FHIR Clinical Documents, published by HL7 International / Structured Documents. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-clinical-document/ and changes regularly. See the Directory of published versions

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Extension: Data Enterer Extension

The Data Enterer Extension represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.

Context of Use

This extension may be used on the following element(s)

• Element ID: Composition

Usage info

Usages:

• Use this Extension: FHIR Clinical Document Composition Profile
• Examples for this Extension: Bundle/clinical-document-bundle-example1, Bundle/clinical-document-to-transaction-bundle and Composition/clinical-document-composition-example1

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Data Enterer Extension
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..*	Extension	Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
extension		0..0		Extension
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ENT
display		1..1	string	Representation defined by the system Fixed Value: data entry person
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	participant
extension		0..0		Extension
url		1..1	uri	"party"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:function.​value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Data Enterer Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..*	Extension	Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ENT
display		1..1	string	Representation defined by the system Fixed Value: data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:function.​value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: The Data Enterer Extension represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.

• type: CodeableConcept: An Extension
• function: CodeableConcept: An Extension
• time: Period: An Extension
• party: Reference: An Extension

Maturity: 2

Differential ViewDifferential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Data Enterer Extension
extension		2..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:type		1..*	Extension	Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
extension		0..0		Extension
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ENT
display		1..1	string	Representation defined by the system Fixed Value: data entry person
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
extension		0..0		Extension
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
extension		0..0		Extension
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	participant
extension		0..0		Extension
url		1..1	uri	"party"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:function.​value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Data Enterer Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:type		1..*	Extension	Meaning and purpose of participation, in creation of the clinical document. The list includes: data entry person, informant, primary information recipient, and tracker. Other types are allowed.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"type"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ENT
display		1..1	string	Representation defined by the system Fixed Value: data entry person
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
extension:function		0..*	Extension	Exact function of the participant in the creation of the clinical document. This is more granular than type.
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"function"
value[x]		1..1	CodeableConcept	Value of extension Binding: ParticipationFunction (extensible)
extension:time		0..1	Extension	Time period of participation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"time"
value[x]		1..1	Period	Value of extension
extension:party	S	1..1	Extension	participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"party"
value[x]		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Organization)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/uv/fhir-clinical-document/StructureDefinition/data-enterer-extension"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:function.​value[x]	Base	extensible	ParticipationFunction	📦3.0.0	THO v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: The Data Enterer Extension represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.

• type: CodeableConcept: An Extension
• function: CodeableConcept: An Extension
• time: Period: An Extension
• party: Reference: An Extension

Maturity: 2

Other representations of profile: CSV, Excel, Schematron