National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

Resource Profile: NdhVerification - Detailed Descriptions

Active as of 2023-01-22

Definitions for the ndh-Verification resource profile.

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

0. VerificationResult
Definition

Describes Verification requirements, source(s), status and dates for one or more elements

ShortVerification
2. VerificationResult.target
ShortThe resource instance was verified or attested
Control1..?
Must Supporttrue
4. VerificationResult.targetLocation
ShortThe fhirpath location(s) within the resource instance that was verified or attested
Must Supporttrue
6. VerificationResult.need
Control1..?
Must Supporttrue
8. VerificationResult.status
Must Supporttrue
10. VerificationResult.statusDate
Control1..?
Must Supporttrue
12. VerificationResult.validationType
ShortWhether the target was verified against primary source(s), mutually attested between resource(s), or nothing
Control1..?
BindingThe codes SHALL be taken from validation-type
(required to http://hl7.org/fhir/ValueSet/verificationresult-validation-type)
Must Supporttrue
14. VerificationResult.validationProcess
ShortThe process(es) by which the target was verified
Control1..?
BindingUnless not suitable, these codes SHALL be taken from NDH Verification Process Value Set
(extensible to http://hl7.org/fhir/us/ndh/ValueSet/NdhVerificationProcessVS)
Must Supporttrue
16. VerificationResult.frequency
ShortFrequency of verification
Must Supporttrue
18. VerificationResult.lastPerformed
ShortThe date/time verification was last completed (including failed verifications)
Must Supporttrue
20. VerificationResult.nextScheduled
ShortThe date when target is next verified, if appropriate
Must Supporttrue
22. VerificationResult.failureAction
Control1..?
Must Supporttrue
24. VerificationResult.primarySource
Must Supporttrue
26. VerificationResult.primarySource.who
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
28. VerificationResult.primarySource.type
Definition

Type of primary source

Control1..?
BindingUnless not suitable, these codes SHALL be taken from primary-source-type
(extensible to http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type)
Must Supporttrue
30. VerificationResult.primarySource.communicationMethod
BindingUnless not suitable, these codes SHALL be taken from VerificationResult Communication Method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
Must Supporttrue
32. VerificationResult.primarySource.validationStatus
Must Supporttrue
34. VerificationResult.primarySource.validationDate
Must Supporttrue
36. VerificationResult.primarySource.canPushUpdates
Must Supporttrue
38. VerificationResult.primarySource.pushTypeAvailable
Must Supporttrue
40. VerificationResult.attestation
Control1..?
Must Supporttrue
42. VerificationResult.attestation.who
Control1..?
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
44. VerificationResult.attestation.onBehalfOf
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
46. VerificationResult.attestation.communicationMethod
Control1..?
BindingUnless not suitable, these codes SHALL be taken from VerificationResult Communication Method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
Must Supporttrue
48. VerificationResult.attestation.date
Control1..?
Must Supporttrue
50. VerificationResult.attestation.sourceIdentityCertificate
Must Supporttrue
52. VerificationResult.attestation.proxyIdentityCertificate
Must Supporttrue
54. VerificationResult.attestation.proxySignature
Must Supporttrue
56. VerificationResult.attestation.sourceSignature
Must Supporttrue
58. VerificationResult.validator
Must Supporttrue
60. VerificationResult.validator.organization
TypeReference(NDH Base Organization Profile)
Must Supporttrue
62. VerificationResult.validator.identityCertificate
Must Supporttrue
64. VerificationResult.validator.attestationSignature
Must Supporttrue

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

0. VerificationResult
Definition

Describes Verification requirements, source(s), status and dates for one or more elements


Describes validation requirements, source(s), status and dates for one or more elements.

ShortVerificationDescribes validation requirements, source(s), status and dates for one or more elements
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. VerificationResult.implicitRules
Definition

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.

ShortA set of rules under which this content was created
Comments

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 it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. VerificationResult.modifierExtension
Definition

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 manageable, 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).

ShortExtensions that cannot be ignored
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

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.

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())
6. VerificationResult.target
Definition

A resource that was validated.

ShortThe resource instance was verified or attestedA resource that was validated
Control10..*
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. VerificationResult.targetLocation
Definition

The fhirpath location(s) within the resource that was validated.

ShortThe fhirpath location(s) within the resource instance that was verified or attestedThe fhirpath location(s) within the resource that was validated
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. VerificationResult.need
Definition

The frequency with which the target must be validated (none; initial; periodic).

Shortnone | initial | periodic
Control10..1
BindingThe codes SHOULD be taken from needhttp://hl7.org/fhir/ValueSet/verificationresult-need
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-need)

The frequency with which the target must be validated.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. VerificationResult.status
Definition

The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).

