
TypeCodeableConcept
Requirements

In the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding. The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.

Contract.issued
Element IdContract.issued
Definition

When this Contract was issued.

Control0..1
TypedateTime
Requirements

The Contract issuance dateTime often precedes the Contract effective dateTime.

Summarytrue
Contract.applies
Element IdContract.applies
Definition

Relevant time or time-period when this Contract is applicable.

Control0..1
TypePeriod
Requirements

The dateTime upon which the Contract is binding.

Summarytrue
Contract.subject
Element IdContract.subject
Definition

The target entity impacted by or of interest to parties to the agreement.

Control0..*
TypeReference(Any)
Requirements

The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.

Alternate NamesPatient
Summarytrue
Comments

The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.

Contract.authority
Element IdContract.authority
Definition

A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.

Control0..*
TypeReference(Organization)
Requirements

The governance framework responsible for ensuring compliance with or enforcement of the contract or policy.

Contract.domain
Element IdContract.domain
Definition

Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.

Control0..*
TypeReference(Location)
Requirements

The entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.

Alternate Namesscope of governance jurisdiction
Contract.type
Element IdContract.type
Definition

Type of Contract such as an insurance policy, real estate contract, a will, power of attorny, Privacy or Security policy , trust framework agreement, etc.

Control0..1
Terminology BindingContract Type Codes (Example)
TypeCodeableConcept
Summarytrue
Contract.subType
Element IdContract.subType
Definition

More specific type or specialization of an overarching or more general contract such as auto insurance, home owner insurance, prenupial agreement, Advanced-Directive, or privacy consent.

Control0..*
Terminology BindingContract Subtype Codes (Example)
TypeCodeableConcept
Summarytrue
Contract.term
Element IdContract.term
Definition

One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.

Control0..*
Contract.term.identifier
Element IdContract.term.identifier
Definition

Unique identifier for this particular Contract Provision.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Summarytrue
Contract.term.issued
Element IdContract.term.issued
Definition

When this Contract Provision was issued.

Control0..1
TypedateTime
Summarytrue
Contract.term.applies
Element IdContract.term.applies
Definition

Relevant time or time-period when this Contract Provision is applicable.

Control0..1
TypePeriod
Summarytrue
Contract.term.type
Element IdContract.term.type
Definition

Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.

Control0..1
Terminology BindingContract Term Type Codes (Example)
TypeCodeableConcept
Contract.term.subType
Element IdContract.term.subType
Definition

Subtype of this Contract Provision, e.g. life time maximum payment for a contract term for specific valued item, e.g. disability payment.

Control0..1
Terminology BindingContract Term Subtype Codes (Example)
TypeCodeableConcept
Contract.term.offer
Element IdContract.term.offer
Definition

The matter of concern in the context of this provision of the agrement.

Control1..1
Contract.term.offer.topic
Element IdContract.term.offer.topic
Definition

The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).

Control0..1
TypeReference(Any)
Requirements

In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. One way to determine the Contract.topic is to answer the question: “What is the object of negotiation?” Answer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any) Contract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. Contract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. AContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.

Summarytrue
Comments

The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. The Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. However, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource. If the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.

Contract.term.offer.type
Element IdContract.term.offer.type
Definition

Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.

Control0..1
Terminology BindingContract Term Type Codes (Example)
TypeCodeableConcept
Contract.term.offer.decision
Element IdContract.term.offer.decision
Definition

The type of decision made by a grantor with respect to an offer made by a grantee.

Control0..1
Terminology BindingActConsentDirective (Extensible)
TypeCodeableConcept
Requirements

In some policy or contract contexts, the "offer" is made by an offeror wishing to be the "grantee" of the offer topic by the grantor. From this perspective, the grantor is the "offeree".

Contract.term.offer.text
Element IdContract.term.offer.text
Definition

Human readable form of this Contract Offer.

Control0..1
Typestring
Contract.term.offer.linkId
Element IdContract.term.offer.linkId
Definition

The id of the clause or question text of the offer in the referenced questionnaire/response.

Control0..1
Typestring
Contract.term.asset
Element IdContract.term.asset
Definition

Contract Term Asset List.

Control0..*
Contract.term.asset.class
Element IdContract.term.asset.class
Definition

Categorization of the type of asset.

Control0..1
Terminology BindingConsent Content Class (Extensible)
TypeCoding
Contract.term.asset.code
Element IdContract.term.asset.code
Definition

Code in the content.

Control0..1
Terminology BindingConsent Content Codes (Example)
TypeCoding
Contract.term.asset.period
Element IdContract.term.asset.period
Definition

Time period of the asset.

Control0..1
TypePeriod
Contract.term.asset.dataPeriod
Element IdContract.term.asset.dataPeriod
Definition

Time period of the data for the asset.

Control0..1
TypePeriod
Contract.term.asset.data
Element IdContract.term.asset.data
Definition

Data defined by this Asset.

Control0..*
Contract.term.asset.data.meaning
Element IdContract.term.asset.data.meaning
Definition

instance | related | dependents | authoredby.

Control0..1
Terminology BindingContractDataMeaning (Required)
Typecode
Contract.term.asset.data.reference
Element IdContract.term.asset.data.reference
Definition

The actual data reference.

