National Directory of Healthcare Providers & Services (NDH) Implementation Guide
2.0.0-current - ci-build

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 2.0.0-current 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

Page standards status: Trial-use | Maturity Level: 4

Definitions for the ndh-Verification resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

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.
Short | VerificationDescribes validation requirements, source(s), status and dates for one or more elements
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-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.
Short | A 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.
Control | 0..1
Type | uri
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. VerificationResult.extension
Definition | An Extension 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.
Short | ExtensionAdditional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `VerificationResult.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. VerificationResult.extension:cms-enrollment-in-good-standing
Slice Name | cms-enrollment-in-good-standing
Definition | Indicates that this artifact is enrolled in CMS and in good standing.
Short | CMS Enrollment In Good Standing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NDH CMS Enrollment In Good Standing) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. VerificationResult.extension:cms-ial2-verified
Slice Name | cms-ial2-verified
Definition | Indicates that this artifact has been IAL2 verified by CMS.
Short | CMS IAL2 Verified
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NDH CMS IAL2 Verified) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
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 Names | extensions, user content
Invariants | ele-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())
12. VerificationResult.target
Definition | A resource that was validated.
Short | The resource instance was verified or attestedA resource that was validated
Control | 10..*
Type | Reference(Resource)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. VerificationResult.targetLocation
Definition | The fhirpath location(s) within the resource that was validated.
Short | The fhirpath location(s) within the resource instance that was verified or attestedThe fhirpath location(s) within the resource that was validated
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. VerificationResult.need
Definition | The frequency with which the target must be validated (none; initial; periodic).
Short | none | initial | periodic
Control | 10..1
Binding | The codes SHOULD be taken from need http://hl7.org/fhir/ValueSet/verificationresult-need|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-need|4.0.1` ) The frequency with which the target must be validated.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. VerificationResult.status
Definition | The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).
Short | attested | validated | in-process | req-revalid | val-fail | reval-fail
Control | 1..1
Binding | The codes SHALL be taken from status http://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.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. VerificationResult.statusDate
Definition | When the validation status was updated.
Short | When the validation status was updated
Control | 10..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. VerificationResult.validationType
Definition | What the target is validated against (nothing; primary source; multiple sources).
Short | Whether the target was verified against primary source(s), mutually attested between resource(s), or nothingnothing | primary | multiple
Control | 10..1
Binding | The codes SHALL be taken from The codes SHOULD be taken from validation-type http://hl7.org/fhir/ValueSet/verificationresult-validation-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/verificationresult-validation-type` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. VerificationResult.validationProcess
Definition | The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).
Short | The 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)
Control | 10..*
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see NDH Verification Process Value Set http://hl7.org/fhir/ValueSet/verificationresult-validation-process|4.0.1 (extensible to `http://hl7.org/fhir/us/ndh/ValueSet/VerificationProcessVS` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. VerificationResult.frequency
Definition | Frequency of revalidation.
Short | Frequency of verificationFrequency of revalidation
Control | 0..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. VerificationResult.lastPerformed
Definition | The date/time validation was last completed (including failed validations).
Short | The date/time verification was last completed (including failed verifications)The date/time validation was last completed (including failed validations)
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. VerificationResult.nextScheduled
Definition | The date when target is next validated, if appropriate.
Short | The date when target is next verified, if appropriateThe date when target is next validated, if appropriate
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. VerificationResult.failureAction
Definition | The result if validation fails (fatal; warning; record only; none).
Short | fatal | warn | rec-only | none
Control | 10..1
Binding | The codes SHOULD be taken from failure-action http://hl7.org/fhir/ValueSet/verificationresult-failure-action|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-failure-action|4.0.1` ) The result if validation fails.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. VerificationResult.primarySource
Definition | Information about the primary source(s) involved in validation.
Short | Information about the primary source(s) involved in validation
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
38. VerificationResult.primarySource.who