Shortattested | validated | in-process | req-revalid | val-fail | reval-fail
Control1..1
BindingThe codes SHALL be taken from statushttp://hl7.org/fhir/ValueSet/verificationresult-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.1)

The validation status of the target.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. VerificationResult.statusDate
Definition

When the validation status was updated.

ShortWhen the validation status was updated
Control10..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. VerificationResult.validationType
Definition

What the target is validated against (nothing; primary source; multiple sources).

ShortWhether the target was verified against primary source(s), mutually attested between resource(s), or nothingnothing | primary | multiple
Control10..1
BindingThe codes SHALL be taken from The codes SHOULD be taken from validation-typehttp://hl7.org/fhir/ValueSet/verificationresult-validation-type
(required to http://hl7.org/fhir/ValueSet/verificationresult-validation-type)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. VerificationResult.validationProcess
Definition

The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).

ShortThe process(es) by which the target was verifiedThe primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context)
Control10..*
BindingUnless not suitable, these codes SHALL be taken from For example codes, see NDH Verification Process Value Sethttp://hl7.org/fhir/ValueSet/verificationresult-validation-process
(extensible to http://hl7.org/fhir/us/ndh/ValueSet/NdhVerificationProcessVS)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. VerificationResult.frequency
Definition

Frequency of revalidation.

ShortFrequency of verificationFrequency of revalidation
Control0..1
TypeTiming
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. VerificationResult.lastPerformed
Definition

The date/time validation was last completed (including failed validations).

ShortThe date/time verification was last completed (including failed verifications)The date/time validation was last completed (including failed validations)
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. VerificationResult.nextScheduled
Definition

The date when target is next validated, if appropriate.

ShortThe date when target is next verified, if appropriateThe date when target is next validated, if appropriate
Control0..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. VerificationResult.failureAction
Definition

The result if validation fails (fatal; warning; record only; none).

Shortfatal | warn | rec-only | none
Control10..1
BindingThe codes SHOULD be taken from failure-actionhttp://hl7.org/fhir/ValueSet/verificationresult-failure-action
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-failure-action)

The result if validation fails.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. VerificationResult.primarySource
Definition

Information about the primary source(s) involved in validation.

ShortInformation about the primary source(s) involved in validation
Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. VerificationResult.primarySource.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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())
32. VerificationResult.primarySource.who
Definition

Reference to the primary source.

ShortReference to the primary source
Control0..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole, Organization, Practitioner, PractitionerRole)
Is Modifierfalse
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()))
34. VerificationResult.primarySource.type
Definition

Type of primary source


Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source).

ShortType of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)
Control10..*
BindingUnless not suitable, these codes SHALL be taken from For example codes, see primary-source-typehttp://hl7.org/fhir/ValueSet/verificationresult-primary-source-type
(extensible to http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. VerificationResult.primarySource.communicationMethod
Definition

Method for communicating with the primary source (manual; API; Push).

ShortMethod for exchanging information with the primary source
Control0..*
BindingUnless not suitable, these codes SHALL be taken from For example codes, see VerificationResult Communication Methodhttp://hl7.org/fhir/ValueSet/verificationresult-communication-method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. VerificationResult.primarySource.validationStatus
Definition

Status of the validation of the target against the primary source (successful; failed; unknown).

Shortsuccessful | failed | unknown
Control0..1
BindingThe codes SHOULD be taken from validation-statushttp://hl7.org/fhir/ValueSet/verificationresult-validation-status
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-validation-status)

Status of the validation of the target against the primary source.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. VerificationResult.primarySource.validationDate
Definition

When the target was validated against the primary source.

ShortWhen the target was validated against the primary source
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. VerificationResult.primarySource.canPushUpdates
Definition

Ability of the primary source to push updates/alerts (yes; no; undetermined).

Shortyes | no | undetermined
Control0..1
BindingThe codes SHOULD be taken from can-push-updateshttp://hl7.org/fhir/ValueSet/verificationresult-can-push-updates
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates)

Ability of the primary source to push updates/alerts.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. VerificationResult.primarySource.pushTypeAvailable
Definition

Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).

Shortspecific | any | source
Control0..*
BindingThe codes SHOULD be taken from push-type-availablehttp://hl7.org/fhir/ValueSet/verificationresult-push-type-available
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-push-type-available)

Type of alerts/updates the primary source can send.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. VerificationResult.attestation
Definition

Information about the entity attesting to information.

ShortInformation about the entity attesting to information
Control10..1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. VerificationResult.attestation.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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())
50. VerificationResult.attestation.who
Definition

The individual or organization attesting to information.