Control0..1
TypeReference(Any)
Contract.term.asset.valuedItem
Element IdContract.term.asset.valuedItem
Definition

Contract Valued Item List.

Control0..*
Contract.term.asset.valuedItem.entity[x]
Element IdContract.term.asset.valuedItem.entity[x]
Definition

Specific type of Contract Valued Item that may be priced.

Control0..1
TypeCodeableConcept|Reference(Any)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Contract.term.asset.valuedItem.identifier
Element IdContract.term.asset.valuedItem.identifier
Definition

Identifies a Contract Valued Item instance.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Contract.term.asset.valuedItem.effectiveTime
Element IdContract.term.asset.valuedItem.effectiveTime
Definition

Indicates the time during which this Contract ValuedItem information is effective.

Control0..1
TypedateTime
Contract.term.asset.valuedItem.quantity
Element IdContract.term.asset.valuedItem.quantity
Definition

Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.

Control0..1
TypeSimpleQuantity
Contract.term.asset.valuedItem.unitPrice
Element IdContract.term.asset.valuedItem.unitPrice
Definition

A Contract Valued Item unit valuation measure.

Control0..1
TypeMoney
Contract.term.asset.valuedItem.factor
Element IdContract.term.asset.valuedItem.factor
Definition

A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.

Control0..1
Typedecimal
Contract.term.asset.valuedItem.points
Element IdContract.term.asset.valuedItem.points
Definition

An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.

Control0..1
Typedecimal
Contract.term.asset.valuedItem.net
Element IdContract.term.asset.valuedItem.net
Definition

Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.

Control0..1
TypeMoney
Contract.term.asset.securityLabel
Element IdContract.term.asset.securityLabel
Definition

A set of security labels that define which terms are controlled by this condition.

Control0..*
Terminology BindingAll Security Labels (Extensible)
TypeCoding
Summarytrue
Contract.term.agent
Element IdContract.term.agent
Definition

An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.

Control0..*
Requirements

An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.

Comments

Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.

Contract.term.agent.actor
Element IdContract.term.agent.actor
Definition

Who or what parties are assigned roles in this Contract.

Control1..1
TypeReference(Contract | Device | Group | Location | Organization | Patient | Practitioner | RelatedPerson | Substance)
Contract.term.agent.role
Element IdContract.term.agent.role
Definition

Role type of agent assigned roles in this Contract.

Control0..*
Terminology BindingContract Actor Role Codes (Example)
TypeCodeableConcept
Contract.term.action
Element IdContract.term.action
Definition

Action stipulated by this Contract Provision.

Control0..*
Terminology BindingContract Action Codes (Example)
TypeCodeableConcept
Requirements

If the Contract.topic references a Resource, which contains actions or activities, such as a Procedure to which a grantor is agreeing to receive from the grantee, then this element would likely not be populated. If the Resource referenced in the Contract.topic does not include an action such as a Device, then the Contract.action would likely be populated, for example with the actions "purchase and sale" the Device.

Contract.term.actionReason
Element IdContract.term.actionReason
Definition

Reason or purpose for the action stipulated by this Contract Provision.

Control0..*
Terminology BindingPurposeOfUse (Example)
TypeCodeableConcept
Contract.term.group
Element IdContract.term.group
Definition

Nested group of Contract Provisions.

Control0..*
TypeSee Contract.term
Contract.signer
Element IdContract.signer
Definition

Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.

Control0..*
Requirements

The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal "source of truth". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.

Comments

Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic. For example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.

Contract.signer.type
Element IdContract.signer.type
Definition

Role of this Contract signer, e.g. notary, grantee.

Control1..1
Terminology BindingContract Signer Type Codes (Preferred)
TypeCoding
Contract.signer.party
Element IdContract.signer.party
Definition

Party which is a signator to this Contract.

Control1..1
TypeReference(Organization | Patient | Practitioner | RelatedPerson)
Contract.signer.signature
Element IdContract.signer.signature
Definition

Legally binding Contract DSIG signature contents in Base64.

Control1..*
TypeSignature
Contract.friendly
Element IdContract.friendly
Definition

The "patient friendly language" versionof the Contract in whole or in parts. "Patient friendly language" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.

Control0..*
Contract.friendly.content[x]
Element IdContract.friendly.content[x]
Definition

Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.

Control1..1
TypeAttachment|Reference(Composition | DocumentReference | QuestionnaireResponse)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Contract.legal
Element IdContract.legal
Definition

List of Legal expressions or representations of this Contract.

Control0..*
Contract.legal.content[x]
Element IdContract.legal.content[x]
Definition

Contract legal text in human renderable form.

Control1..1
TypeAttachment|Reference(Composition | DocumentReference | QuestionnaireResponse)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Contract.rule
Element IdContract.rule
Definition

List of Computable Policy Rule Language Representations of this Contract.

Control0..1
Contract.rule.content[x]
Element IdContract.rule.content[x]
Definition

Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).

Control1..1
TypeAttachment|Reference(DocumentReference)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Contract.legallyBinding[x]
Element IdContract.legallyBinding[x]
Definition

Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the "source of truth" and which would be the basis for legal action related to enforcement of this Contract.

Control0..1
TypeAttachment|Reference(Composition | DocumentReference | QuestionnaireResponse | Contract)
[x] NoteSee Choice of Data Types for further information about how to use [x]