SMART Permission Tickets
0.1.0 - ci-build

SMART Permission Tickets, published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jmandel/smart-permission-tickets-wip/ and changes regularly. See the Directory of published versions

Logical Model: PermissionTicket - Detailed Descriptions

Draft as of 2026-02-09

Definitions for the PermissionTicket logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. PermissionTicket
Definition

The full payload of a Permission Ticket, including standard JWT claims and the custom ticket_context object.

ShortPermission Ticket (JWT Payload)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PermissionTicket.iss
Definition

Issuer (Trust Broker URL)

ShortIssuer (Trust Broker URL)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. PermissionTicket.sub
Definition

Issuer-defined ticket subject (profile-specific)

ShortIssuer-defined ticket subject (profile-specific)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. PermissionTicket.aud
Definition

Audience (Network / Trust Framework / Recipient Set)

ShortAudience (Network / Trust Framework / Recipient Set)
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. PermissionTicket.exp
Definition

Expiration Timestamp

ShortExpiration Timestamp
Control1..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. PermissionTicket.iat
Definition

Issued-At Timestamp

ShortIssued-At Timestamp
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. PermissionTicket.jti
Definition

Unique Ticket ID

ShortUnique Ticket ID
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. PermissionTicket.ticket-type
Definition

Ticket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)

ShortTicket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)
Control0..1
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. PermissionTicket.client-binding
Definition

Client key-set binding

ShortClient key-set binding
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. PermissionTicket.client-binding.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
20. PermissionTicket.client-binding.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PermissionTicket.client_binding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 22. PermissionTicket.client-binding.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. PermissionTicket.client-binding.jwks-uri
    Definition

    HTTPS JWKS URI for authorized client key set

    ShortHTTPS JWKS URI for authorized client key set
    Control0..1
    Typeurl
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. PermissionTicket.client-binding.jwks
    Definition

    Embedded JWKS JSON for authorized client key set

    ShortEmbedded JWKS JSON for authorized client key set
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. PermissionTicket.revocation
    Definition

    Revocation Information

    ShortRevocation Information
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. PermissionTicket.revocation.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    32. PermissionTicket.revocation.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on PermissionTicket.revocation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 34. PermissionTicket.revocation.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. PermissionTicket.revocation.url
      Definition

      URL of the Credential Revocation List (CRL)

      ShortURL of the Credential Revocation List (CRL)
      Control1..1
      Typeurl
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      38. PermissionTicket.revocation.rid
      Definition

      Revocation Identifier (opaque, max 24 chars)

      ShortRevocation Identifier (opaque, max 24 chars)
      Control1..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      40. PermissionTicket.ticket-context
      Definition

      Permission Details

      ShortPermission Details
      Control1..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. PermissionTicket.ticket-context.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      44. PermissionTicket.ticket-context.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 46. PermissionTicket.ticket-context.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        48. PermissionTicket.ticket-context.subject
        Definition

        The Patient or Subject of the data

        ShortThe Patient or Subject of the data
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. PermissionTicket.ticket-context.subject.id
        Definition

        Resource ID


        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortResource IDUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        52. PermissionTicket.ticket-context.subject.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 54. PermissionTicket.ticket-context.subject.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          56. PermissionTicket.ticket-context.subject.type
          Definition

          Type of subject match (e.g., 'match' or 'reference')

          ShortType of subject match (e.g., 'match' or 'reference')
          Control0..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          58. PermissionTicket.ticket-context.subject.traits
          Definition

          Demographic traits for matching

          ShortDemographic traits for matching
          Control0..1
          TypePatient
          60. PermissionTicket.ticket-context.subject.resourceType
          Definition

          Resource Type (e.g. Patient)

          ShortResource Type (e.g. Patient)
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          62. PermissionTicket.ticket-context.subject.identifier
          Definition

          Business Identifier

          ShortBusiness Identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          64. PermissionTicket.ticket-context.actor
          Definition

          The Requesting Agent

          ShortThe Requesting Agent
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. PermissionTicket.ticket-context.actor.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          68. PermissionTicket.ticket-context.actor.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.actor.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 70. PermissionTicket.ticket-context.actor.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            72. PermissionTicket.ticket-context.actor.resourceType
            Definition

            Type of actor (PractitionerRole, RelatedPerson, Organization)