ShortThe individual or organization attesting to information
Control10..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole, Practitioner, PractitionerRole, Organization)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. VerificationResult.attestation.onBehalfOf
Definition

When the who is asserting on behalf of another (organization or individual).

ShortWhen the who is asserting on behalf of another (organization or individual)
Control0..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole, Organization, Practitioner, PractitionerRole)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. VerificationResult.attestation.communicationMethod
Definition

The method by which attested information was submitted/retrieved (manual; API; Push).

ShortThe method by which attested information was submitted/retrieved
Control10..1
BindingUnless not suitable, these codes SHALL be taken from For example codes, see VerificationResult Communication Methodhttp://hl7.org/fhir/ValueSet/verificationresult-communication-method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. VerificationResult.attestation.date
Definition

The date the information was attested to.

ShortThe date the information was attested to
Control10..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. VerificationResult.attestation.sourceIdentityCertificate
Definition

A digital identity certificate associated with the attestation source.

ShortA digital identity certificate associated with the attestation source
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. VerificationResult.attestation.proxyIdentityCertificate
Definition

A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.

ShortA digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. VerificationResult.attestation.proxySignature
Definition

Signed assertion by the proxy entity indicating that they have the right to submit attested information on behalf of the attestation source.

ShortProxy signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. VerificationResult.attestation.sourceSignature
Definition

Signed assertion by the attestation source that they have attested to the information.

ShortAttester signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. VerificationResult.validator
Definition

Information about the entity validating information.

ShortInformation about the entity validating information
Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. VerificationResult.validator.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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())
70. VerificationResult.validator.organization
Definition

Reference to the organization validating information.

ShortReference to the organization validating information
Control1..1
TypeReference(NDH Base Organization Profile, Organization)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. VerificationResult.validator.identityCertificate
Definition

A digital identity certificate associated with the validator.

ShortA digital identity certificate associated with the validator
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. VerificationResult.validator.attestationSignature
Definition

Signed assertion by the validator that they have validated the information.

ShortValidator signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
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. VerificationResult
Definition

Describes Verification requirements, source(s), status and dates for one or more elements

ShortVerification
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. VerificationResult.id
Definition

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

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. VerificationResult.meta
Definition

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.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. VerificationResult.implicitRules
Definition

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.

ShortA set of rules under which this content was created
Comments

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 it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. VerificationResult.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. VerificationResult.text
Definition

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.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have 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.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. VerificationResult.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

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.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. VerificationResult.extension
Definition

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 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())
16. VerificationResult.modifierExtension
Definition

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 manageable, 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).

ShortExtensions that cannot be ignored
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

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.

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())
18. VerificationResult.target
Definition

A resource that was validated.

ShortThe resource instance was verified or attested
Control1..*
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. VerificationResult.targetLocation
Definition

The fhirpath location(s) within the resource that was validated.

ShortThe fhirpath location(s) within the resource instance that was verified or attested
Control0..*
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. VerificationResult.need
Definition

The frequency with which the target must be validated (none; initial; periodic).

Shortnone | initial | periodic
Control1..1
BindingThe codes SHOULD be taken from need
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-need)

The frequency with which the target must be validated.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. VerificationResult.status
Definition

The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).

Shortattested | validated | in-process | req-revalid | val-fail | reval-fail
Control1..1
BindingThe codes SHALL be taken from status
(required to http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.1)

The validation status of the target.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. VerificationResult.statusDate
Definition

When the validation status was updated.

ShortWhen the validation status was updated
Control1..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. VerificationResult.validationType
Definition

What the target is validated against (nothing; primary source; multiple sources).

ShortWhether the target was verified against primary source(s), mutually attested between resource(s), or nothing
Control1..1
BindingThe codes SHALL be taken from validation-type
(required to http://hl7.org/fhir/ValueSet/verificationresult-validation-type)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. VerificationResult.validationProcess
Definition

The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).

ShortThe process(es) by which the target was verified
Control1..*
BindingUnless not suitable, these codes SHALL be taken from NDH Verification Process Value Set
(extensible to http://hl7.org/fhir/us/ndh/ValueSet/NdhVerificationProcessVS)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. VerificationResult.frequency
Definition

Frequency of revalidation.

ShortFrequency of verification
Control0..1
TypeTiming
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. VerificationResult.lastPerformed
Definition

The date/time validation was last completed (including failed validations).

ShortThe date/time verification was last completed (including failed verifications)
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. VerificationResult.nextScheduled
Definition

The date when target is next validated, if appropriate.

ShortThe date when target is next verified, if appropriate
Control0..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. VerificationResult.failureAction
Definition

The result if validation fails (fatal; warning; record only; none).

