A definition of a feature that applications may implement, or be required to implement. Features are an aspect of a an applications implementation that generally impacts on the handling of data received from or provided to from the application, which makes it worth declaring. Once declared,

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

If a value set is specified, the value of the data type must come from the value set, and the value type must be one of the bindeable types defined in the FHIR specification

The elements on which this feature can be defined. These URLs take the form or Canonica(StructureDefinition)#{element-id}, where The structure definition is a reference to a FHIR resource - usually CapabilityStatement of TerminologyCapabilities, and the element-id is a defined element within one of the resources. This is used to state where the feature applies. some features are defined on applications, but others apply to particular resources, or operations on resources, or particular code systems etc

A qualifier is an extra piece of information that MAY or SHALL be provided when the feature is described/specified that provides additional information about the feature. E.g. a feature defined on a resource may only be applicable to particular events associated with the resource, or ...?

The name of the feature

A human-readable description of the qualifier.

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

Whether the feature is optional, or must always be present when a feature is referred to

A definition of a feature that applications may implement, or be required to implement. Features are an aspect of a an applications implementation that generally impacts on the handling of data received from or provided to from the application, which makes it worth declaring. Once declared,

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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 current state of this {{title}}.

A nominal state-transition diagram can be found in the Definition pattern documentation.

Unknown does not represent 'other' - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

See guidance around (not) making local changes to elements here.

The lifecycle status of an artifact.

Enables tracking the life-cycle of the content and filtering of {{title}}s that are appropriate for use versus not.

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

If a value set is specified, the value of the data type must come from the value set, and the value type must be one of the bindeable types defined in the FHIR specification

The elements on which this feature can be defined. These URLs take the form or Canonica(StructureDefinition)#{element-id}, where The structure definition is a reference to a FHIR resource - usually CapabilityStatement of TerminologyCapabilities, and the element-id is a defined element within one of the resources. This is used to state where the feature applies. some features are defined on applications, but others apply to particular resources, or operations on resources, or particular code systems etc

A qualifier is an extra piece of information that MAY or SHALL be provided when the feature is described/specified that provides additional information about the feature. E.g. a feature defined on a resource may only be applicable to particular events associated with the resource, or ...?

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 managable, 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 name of the feature

A human-readable description of the qualifier.

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

Whether the feature is optional, or must always be present when a feature is referred to

A definition of a feature that applications may implement, or be required to implement. Features are an aspect of a an applications implementation that generally impacts on the handling of data received from or provided to from the application, which makes it worth declaring. Once declared,

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

IETF language tag for a human language

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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 resource and that modifies the understanding of the element that contains it 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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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.

An absolute URI that is used to identify this {{title}} when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this {{title}} is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the {{title}} is stored on different servers.

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Allows the {{title}} to be referenced by a single globally unique identifier.

A formal identifier that is used to identify this {{title}} when it is represented in other formats, or referenced in a specification, model, design or an instance.

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this {{title}} outside of FHIR, where it is not possible to use the logical URI.

Allows externally provided and/or usable business identifiers to be easily associated with the {{title}}.

The identifier that is used to identify this version of the {{title}} when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the {{title}} author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence without additional knowledge. (See the versionAlgorithm element.)

There may be different {{title}}s that have the same url but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the {{title}} with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

Indicates the mechanism used to compare versions to determine which is more current.

If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

A natural language name identifying the {{title}}. This name should be usable as an identifier for the resource by machine processing applications such as code generation.

The name is not expected to be globally unique. The name should be a simple alphanumeric type no-whitespace name to ensure that it is machine-processing friendly.

Supports code generation.

A short, descriptive, user-friendly title for the {{title}}.

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

The current state of this {{title}}.

A nominal state-transition diagram can be found in the Definition pattern documentation.

Unknown does not represent 'other' - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

See guidance around (not) making local changes to elements here.

The lifecycle status of an artifact.

Enables tracking the life-cycle of the content and filtering of {{title}}s that are appropriate for use versus not.

A Boolean value to indicate that this {{title}} is authored for testing purposes (or education/evaluation/marketing) and is not intended for genuine usage.

Allows filtering of {{title}}s that are appropriate for use versus not.

Enables experimental content to be developed following the same lifecycle that would be used for a production-level {{title}}.

The date (and optionally time) when the {{title}} was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the {{title}} changes.

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the {{title}}. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

See guidance around (not) making local changes to elements here.

The name of the organization or individual responsible for the release and ongoing maintenance of the {{title}}.

Usually an organization but may be an individual. The publisher (or steward) of the {{title}} is the organization or individual primarily responsible for the maintenance and upkeep of the {{title}}. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the {{title}}. This item SHOULD be populated unless the information is available from context.

Helps establish the "authority/credibility" of the {{title}}. May also allow for contact.

Contact details to assist a user in finding and communicating with the publisher.

May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements here.

A free text natural language description of the {{title}} from a consumer's perspective.

This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the {{title}} as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context.

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate {{title}}s.

When multiple useContexts are specified, there is no expectation that all or even any of the contexts apply.

Assist in searching for appropriate content.

A legal or geographic region in which the {{title}} is intended to be used.

It may be possible for the {{title}} to be used in jurisdictions other than those for which it was originally designed or intended.

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

Countries and regions within which this artifact is targeted for use.

Explanation of why this {{title}} is needed and why it has been designed as it has.

This element does not describe the usage of the {{title}}. Instead, it provides traceability of "why" the resource is either needed or "why" it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this {{title}}.

A copyright statement relating to the {{title}} and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the {{title}}.

The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.

Consumers must be able to determine any legal restrictions on the use of the {{title}} and/or its content.

A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved').

The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element.

Defines the content expected to be rendered in all representations of the artifact.

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

If a value set is specified, the value of the data type must come from the value set, and the value type must be one of the bindeable types defined in the FHIR specification

The elements on which this feature can be defined. These URLs take the form or Canonica(StructureDefinition)#{element-id}, where The structure definition is a reference to a FHIR resource - usually CapabilityStatement of TerminologyCapabilities, and the element-id is a defined element within one of the resources. This is used to state where the feature applies. some features are defined on applications, but others apply to particular resources, or operations on resources, or particular code systems etc

A qualifier is an extra piece of information that MAY or SHALL be provided when the feature is described/specified that provides additional information about the feature. E.g. a feature defined on a resource may only be applicable to particular events associated with the resource, or ...?

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 managable, 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 managable, 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 name of the feature

A human-readable description of the qualifier.

Features are very boolean: true or false for whether the application implements the feature, but the value associated with the feature might be a number, a string, or some kind of code

Whether the feature is optional, or must always be present when a feature is referred to