Definition | Reference to the primary source.
Short | Reference to the primary source
Control | 0..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole, Organization, Practitioner, PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. 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).
Short | Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)
Control | 10..*
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see primary-source-type http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. VerificationResult.primarySource.communicationMethod
Definition | Method for communicating with the primary source (manual; API; Push).
Short | Method for exchanging information with the primary source
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see VerificationResult_communication_method (1.0.0)http://hl7.org/fhir/ValueSet/verificationresult-communication-method|4.0.1 (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. VerificationResult.primarySource.validationStatus
Definition | Status of the validation of the target against the primary source (successful; failed; unknown).
Short | successful | failed | unknown
Control | 0..1
Binding | The codes SHOULD be taken from validation-status http://hl7.org/fhir/ValueSet/verificationresult-validation-status|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-validation-status|4.0.1` ) Status of the validation of the target against the primary source.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. VerificationResult.primarySource.validationDate
Definition | When the target was validated against the primary source.
Short | When the target was validated against the primary source
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. VerificationResult.primarySource.canPushUpdates
Definition | Ability of the primary source to push updates/alerts (yes; no; undetermined).
Short | yes | no | undetermined
Control | 0..1
Binding | The codes SHOULD be taken from can-push-updates http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates|4.0.1` ) Ability of the primary source to push updates/alerts.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. VerificationResult.primarySource.pushTypeAvailable
Definition | Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).
Short | specific | any | source
Control | 0..*
Binding | The codes SHOULD be taken from push-type-available http://hl7.org/fhir/ValueSet/verificationresult-push-type-available|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-push-type-available|4.0.1` ) Type of alerts/updates the primary source can send.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. VerificationResult.attestation
Definition | Information about the entity attesting to information.
Short | Information about the entity attesting to information
Control | 10..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
56. VerificationResult.attestation.who
Definition | The individual or organization attesting to information.
Short | The individual or organization attesting to information
Control | 10..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole, Practitioner, PractitionerRole, Organization)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. VerificationResult.attestation.onBehalfOf
Definition | When the who is asserting on behalf of another (organization or individual).
Short | When the who is asserting on behalf of another (organization or individual)
Control | 0..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole, Organization, Practitioner, PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. VerificationResult.attestation.communicationMethod
Definition | The method by which attested information was submitted/retrieved (manual; API; Push).
Short | The method by which attested information was submitted/retrieved
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see VerificationResult_communication_method (1.0.0)http://hl7.org/fhir/ValueSet/verificationresult-communication-method|4.0.1 (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. VerificationResult.attestation.date
Definition | The date the information was attested to.
Short | The date the information was attested to
Control | 10..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. VerificationResult.attestation.sourceIdentityCertificate
Definition | A digital identity certificate associated with the attestation source.
Short | A digital identity certificate associated with the attestation source
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. VerificationResult.attestation.proxyIdentityCertificate
Definition | A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.
Short | A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. 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.
Short | Proxy signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. VerificationResult.attestation.sourceSignature
Definition | Signed assertion by the attestation source that they have attested to the information.
Short | Attester signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. VerificationResult.validator
Definition | Information about the entity validating information.
Short | Information about the entity validating information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
76. VerificationResult.validator.organization
Definition | Reference to the organization validating information.
Short | Reference to the organization validating information
Control | 1..1
Type | Reference(NDH Organization Profile, Organization)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. VerificationResult.validator.identityCertificate
Definition | A digital identity certificate associated with the validator.
Short | A digital identity certificate associated with the validator
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. VerificationResult.validator.attestationSignature
Definition | Signed assertion by the validator that they have validated the information.
Short | Validator signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-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 foundhere