            ShortType of actor (PractitionerRole, RelatedPerson, Organization)
            Control1..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            74. PermissionTicket.ticket-context.actor.name
            Definition

            Name of the actor

            ShortName of the actor
            Control0..*
            TypeHumanName
            76. PermissionTicket.ticket-context.actor.telecom
            Definition

            Contact details

            ShortContact details
            Control0..*
            TypeContactPoint
            78. PermissionTicket.ticket-context.actor.identifier
            Definition

            Actor identifiers (NPI, etc)

            ShortActor identifiers (NPI, etc)
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..*
            TypeIdentifier
            80. PermissionTicket.ticket-context.actor.relationship
            Definition

            Relationship to subject

            ShortRelationship to subject
            Control0..*
            TypeCodeableConcept
            82. PermissionTicket.ticket-context.actor.type
            Definition

            Organization type

            ShortOrganization type
            Control0..*
            TypeCodeableConcept
            84. PermissionTicket.ticket-context.actor.contained
            Definition

            Embedded resources

            ShortEmbedded resources
            Control0..*
            TypeResource
            86. PermissionTicket.ticket-context.context
            Definition

            The Trigger Event

            ShortThe Trigger Event
            Control0..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            88. PermissionTicket.ticket-context.context.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            90. PermissionTicket.ticket-context.context.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.context.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 92. PermissionTicket.ticket-context.context.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              94. PermissionTicket.ticket-context.context.type
              Definition

              Type of context (e.g. ActReason)

              ShortType of context (e.g. ActReason)
              Control1..1
              TypeCoding
              96. PermissionTicket.ticket-context.context.focus
              Definition

              Clinical Focus (e.g. Condition)

              ShortClinical Focus (e.g. Condition)
              Control0..1
              TypeCoding
              98. PermissionTicket.ticket-context.context.identifier
              Definition

              Issuer-specific identifiers (Case ID, etc)

              ShortIssuer-specific identifiers (Case ID, etc)
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              100. PermissionTicket.ticket-context.capability
              Definition

              Access Capabilities

              ShortAccess Capabilities
              Control1..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              102. PermissionTicket.ticket-context.capability.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              104. PermissionTicket.ticket-context.capability.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.capability.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 106. PermissionTicket.ticket-context.capability.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                108. PermissionTicket.ticket-context.capability.scopes
                Definition

                SMART Scopes (e.g. patient/Immunization.rs)

                ShortSMART Scopes (e.g. patient/Immunization.rs)
                Control0..*
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                110. PermissionTicket.ticket-context.capability.periods
                Definition

                Time restrictions (Service Date)

                ShortTime restrictions (Service Date)
                Control0..*
                TypePeriod
                112. PermissionTicket.ticket-context.capability.locations
                Definition

                Allowed Locations (Jurisdictions)

                ShortAllowed Locations (Jurisdictions)
                Control0..*
                TypeAddress
                114. PermissionTicket.ticket-context.capability.organizations
                Definition

                Allowed Organizations

                ShortAllowed Organizations
                Control0..*
                TypeOrganization

                Guidance on how to interpret the contents of this table can be foundhere

                0. PermissionTicket
                Definition

                The full payload of a Permission Ticket, including standard JWT claims and the custom ticket_context object.

                ShortPermission Ticket (JWT Payload)
                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                2. PermissionTicket.iss
                Definition

                Issuer (Trust Broker URL)

                ShortIssuer (Trust Broker URL)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                4. PermissionTicket.sub
                Definition

                Issuer-defined ticket subject (profile-specific)

                ShortIssuer-defined ticket subject (profile-specific)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                6. PermissionTicket.aud
                Definition

                Audience (Network / Trust Framework / Recipient Set)

                ShortAudience (Network / Trust Framework / Recipient Set)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                8. PermissionTicket.exp
                Definition

                Expiration Timestamp

                ShortExpiration Timestamp
                Control1..1
                Typeinteger
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                10. PermissionTicket.iat
                Definition

                Issued-At Timestamp

                ShortIssued-At Timestamp
                Control0..1
                Typeinteger
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                12. PermissionTicket.jti
                Definition

                Unique Ticket ID

                ShortUnique Ticket ID
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                14. PermissionTicket.ticket-type
                Definition

                Ticket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)

                ShortTicket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)
                Control0..1
                Typeuri
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. PermissionTicket.client-binding
                Definition

