Validated Healthcare Directory
0.2.0 - CI Build United States of America flag

Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

Extension: EHR - Detailed Descriptions

Active as of 2017-11-13

Definitions for the ehr extension.

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

0. Extension
Definition

Information about the EHR system/module used at a location

ShortEHR
2. Extension.extension
Must Supportfalse
SlicingThis element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:developer
    Slice Namedeveloper
    Definition

    The developer of the EHR product

    ShortDeveloper
    Control0..1
    Must Supporttrue
    Labeldeveloper
    6. Extension.extension:developer.url
    Fixed Valuedeveloper
    8. Extension.extension:developer.value[x]:valueString
    Slice NamevalueString
    Definition

    The developer of the EHR product

    ShortDeveloper
    Control1..?
    Typestring
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Labeldeveloper
    10. Extension.extension:product
    Slice Nameproduct
    Definition

    The name of the EHR product

    ShortProduct
    Control0..1
    Must Supporttrue
    Labelproduct
    12. Extension.extension:product.url
    Fixed Valueproduct
    14. Extension.extension:product.value[x]:valueString
    Slice NamevalueString
    Definition

    The name of the EHR product

    ShortProduct
    Control1..?
    Typestring
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Labelproduct
    16. Extension.extension:version
    Slice Nameversion
    Definition

    Version of the EHR product

    Shortversion
    Control0..1
    Must Supporttrue
    Labelversion
    18. Extension.extension:version.url
    Fixed Valueversion
    20. Extension.extension:version.value[x]:valueString
    Slice NamevalueString
    Definition

    Version of the EHR product

    ShortVersion
    Control1..?
    Typestring
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Labelversion
    22. Extension.extension:certificationEdition
    Slice NamecertificationEdition
    Definition

    Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)

    ShortCertification edition
    Control0..1
    Must Supporttrue
    LabelcertificationEdition
    24. Extension.extension:certificationEdition.url
    Fixed ValuecertificationEdition
    26. Extension.extension:certificationEdition.value[x]:valueCoding
    Slice NamevalueCoding
    Definition

    Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)

    ShortCertification edition
    Control1..?
    BindingFor example codes, see VhDir Certification Edition Value Set
    (example to http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition)
    TypeCoding
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    LabelcertificationEdition
    28. Extension.extension:patientAccess
    Slice NamepatientAccess
    Definition

    Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

    ShortPatient acccess
    Must Supporttrue
    LabelpatientAccess
    30. Extension.extension:patientAccess.url
    Fixed ValuepatientAccess
    32. Extension.extension:patientAccess.value[x]:valueCodeableConcept
    Slice NamevalueCodeableConcept
    Definition

    Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

    ShortPatient access
    Control1..?
    BindingFor example codes, see VhDir Ehr Patient Access Value Set
    (example to http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess)
    TypeCodeableConcept
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    LabelpatientAccess
    34. Extension.extension:certificationID
    Slice NamecertificationID
    Definition

    Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product

    ShortCertification ID
    Control0..1
    Must Supporttrue
    LabelcertificationID
    36. Extension.extension:certificationID.url
    Fixed ValuecertificationID
    38. Extension.extension:certificationID.value[x]:valueString
    Slice NamevalueString
    Definition

    Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product

    ShortCertification ID
    Control1..?
    Typestring
    [x] NoteSee Choice of Data Types for further information about how to use [x]
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    LabelcertificationID
    40. Extension.url
    Fixed Valuehttp://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr
    42. Extension.value[x]
    Control0..0
    Must Supporttrue

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

    0. Extension
    Definition

    Information about the EHR system/module used at a location


    Optional Extension Element - found in all resources.

    ShortEHROptional Extensions Element
    Control0..*
    This element is affected by the following invariants: ele-1
    Is Modifierfalse
    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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    2. Extension.extension
    Definition

    An Extension


    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.

    ShortExtensionAdditional 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
    Must Supportfalse
    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 Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Extension.extension:developer
      Slice Namedeveloper
      Definition

      The developer of the EHR product

      ShortDeveloperAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Labeldeveloper
      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())
      6. Extension.extension:developer.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuedeveloper
      8. Extension.extension:developer.value[x]:valueString
      Slice NamevalueString
      Definition

      The developer of the EHR product


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortDeveloperValue of extension
      Control10..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Labeldeveloper
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Extension.extension:product
      Slice Nameproduct
      Definition

      The name of the EHR product

      ShortProductAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Labelproduct
      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())
      12. Extension.extension:product.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valueproduct
      14. Extension.extension:product.value[x]:valueString
      Slice NamevalueString
      Definition

      The name of the EHR product


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortProductValue of extension
      Control10..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Labelproduct
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Extension.extension:version
      Slice Nameversion
      Definition

      Version of the EHR product

      ShortversionAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Labelversion
      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())
      18. Extension.extension:version.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valueversion
      20. Extension.extension:version.value[x]:valueString
      Slice NamevalueString
      Definition

      Version of the EHR product


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortVersionValue of extension
      Control10..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Labelversion
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Extension.extension:certificationEdition
      Slice NamecertificationEdition
      Definition

      Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)

      ShortCertification editionAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      LabelcertificationEdition
      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. Extension.extension:certificationEdition.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed ValuecertificationEdition
      26. Extension.extension:certificationEdition.value[x]:valueCoding
      Slice NamevalueCoding
      Definition

      Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortCertification editionValue of extension
      Control10..1
      BindingFor example codes, see For codes, see VhDir Certification Edition Value Set
      (example to http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition)
      TypeCoding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      LabelcertificationEdition
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Extension.extension:patientAccess
      Slice NamepatientAccess
      Definition

      Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

      ShortPatient acccessAdditional content defined by implementations
      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      LabelpatientAccess
      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())
      30. Extension.extension:patientAccess.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed ValuepatientAccess
      32. Extension.extension:patientAccess.value[x]:valueCodeableConcept
      Slice NamevalueCodeableConcept
      Definition

      Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortPatient accessValue of extension
      Control10..1
      BindingFor example codes, see For codes, see VhDir Ehr Patient Access Value Set
      (example to http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      LabelpatientAccess
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Extension.extension:certificationID
      Slice NamecertificationID
      Definition

      Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product

      ShortCertification IDAdditional content defined by implementations
      Control0..1*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      LabelcertificationID
      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. Extension.extension:certificationID.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed ValuecertificationID
      38. Extension.extension:certificationID.value[x]:valueString
      Slice NamevalueString
      Definition

      Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product


      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortCertification IDValue of extension
      Control10..1
      Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSee Choice of Data Types for further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      LabelcertificationID
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Extension.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      Fixed Valuehttp://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr
      42. Extension.value[x]
      Definition

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      ShortValue of extension
      Control0..01
      TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

      0. Extension
      Definition

      Information about the EHR system/module used at a location

      ShortEHR
      Control0..*
      This element is affected by the following invariants: ele-1
      Is Modifierfalse
      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())
      2. Extension.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
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      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 Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Extension.extension:developer
        Slice Namedeveloper
        Definition

        The developer of the EHR product

        ShortDeveloper
        Control0..1
        TypeExtension
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Labeldeveloper
        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())
        8. Extension.extension:developer.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
        10. Extension.extension:developer.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 12. Extension.extension:developer.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valuedeveloper
          14. Extension.extension:developer.value[x]:valueString
          Slice NamevalueString
          Definition

          The developer of the EHR product

          ShortDeveloper
          Control1..1
          Typestring
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Labeldeveloper
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Extension.extension:product
          Slice Nameproduct
          Definition

          The name of the EHR product

          ShortProduct
          Control0..1
          TypeExtension
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Labelproduct
          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())
          18. Extension.extension:product.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. Extension.extension:product.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 22. Extension.extension:product.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valueproduct
            24. Extension.extension:product.value[x]:valueString
            Slice NamevalueString
            Definition

            The name of the EHR product

            ShortProduct
            Control1..1
            Typestring
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Labelproduct
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Extension.extension:version
            Slice Nameversion
            Definition

            Version of the EHR product

            Shortversion
            Control0..1
            TypeExtension
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Labelversion
            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())
            28. Extension.extension:version.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
            30. Extension.extension:version.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 32. Extension.extension:version.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              Fixed Valueversion
              34. Extension.extension:version.value[x]:valueString
              Slice NamevalueString
              Definition

              Version of the EHR product

              ShortVersion
              Control1..1
              Typestring
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Labelversion
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Extension.extension:certificationEdition
              Slice NamecertificationEdition
              Definition

              Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)

              ShortCertification edition
              Control0..1
              TypeExtension
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              LabelcertificationEdition
              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())
              38. Extension.extension:certificationEdition.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
              40. Extension.extension:certificationEdition.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 42. Extension.extension:certificationEdition.url
                Definition

                Source of the definition for the extension code - a logical name or a URL.

                Shortidentifies the meaning of the extension
                Comments

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Control1..1
                Typeuri
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                Fixed ValuecertificationEdition
                44. Extension.extension:certificationEdition.value[x]:valueCoding
                Slice NamevalueCoding
                Definition

                Latest EHR certification criteria the EHR product has been certified against (2011, 2014, 2015)

                ShortCertification edition
                Control1..1
                BindingFor example codes, see VhDir Certification Edition Value Set
                (example to http://hl7.org/fhir/uv/vhdir/ValueSet/certificationedition)
                TypeCoding
                [x] NoteSee Choice of Data Types for further information about how to use [x]
                Is Modifierfalse
                Summaryfalse
                LabelcertificationEdition
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. Extension.extension:patientAccess
                Slice NamepatientAccess
                Definition

                Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

                ShortPatient acccess
                Control0..*
                TypeExtension
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                LabelpatientAccess
                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. Extension.extension:patientAccess.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
                50. Extension.extension:patientAccess.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 52. Extension.extension:patientAccess.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  Fixed ValuepatientAccess
                  54. Extension.extension:patientAccess.value[x]:valueCodeableConcept
                  Slice NamevalueCodeableConcept
                  Definition

                  Patient/consumer access options associated with the EHR product; a value indicates that the EHR has the capability and is actively using it

                  ShortPatient access
                  Control1..1
                  BindingFor example codes, see VhDir Ehr Patient Access Value Set
                  (example to http://hl7.org/fhir/uv/vhdir/ValueSet/patientaccess)
                  TypeCodeableConcept
                  [x] NoteSee Choice of Data Types for further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  LabelpatientAccess
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Extension.extension:certificationID
                  Slice NamecertificationID
                  Definition

                  Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product

                  ShortCertification ID
                  Control0..1
                  TypeExtension
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  LabelcertificationID
                  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())
                  58. Extension.extension:certificationID.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
                  60. Extension.extension:certificationID.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 Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 62. Extension.extension:certificationID.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed ValuecertificationID
                    64. Extension.extension:certificationID.value[x]:valueString
                    Slice NamevalueString
                    Definition

                    Unique ID assigned by the ONC-authorized certification body (ONC-ACB) certifying this product

                    ShortCertification ID
                    Control1..1
                    Typestring
                    [x] NoteSee Choice of Data Types for further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    LabelcertificationID
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. Extension.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    Fixed Valuehttp://hl7.org/fhir/uv/vhdir/StructureDefinition/ehr
                    68. Extension.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortValue of extension
                    Control0..0
                    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))