Logical model describing a standard format to provide links to FHIR Bulk Data files and related metadata.

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

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.

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.

Canonical URL of the OperationDefinition for the operation associated with the provision of this manifest. E.g., http://hl7.org/fhir/uv/bulkdata/OperationDefinition/bulk-publish|1.0.0. This element will be mandatory in a future release of this IG.

Indicates the Data Provider's time when the query is run or files were generated. The bulk data files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

Deprecated - this element SHOULD NOT be used and will be removed in a future release of this IG. When populated for backward compatibility, it contains the full URL of the original Bulk Data kick-off request. In the case of a POST request, this URL does not include the request parameters.

Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as the operation that resulted in the manifest. Value SHALL be true if both the Data Provider's file server and the Data Provider's FHIR API server control access using OAuth 2.0 bearer tokens. Value MAY be false for file servers that use access-control schemes other than OAuth 2.0, such as downloads from Amazon S3 bucket URLs or verifiable file servers within an organization's firewall.

MIME type of the referenced bulk data output files. Defaults to application/fhir+ndjson when omitted. Corresponds to the _outputFormat parameter in a Bulk Export operation.

When resources in the output files are organized by instances of a resource type, that resource type is specified here. When each output file contains a single resource type, this element SHALL be omitted and an individual type element SHALL be included for each file in the output array.

Narrative text providing detail on the organizing resource listed in outputOrganizedBy. SHALL NOT be populated in the absence of the outputOrganizedBy element.

An array of file items with one entry for each generated file.

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

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.

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.

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).

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.

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.

The FHIR resource type contained in the file. When the manifest does not include an outputOrganizedBy value, this element SHALL be populated. When the manifest includes the outputOrganizedBy element, this element SHALL NOT be populated.

The absolute path to the file. The format of the file SHOULD reflect that requested in the _outputFormat parameter of the initial kick-off request and the outputFormat element in this manifest.

URL of the next output file when resources for an organizing resource span multiple files.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

References to files containing pointers to deleted resources in the form of FHIR Transaction Bundles. Each line in the output files SHALL contain a FHIR Bundle with a type of transaction which SHALL contain one or more entry items that reflect a deleted resource. In each entry, the request.url and request.method elements SHALL be populated and request.method SHALL be set to DELETE.

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

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.

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.

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).

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.

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.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Files containing OperationOutcome resources. Error, success, warning, information and other messages related to the operation SHOULD be included here (not in output). This element will be renamed to status in a future release of this IG.

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

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.

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.

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).

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.

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.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Count of OperationOutcome resources grouped by severity level.

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

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.

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.

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).

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.

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.

Severity level from OperationOutcome.issue.severity (fatal, error, warning, information, success)

The number of OperationOutcome resources in the file with this severity level.

Link to related manifest.

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

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.

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.

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).

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.

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.

The relationship type. A value of 'next' indicates the URL points to the location of another manifest containing additional output files.

URL pointing to the location of another manifest. All fields in the linked manifest SHALL be populated with the same values as this manifest, apart from the contents of output, deleted, and link.

Logical model describing a standard format to provide links to FHIR Bulk Data files and related metadata.

Canonical URL of the OperationDefinition for the operation associated with the provision of this manifest. E.g., http://hl7.org/fhir/uv/bulkdata/OperationDefinition/bulk-publish|1.0.0. This element will be mandatory in a future release of this IG.

Indicates the Data Provider's time when the query is run or files were generated. The bulk data files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

Deprecated - this element SHOULD NOT be used and will be removed in a future release of this IG. When populated for backward compatibility, it contains the full URL of the original Bulk Data kick-off request. In the case of a POST request, this URL does not include the request parameters.

Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as the operation that resulted in the manifest. Value SHALL be true if both the Data Provider's file server and the Data Provider's FHIR API server control access using OAuth 2.0 bearer tokens. Value MAY be false for file servers that use access-control schemes other than OAuth 2.0, such as downloads from Amazon S3 bucket URLs or verifiable file servers within an organization's firewall.

MIME type of the referenced bulk data output files. Defaults to application/fhir+ndjson when omitted. Corresponds to the _outputFormat parameter in a Bulk Export operation.

When resources in the output files are organized by instances of a resource type, that resource type is specified here. When each output file contains a single resource type, this element SHALL be omitted and an individual type element SHALL be included for each file in the output array.

Narrative text providing detail on the organizing resource listed in outputOrganizedBy. SHALL NOT be populated in the absence of the outputOrganizedBy element.