Shortfatal | warn | rec-only | none
Control1..1
BindingThe codes SHOULD be taken from failure-action
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-failure-action)

The result if validation fails.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. VerificationResult.primarySource
Definition

Information about the primary source(s) involved in validation.

ShortInformation about the primary source(s) involved in validation
Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. VerificationResult.primarySource.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
44. VerificationResult.primarySource.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())
46. VerificationResult.primarySource.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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. VerificationResult.primarySource.who
Definition

Reference to the primary source.

ShortReference to the primary source
Control0..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Is Modifierfalse
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()))
50. VerificationResult.primarySource.type
Definition

Type of primary source

ShortType of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)
Control1..*
BindingUnless not suitable, these codes SHALL be taken from primary-source-type
(extensible to http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. VerificationResult.primarySource.communicationMethod
Definition

Method for communicating with the primary source (manual; API; Push).

ShortMethod for exchanging information with the primary source
Control0..*
BindingUnless not suitable, these codes SHALL be taken from VerificationResult Communication Method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. VerificationResult.primarySource.validationStatus
Definition

Status of the validation of the target against the primary source (successful; failed; unknown).

Shortsuccessful | failed | unknown
Control0..1
BindingThe codes SHOULD be taken from validation-status
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-validation-status)

Status of the validation of the target against the primary source.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. VerificationResult.primarySource.validationDate
Definition

When the target was validated against the primary source.

ShortWhen the target was validated against the primary source
Control0..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. VerificationResult.primarySource.canPushUpdates
Definition

Ability of the primary source to push updates/alerts (yes; no; undetermined).

Shortyes | no | undetermined
Control0..1
BindingThe codes SHOULD be taken from can-push-updates
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates)

Ability of the primary source to push updates/alerts.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. VerificationResult.primarySource.pushTypeAvailable
Definition

Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).

Shortspecific | any | source
Control0..*
BindingThe codes SHOULD be taken from push-type-available
(preferred to http://hl7.org/fhir/ValueSet/verificationresult-push-type-available)

Type of alerts/updates the primary source can send.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. VerificationResult.attestation
Definition

Information about the entity attesting to information.

ShortInformation about the entity attesting to information
Control1..1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. VerificationResult.attestation.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
66. VerificationResult.attestation.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())
68. VerificationResult.attestation.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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())
70. VerificationResult.attestation.who
Definition

The individual or organization attesting to information.

ShortThe individual or organization attesting to information
Control1..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. VerificationResult.attestation.onBehalfOf
Definition

When the who is asserting on behalf of another (organization or individual).

ShortWhen the who is asserting on behalf of another (organization or individual)
Control0..1
TypeReference(NDH Base Organization Profile, NDH Base Practitioner Profile, NDH Base PractitionerRole)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. VerificationResult.attestation.communicationMethod
Definition

The method by which attested information was submitted/retrieved (manual; API; Push).

ShortThe method by which attested information was submitted/retrieved
Control1..1
BindingUnless not suitable, these codes SHALL be taken from VerificationResult Communication Method
(extensible to http://terminology.hl7.org/ValueSet/verificationresult-communication-method)
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. VerificationResult.attestation.date
Definition

The date the information was attested to.

ShortThe date the information was attested to
Control1..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. VerificationResult.attestation.sourceIdentityCertificate
Definition

A digital identity certificate associated with the attestation source.

ShortA digital identity certificate associated with the attestation source
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. VerificationResult.attestation.proxyIdentityCertificate
Definition

A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.

ShortA digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. VerificationResult.attestation.proxySignature
Definition

Signed assertion by the proxy entity indicating that they have the right to submit attested information on behalf of the attestation source.

ShortProxy signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. VerificationResult.attestation.sourceSignature
Definition

Signed assertion by the attestation source that they have attested to the information.

ShortAttester signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. VerificationResult.validator
Definition

Information about the entity validating information.

ShortInformation about the entity validating information
Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. VerificationResult.validator.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
90. VerificationResult.validator.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())
92. VerificationResult.validator.modifierExtension
Definition

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).

ShortExtensions that cannot be ignored even if unrecognized
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 Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
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())
94. VerificationResult.validator.organization
Definition

Reference to the organization validating information.

ShortReference to the organization validating information
Control1..1
TypeReference(NDH Base Organization Profile)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. VerificationResult.validator.identityCertificate
Definition

A digital identity certificate associated with the validator.

ShortA digital identity certificate associated with the validator
Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. VerificationResult.validator.attestationSignature
Definition

Signed assertion by the validator that they have validated the information.

ShortValidator signature
Control0..1
TypeSignature
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))