                Client key-set binding

                ShortClient key-set binding
                Control1..1
                TypeBackboneElement
                18. PermissionTicket.client-binding.jwks-uri
                Definition

                HTTPS JWKS URI for authorized client key set

                ShortHTTPS JWKS URI for authorized client key set
                Control0..1
                Typeurl
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                20. PermissionTicket.client-binding.jwks
                Definition

                Embedded JWKS JSON for authorized client key set

                ShortEmbedded JWKS JSON for authorized client key set
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                22. PermissionTicket.revocation
                Definition

                Revocation Information

                ShortRevocation Information
                Control0..1
                TypeBackboneElement
                24. PermissionTicket.revocation.url
                Definition

                URL of the Credential Revocation List (CRL)

                ShortURL of the Credential Revocation List (CRL)
                Control1..1
                Typeurl
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                26. PermissionTicket.revocation.rid
                Definition

                Revocation Identifier (opaque, max 24 chars)

                ShortRevocation Identifier (opaque, max 24 chars)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                28. PermissionTicket.ticket-context
                Definition

                Permission Details

                ShortPermission Details
                Control1..1
                TypeBackboneElement
                30. PermissionTicket.ticket-context.subject
                Definition

                The Patient or Subject of the data

                ShortThe Patient or Subject of the data
                Control1..1
                TypeBackboneElement
                32. PermissionTicket.ticket-context.subject.type
                Definition

                Type of subject match (e.g., 'match' or 'reference')

                ShortType of subject match (e.g., 'match' or 'reference')
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                34. PermissionTicket.ticket-context.subject.traits
                Definition

                Demographic traits for matching

                ShortDemographic traits for matching
                Control0..1
                TypePatient
                36. PermissionTicket.ticket-context.subject.resourceType
                Definition

                Resource Type (e.g. Patient)

                ShortResource Type (e.g. Patient)
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                38. PermissionTicket.ticket-context.subject.id
                Definition

                Resource ID

                ShortResource ID
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                40. PermissionTicket.ticket-context.subject.identifier
                Definition

                Business Identifier

                ShortBusiness Identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                42. PermissionTicket.ticket-context.actor
                Definition

                The Requesting Agent

                ShortThe Requesting Agent
                Control0..1
                TypeBackboneElement
                44. PermissionTicket.ticket-context.actor.resourceType
                Definition

                Type of actor (PractitionerRole, RelatedPerson, Organization)

                ShortType of actor (PractitionerRole, RelatedPerson, Organization)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                46. PermissionTicket.ticket-context.actor.name
                Definition

                Name of the actor

                ShortName of the actor
                Control0..*
                TypeHumanName
                48. PermissionTicket.ticket-context.actor.telecom
                Definition

                Contact details

                ShortContact details
                Control0..*
                TypeContactPoint
                50. PermissionTicket.ticket-context.actor.identifier
                Definition

                Actor identifiers (NPI, etc)

                ShortActor identifiers (NPI, etc)
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                52. PermissionTicket.ticket-context.actor.relationship
                Definition

                Relationship to subject

                ShortRelationship to subject
                Control0..*
                TypeCodeableConcept
                54. PermissionTicket.ticket-context.actor.type
                Definition

                Organization type

                ShortOrganization type
                Control0..*
                TypeCodeableConcept
                56. PermissionTicket.ticket-context.actor.contained
                Definition

                Embedded resources

                ShortEmbedded resources
                Control0..*
                TypeResource
                58. PermissionTicket.ticket-context.context
                Definition

                The Trigger Event

                ShortThe Trigger Event
                Control0..1
                TypeBackboneElement
                60. PermissionTicket.ticket-context.context.type
                Definition

                Type of context (e.g. ActReason)

                ShortType of context (e.g. ActReason)
                Control1..1
                TypeCoding
                62. PermissionTicket.ticket-context.context.focus
                Definition

                Clinical Focus (e.g. Condition)

                ShortClinical Focus (e.g. Condition)
                Control0..1
                TypeCoding
                64. PermissionTicket.ticket-context.context.identifier
                Definition

                Issuer-specific identifiers (Case ID, etc)

                ShortIssuer-specific identifiers (Case ID, etc)
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                66. PermissionTicket.ticket-context.capability
                Definition

                Access Capabilities

                ShortAccess Capabilities
                Control1..1
                TypeBackboneElement
                68. PermissionTicket.ticket-context.capability.scopes
                Definition