An array of file items with one entry for each generated file.

The FHIR resource type contained in the file. When the manifest does not include an outputOrganizedBy value, this element SHALL be populated. When the manifest includes the outputOrganizedBy element, this element SHALL NOT be populated.

The absolute path to the file. The format of the file SHOULD reflect that requested in the _outputFormat parameter of the initial kick-off request and the outputFormat element in this manifest.

URL of the next output file when resources for an organizing resource span multiple files.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

References to files containing pointers to deleted resources in the form of FHIR Transaction Bundles. Each line in the output files SHALL contain a FHIR Bundle with a type of transaction which SHALL contain one or more entry items that reflect a deleted resource. In each entry, the request.url and request.method elements SHALL be populated and request.method SHALL be set to DELETE.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Files containing OperationOutcome resources. Error, success, warning, information and other messages related to the operation SHOULD be included here (not in output). This element will be renamed to status in a future release of this IG.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Count of OperationOutcome resources grouped by severity level.

Severity level from OperationOutcome.issue.severity (fatal, error, warning, information, success)

The number of OperationOutcome resources in the file with this severity level.

Link to related manifest.

The relationship type. A value of 'next' indicates the URL points to the location of another manifest containing additional output files.

URL pointing to the location of another manifest. All fields in the linked manifest SHALL be populated with the same values as this manifest, apart from the contents of output, deleted, and link.

Logical model describing a standard format to provide links to FHIR Bulk Data files and related metadata.

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

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.

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.

Canonical URL of the OperationDefinition for the operation associated with the provision of this manifest. E.g., http://hl7.org/fhir/uv/bulkdata/OperationDefinition/bulk-publish|1.0.0. This element will be mandatory in a future release of this IG.

Indicates the Data Provider's time when the query is run or files were generated. The bulk data files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

Deprecated - this element SHOULD NOT be used and will be removed in a future release of this IG. When populated for backward compatibility, it contains the full URL of the original Bulk Data kick-off request. In the case of a POST request, this URL does not include the request parameters.

Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as the operation that resulted in the manifest. Value SHALL be true if both the Data Provider's file server and the Data Provider's FHIR API server control access using OAuth 2.0 bearer tokens. Value MAY be false for file servers that use access-control schemes other than OAuth 2.0, such as downloads from Amazon S3 bucket URLs or verifiable file servers within an organization's firewall.

MIME type of the referenced bulk data output files. Defaults to application/fhir+ndjson when omitted. Corresponds to the _outputFormat parameter in a Bulk Export operation.

When resources in the output files are organized by instances of a resource type, that resource type is specified here. When each output file contains a single resource type, this element SHALL be omitted and an individual type element SHALL be included for each file in the output array.

Narrative text providing detail on the organizing resource listed in outputOrganizedBy. SHALL NOT be populated in the absence of the outputOrganizedBy element.

An array of file items with one entry for each generated file.

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

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.

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.

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).

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.

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.

The FHIR resource type contained in the file. When the manifest does not include an outputOrganizedBy value, this element SHALL be populated. When the manifest includes the outputOrganizedBy element, this element SHALL NOT be populated.

The absolute path to the file. The format of the file SHOULD reflect that requested in the _outputFormat parameter of the initial kick-off request and the outputFormat element in this manifest.

URL of the next output file when resources for an organizing resource span multiple files.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

References to files containing pointers to deleted resources in the form of FHIR Transaction Bundles. Each line in the output files SHALL contain a FHIR Bundle with a type of transaction which SHALL contain one or more entry items that reflect a deleted resource. In each entry, the request.url and request.method elements SHALL be populated and request.method SHALL be set to DELETE.

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

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.

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.

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).

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.

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.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Files containing OperationOutcome resources. Error, success, warning, information and other messages related to the operation SHOULD be included here (not in output). This element will be renamed to status in a future release of this IG.

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

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.

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.

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).

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.

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.

The absolute path to the file.

The number of resources in the file.

The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

Count of OperationOutcome resources grouped by severity level.

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

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.

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.

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).

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.

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.

Severity level from OperationOutcome.issue.severity (fatal, error, warning, information, success)

The number of OperationOutcome resources in the file with this severity level.

Link to related manifest.

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

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.

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.

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).

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.

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.

The relationship type. A value of 'next' indicates the URL points to the location of another manifest containing additional output files.

URL pointing to the location of another manifest. All fields in the linked manifest SHALL be populated with the same values as this manifest, apart from the contents of output, deleted, and link.