FHIR Extensions Pack
5.4.0 - May 2026 International flag

FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

Extension: Large Value

Official URL: http://hl7.org/fhir/StructureDefinition/largeValue Version: 5.4.0
Standards status: Trial-use Maturity Level: 2 Computable Name: LargeValue
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1560

The value of an integer that exceeds the bounds of the base int type.

Context of Use

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

Usage info

Usages:

  • This Extension is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Changes since version 5.3.0:

  • The data elements list has changed
  • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Simple Extension with the type decimal, integer64: The value of an integer that exceeds the bounds of the base int type.

    Maturity: 2

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension.extension 0..0 Extension
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension.value[x] C 1..1 Value of extension
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueInteger64 integer64

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension.id 0..1 id Unique id for inter-element referencing
    Extension.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension.value[x] C 1..1 Value of extension
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueInteger64 integer64

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type decimal, integer64: The value of an integer that exceeds the bounds of the base int type.

    Maturity: 2

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension.extension 0..0 Extension
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension.value[x] C 1..1 Value of extension
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueInteger64 integer64

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension.id 0..1 id Unique id for inter-element referencing
    Extension.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension.value[x] C 1..1 Value of extension
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueInteger64 integer64

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    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()
    lv-1 error Extension The value must be a whole number (no decimal point or exponent) value.toString().matches('^-?[0-9]+$')

    R4B

    The extension is represented a little differently in R4B:

    • Map the type integer64 to string on the element Extension.value[x]
    • Note: Extensions that have been modified for R4B are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension. extension 0 .. 0 Extension
    Extension. url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension. value[x] C 1.. 1 Value of extension
    Extension.value[x]. valueDecimal decimal
    Extension.value[x]. valueString string

    doco Documentation for this format

    R4

    The extension is represented a little differently in R4:

    • Map the type integer64 to string on the element Extension.value[x]
    • Note: Extensions that have been modified for R4 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension. extension 0 .. 0 Extension
    Extension. url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension. value[x] C 1.. 1 Value of extension
    Extension.value[x]. valueDecimal decimal
    Extension.value[x]. valueString string

    doco Documentation for this format

    R3

    The extension is represented a little differently in R3:

    • Map the type integer64 to string on the element Extension.value[x]
    • Note: Extensions that have been modified for R3 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: doco
    Extension C 0..1 Extension A value larger than the bounds of the base integer datatype
    Constraints: lv-1
    Extension. extension 0 .. 0 Extension
    Extension. url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/largeValue"
    Extension. value[x] C 1.. 1 Value of extension
    Extension.value[x]. valueDecimal decimal
    Extension.value[x]. valueString string

    doco Documentation for this format

    Search Parameters for this Extension

    (none found)