                SMART Scopes (e.g. patient/Immunization.rs)

                ShortSMART Scopes (e.g. patient/Immunization.rs)
                Control0..*
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                70. PermissionTicket.ticket-context.capability.periods
                Definition

                Time restrictions (Service Date)

                ShortTime restrictions (Service Date)
                Control0..*
                TypePeriod
                72. PermissionTicket.ticket-context.capability.locations
                Definition

                Allowed Locations (Jurisdictions)

                ShortAllowed Locations (Jurisdictions)
                Control0..*
                TypeAddress
                74. PermissionTicket.ticket-context.capability.organizations
                Definition

                Allowed Organizations

                ShortAllowed Organizations
                Control0..*
                TypeOrganization

                Guidance on how to interpret the contents of this table can be foundhere

                0. PermissionTicket
                Definition

                The full payload of a Permission Ticket, including standard JWT claims and the custom ticket_context object.

                ShortPermission Ticket (JWT Payload)
                Control0..*
                Is Modifierfalse
                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                2. PermissionTicket.iss
                Definition

                Issuer (Trust Broker URL)

                ShortIssuer (Trust Broker URL)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                4. PermissionTicket.sub
                Definition

                Issuer-defined ticket subject (profile-specific)

                ShortIssuer-defined ticket subject (profile-specific)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                6. PermissionTicket.aud
                Definition

                Audience (Network / Trust Framework / Recipient Set)

                ShortAudience (Network / Trust Framework / Recipient Set)
                Control1..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                8. PermissionTicket.exp
                Definition

                Expiration Timestamp

                ShortExpiration Timestamp
                Control1..1
                Typeinteger
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                10. PermissionTicket.iat
                Definition

                Issued-At Timestamp

                ShortIssued-At Timestamp
                Control0..1
                Typeinteger
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                12. PermissionTicket.jti
                Definition

                Unique Ticket ID

                ShortUnique Ticket ID
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                14. PermissionTicket.ticket-type
                Definition

                Ticket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)

                ShortTicket type URI identifying the ticket schema/semantics (required for multi-ticket profiles; optional for single-ticket profiles)
                Control0..1
                Typeuri
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. PermissionTicket.client-binding
                Definition

                Client key-set binding

                ShortClient key-set binding
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                18. PermissionTicket.client-binding.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                20. PermissionTicket.client-binding.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on PermissionTicket.client_binding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 22. PermissionTicket.client-binding.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  24. PermissionTicket.client-binding.jwks-uri
                  Definition

                  HTTPS JWKS URI for authorized client key set

                  ShortHTTPS JWKS URI for authorized client key set
                  Control0..1
                  Typeurl
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  26. PermissionTicket.client-binding.jwks
                  Definition

                  Embedded JWKS JSON for authorized client key set

                  ShortEmbedded JWKS JSON for authorized client key set
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  28. PermissionTicket.revocation
                  Definition

                  Revocation Information

                  ShortRevocation Information
                  Control0..1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  30. PermissionTicket.revocation.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  32. PermissionTicket.revocation.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on PermissionTicket.revocation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 34. PermissionTicket.revocation.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    36. PermissionTicket.revocation.url
                    Definition

                    URL of the Credential Revocation List (CRL)

                    ShortURL of the Credential Revocation List (CRL)
                    Control1..1
                    Typeurl
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    38. PermissionTicket.revocation.rid
                    Definition

                    Revocation Identifier (opaque, max 24 chars)

                    ShortRevocation Identifier (opaque, max 24 chars)
                    Control1..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    40. PermissionTicket.ticket-context
                    Definition

                    Permission Details

                    ShortPermission Details
                    Control1..1
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    42. PermissionTicket.ticket-context.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    44. PermissionTicket.ticket-context.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 46. PermissionTicket.ticket-context.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      48. PermissionTicket.ticket-context.subject
                      Definition

                      The Patient or Subject of the data

                      ShortThe Patient or Subject of the data
                      Control1..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      50. PermissionTicket.ticket-context.subject.id
                      Definition

                      Resource ID

                      ShortResource ID
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      52. PermissionTicket.ticket-context.subject.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 54. PermissionTicket.ticket-context.subject.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        56. PermissionTicket.ticket-context.subject.type
                        Definition

                        Type of subject match (e.g., 'match' or 'reference')