0. VerificationResult
Definition | Describes Verification requirements, source(s), status and dates for one or more elements
Short | Verification
2. VerificationResult.extension
Slicing | This element introduces a set of slices on `VerificationResult.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. VerificationResult.extension:cms-enrollment-in-good-standing
Slice Name | cms-enrollment-in-good-standing
Short | CMS Enrollment In Good Standing
Control | 0..1
Type | Extension(NDH CMS Enrollment In Good Standing) (Extension Type: boolean)
6. VerificationResult.extension:cms-ial2-verified
Slice Name | cms-ial2-verified
Short | CMS IAL2 Verified
Control | 0..1
Type | Extension(NDH CMS IAL2 Verified) (Extension Type: boolean)
8. VerificationResult.target
Short | The resource instance was verified or attested
Control | 1..?
Must Support | true
10. VerificationResult.targetLocation
Short | The fhirpath location(s) within the resource instance that was verified or attested
Must Support | true
12. VerificationResult.need
Control | 1..?
Must Support | true
14. VerificationResult.status
Must Support | true
16. VerificationResult.statusDate
Control | 1..?
Must Support | true
18. VerificationResult.validationType
Short | Whether the target was verified against primary source(s), mutually attested between resource(s), or nothing
Control | 1..?
Binding | The codes SHALL be taken from validation-type (required to `http://hl7.org/fhir/ValueSet/verificationresult-validation-type` )
Must Support | true
20. VerificationResult.validationProcess
Short | The process(es) by which the target was verified
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from NDH Verification Process Value Set (extensible to `http://hl7.org/fhir/us/ndh/ValueSet/VerificationProcessVS` )
Must Support | true
22. VerificationResult.frequency
Short | Frequency of verification
Must Support | true
24. VerificationResult.lastPerformed
Short | The date/time verification was last completed (including failed verifications)
Must Support | true
26. VerificationResult.nextScheduled
Short | The date when target is next verified, if appropriate
Must Support | true
28. VerificationResult.failureAction
Control | 1..?
Must Support | true
30. VerificationResult.primarySource
Must Support | true
32. VerificationResult.primarySource.who
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
34. VerificationResult.primarySource.type
Definition | Type of primary source
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from primary-source-type (extensible to `http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type` )
Must Support | true
36. VerificationResult.primarySource.communicationMethod
Binding | Unless not suitable, these codes SHALL be taken from VerificationResult_communication_method (1.0.0) (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Must Support | true
38. VerificationResult.primarySource.validationStatus
Must Support | true
40. VerificationResult.primarySource.validationDate
Must Support | true
42. VerificationResult.primarySource.canPushUpdates
Must Support | true
44. VerificationResult.primarySource.pushTypeAvailable
Must Support | true
46. VerificationResult.attestation
Control | 1..?
Must Support | true
48. VerificationResult.attestation.who
Control | 1..?
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
50. VerificationResult.attestation.onBehalfOf
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
52. VerificationResult.attestation.communicationMethod
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from VerificationResult_communication_method (1.0.0) (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Must Support | true
54. VerificationResult.attestation.date
Control | 1..?
Must Support | true
56. VerificationResult.attestation.sourceIdentityCertificate
Must Support | true
58. VerificationResult.attestation.proxyIdentityCertificate
Must Support | true
60. VerificationResult.attestation.proxySignature
Must Support | true
62. VerificationResult.attestation.sourceSignature
Must Support | true
64. VerificationResult.validator
Must Support | true
66. VerificationResult.validator.organization
Type | Reference(NDH Organization Profile)
Must Support | true
68. VerificationResult.validator.identityCertificate
Must Support | true
70. VerificationResult.validator.attestationSignature
Must Support | true