                        ShortType of subject match (e.g., 'match' or 'reference')
                        Control0..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        58. PermissionTicket.ticket-context.subject.traits
                        Definition

                        Demographic traits for matching

                        ShortDemographic traits for matching
                        Control0..1
                        TypePatient
                        60. PermissionTicket.ticket-context.subject.resourceType
                        Definition

                        Resource Type (e.g. Patient)

                        ShortResource Type (e.g. Patient)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        62. PermissionTicket.ticket-context.subject.identifier
                        Definition

                        Business Identifier

                        ShortBusiness Identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..*
                        TypeIdentifier
                        64. PermissionTicket.ticket-context.actor
                        Definition

                        The Requesting Agent

                        ShortThe Requesting Agent
                        Control0..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        66. PermissionTicket.ticket-context.actor.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        68. PermissionTicket.ticket-context.actor.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.actor.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 70. PermissionTicket.ticket-context.actor.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          72. PermissionTicket.ticket-context.actor.resourceType
                          Definition

                          Type of actor (PractitionerRole, RelatedPerson, Organization)

                          ShortType of actor (PractitionerRole, RelatedPerson, Organization)
                          Control1..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          74. PermissionTicket.ticket-context.actor.name
                          Definition

                          Name of the actor

                          ShortName of the actor
                          Control0..*
                          TypeHumanName
                          76. PermissionTicket.ticket-context.actor.telecom
                          Definition

                          Contact details

                          ShortContact details
                          Control0..*
                          TypeContactPoint
                          78. PermissionTicket.ticket-context.actor.identifier
                          Definition

                          Actor identifiers (NPI, etc)

                          ShortActor identifiers (NPI, etc)
                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Control0..*
                          TypeIdentifier
                          80. PermissionTicket.ticket-context.actor.relationship
                          Definition

                          Relationship to subject

                          ShortRelationship to subject
                          Control0..*
                          TypeCodeableConcept
                          82. PermissionTicket.ticket-context.actor.type
                          Definition

                          Organization type

                          ShortOrganization type
                          Control0..*
                          TypeCodeableConcept
                          84. PermissionTicket.ticket-context.actor.contained
                          Definition

                          Embedded resources

                          ShortEmbedded resources
                          Control0..*
                          TypeResource
                          86. PermissionTicket.ticket-context.context
                          Definition

                          The Trigger Event

                          ShortThe Trigger Event
                          Control0..1
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          88. PermissionTicket.ticket-context.context.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          90. PermissionTicket.ticket-context.context.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.context.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 92. PermissionTicket.ticket-context.context.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            94. PermissionTicket.ticket-context.context.type
                            Definition

                            Type of context (e.g. ActReason)

                            ShortType of context (e.g. ActReason)
                            Control1..1
                            TypeCoding
                            96. PermissionTicket.ticket-context.context.focus
                            Definition

                            Clinical Focus (e.g. Condition)

                            ShortClinical Focus (e.g. Condition)
                            Control0..1
                            TypeCoding
                            98. PermissionTicket.ticket-context.context.identifier
                            Definition

                            Issuer-specific identifiers (Case ID, etc)

                            ShortIssuer-specific identifiers (Case ID, etc)
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..*
                            TypeIdentifier
                            100. PermissionTicket.ticket-context.capability
                            Definition

                            Access Capabilities

                            ShortAccess Capabilities
                            Control1..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            102. PermissionTicket.ticket-context.capability.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            104. PermissionTicket.ticket-context.capability.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on PermissionTicket.ticket_context.capability.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 106. PermissionTicket.ticket-context.capability.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              108. PermissionTicket.ticket-context.capability.scopes
                              Definition

                              SMART Scopes (e.g. patient/Immunization.rs)

                              ShortSMART Scopes (e.g. patient/Immunization.rs)
                              Control0..*
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              110. PermissionTicket.ticket-context.capability.periods
                              Definition

                              Time restrictions (Service Date)

                              ShortTime restrictions (Service Date)
                              Control0..*
                              TypePeriod
                              112. PermissionTicket.ticket-context.capability.locations
                              Definition

                              Allowed Locations (Jurisdictions)

                              ShortAllowed Locations (Jurisdictions)
                              Control0..*
                              TypeAddress
                              114. PermissionTicket.ticket-context.capability.organizations
                              Definition

                              Allowed Organizations

                              ShortAllowed Organizations
                              Control0..*
                              TypeOrganization