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

0. VerificationResult
Definition | Describes Verification requirements, source(s), status and dates for one or more elements
Short | Verification
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-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.
Short | Logical 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.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
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.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-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.
Short | A 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.
Control | 0..1
Type | uri
Is Modifier | true 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 Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-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.
Short | Language 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).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-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.
Short | Text 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.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-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.
Short | Contained, 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.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. VerificationResult.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `VerificationResult.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. VerificationResult.extension:cms-enrollment-in-good-standing
Slice Name | cms-enrollment-in-good-standing
Definition | Indicates that this artifact is enrolled in CMS and in good standing.
Short | CMS Enrollment In Good Standing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NDH CMS Enrollment In Good Standing) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-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.extension:cms-ial2-verified
Slice Name | cms-ial2-verified
Definition | Indicates that this artifact has been IAL2 verified by CMS.
Short | CMS IAL2 Verified
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(NDH CMS IAL2 Verified) (Extension Type: boolean)
Is Modifier | false
Summary | false
Invariants | ele-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()`)
20. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
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 Names | extensions, user content
Invariants | ele-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()`)
22. VerificationResult.target
Definition | A resource that was validated.
Short | The resource instance was verified or attested
Control | 1..*
Type | Reference(Resource)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. VerificationResult.targetLocation
Definition | The fhirpath location(s) within the resource that was validated.
Short | The fhirpath location(s) within the resource instance that was verified or attested
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. VerificationResult.need
Definition | The frequency with which the target must be validated (none; initial; periodic).
Short | none | initial | periodic
Control | 1..1
Binding | The codes SHOULD be taken from need (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-need|4.0.1` ) The frequency with which the target must be validated.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. VerificationResult.status
Definition | The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).
Short | attested | validated | in-process | req-revalid | val-fail | reval-fail
Control | 1..1
Binding | The codes SHALL be taken from status (required to `http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.1` ) The validation status of the target.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. VerificationResult.statusDate
Definition | When the validation status was updated.
Short | When the validation status was updated
Control | 1..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. VerificationResult.validationType
Definition | What the target is validated against (nothing; primary source; multiple sources).
Short | Whether the target was verified against primary source(s), mutually attested between resource(s), or nothing
Control | 1..1
Binding | The codes SHALL be taken from validation-type (required to `http://hl7.org/fhir/ValueSet/verificationresult-validation-type` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. VerificationResult.validationProcess
Definition | The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).
Short | The process(es) by which the target was verified
Control | 1..*
Binding | Unless not suitable, these codes SHALL be taken from NDH Verification Process Value Set (extensible to `http://hl7.org/fhir/us/ndh/ValueSet/VerificationProcessVS` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. VerificationResult.frequency
Definition | Frequency of revalidation.
Short | Frequency of verification
Control | 0..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. VerificationResult.lastPerformed
Definition | The date/time validation was last completed (including failed validations).
Short | The date/time verification was last completed (including failed verifications)
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. VerificationResult.nextScheduled
Definition | The date when target is next validated, if appropriate.
Short | The date when target is next verified, if appropriate
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. VerificationResult.failureAction
Definition | The result if validation fails (fatal; warning; record only; none).
Short | fatal | warn | rec-only | none
Control | 1..1
Binding | The codes SHOULD be taken from failure-action (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-failure-action|4.0.1` ) The result if validation fails.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. VerificationResult.primarySource
Definition | Information about the primary source(s) involved in validation.
Short | Information about the primary source(s) involved in validation
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
48. 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
52. VerificationResult.primarySource.who
Definition | Reference to the primary source.
Short | Reference to the primary source
Control | 0..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. VerificationResult.primarySource.type
Definition | Type of primary source
Short | Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)
Control | 1..*
Binding | Unless not suitable, these codes SHALL be taken from primary-source-type (extensible to `http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. VerificationResult.primarySource.communicationMethod
Definition | Method for communicating with the primary source (manual; API; Push).
Short | Method for exchanging information with the primary source
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from VerificationResult_communication_method (1.0.0) (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. VerificationResult.primarySource.validationStatus
Definition | Status of the validation of the target against the primary source (successful; failed; unknown).
Short | successful | failed | unknown
Control | 0..1
Binding | The codes SHOULD be taken from validation-status (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-validation-status|4.0.1` ) Status of the validation of the target against the primary source.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. VerificationResult.primarySource.validationDate
Definition | When the target was validated against the primary source.
Short | When the target was validated against the primary source
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. VerificationResult.primarySource.canPushUpdates
Definition | Ability of the primary source to push updates/alerts (yes; no; undetermined).
Short | yes | no | undetermined
Control | 0..1
Binding | The codes SHOULD be taken from can-push-updates (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates|4.0.1` ) Ability of the primary source to push updates/alerts.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. VerificationResult.primarySource.pushTypeAvailable
Definition | Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).
Short | specific | any | source
Control | 0..*
Binding | The codes SHOULD be taken from push-type-available (preferred to `http://hl7.org/fhir/ValueSet/verificationresult-push-type-available|4.0.1` ) Type of alerts/updates the primary source can send.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. VerificationResult.attestation
Definition | Information about the entity attesting to information.
Short | Information about the entity attesting to information
Control | 1..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
70. 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
72. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
74. VerificationResult.attestation.who
Definition | The individual or organization attesting to information.
Short | The individual or organization attesting to information
Control | 1..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. VerificationResult.attestation.onBehalfOf
Definition | When the who is asserting on behalf of another (organization or individual).
Short | When the who is asserting on behalf of another (organization or individual)
Control | 0..1
Type | Reference(NDH Organization Profile, NDH Practitioner Profile, NDH PractitionerRole)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. VerificationResult.attestation.communicationMethod
Definition | The method by which attested information was submitted/retrieved (manual; API; Push).
Short | The method by which attested information was submitted/retrieved
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from VerificationResult_communication_method (1.0.0) (extensible to `http://terminology.hl7.org/ValueSet/verificationresult-communication-method|1.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. VerificationResult.attestation.date
Definition | The date the information was attested to.
Short | The date the information was attested to
Control | 1..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. VerificationResult.attestation.sourceIdentityCertificate
Definition | A digital identity certificate associated with the attestation source.
Short | A digital identity certificate associated with the attestation source
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. VerificationResult.attestation.proxyIdentityCertificate
Definition | A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.
Short | A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. 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.
Short | Proxy signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. VerificationResult.attestation.sourceSignature
Definition | Signed assertion by the attestation source that they have attested to the information.
Short | Attester signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. VerificationResult.validator
Definition | Information about the entity validating information.
Short | Information about the entity validating information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. 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.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
94. 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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
96. 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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
98. VerificationResult.validator.organization
Definition | Reference to the organization validating information.
Short | Reference to the organization validating information
Control | 1..1
Type | Reference(NDH Organization Profile)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. VerificationResult.validator.identityCertificate
Definition | A digital identity certificate associated with the validator.
Short | A digital identity certificate associated with the validator
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. VerificationResult.validator.attestationSignature
Definition | Signed assertion by the validator that they have validated the information.
Short | Validator signature
Control | 0..1
Type | Signature
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)