| Left: | SNOMED Change Set (CodeSystem) (http://hl7.org/fhir/uv/termchangeset/StructureDefinition/snomed-changeset-profile) |
| Right: | SNOMED CT Change Set (CodeSystem) (http://hl7.org/fhir/uv/termchangeset/StructureDefinition/snomed-changeset-profile) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0-ballot' vs '1.0.0' |
| Information | StructureDefinition.name | Values for name differ: 'SNOMEDChangeSet' vs 'SNOMEDCTChangeSet' |
| Information | StructureDefinition.title | Values for title differ: 'SNOMED Change Set (CodeSystem)' vs 'SNOMED CT Change Set (CodeSystem)' |
| Information | StructureDefinition.date | Values for date differ: '2024-08-14T14:53:44+00:00' vs '2026-04-09T19:24:37+00:00' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/uv/termchangeset/StructureDefinition/changeset-profile' vs 'http://hl7.org/fhir/uv/termchangeset/StructureDefinition/codesystem-change-set' |
| Information | CodeSystem.language | Example/preferred bindings differ at CodeSystem.language using binding from SNOMEDChangeSet |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'If code comparison is case sensitive' vs 'NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, caseSensitive should not be included.' |
| Information | CodeSystem.caseSensitive | Element maximum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'NOTE: As a terminology change set should not be fundamentally altering the design and operation of the terminology as a whole, the hierarchyMeaning, if included, should be consistent with the value provided for a CodeSystem representing the entire terminology.' vs 'NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, hierarchyMeaning should not be included.' |
| Information | CodeSystem.hierarchyMeaning | Element maximum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'If code system defines a compositional grammar' vs 'NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, compositional should not be included.' |
| Information | CodeSystem.compositional | Element maximum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'Property values should follow the SNOMED-specific guidance available here: https://terminology.hl7.org/SNOMEDCT.html#snomed-ct-properties' vs 'Property values should follow the SNOMED CT-specific guidance available here: https://terminology.hl7.org/SNOMEDCT.html#snomed-ct-properties' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'Extensions that cannot be ignored even if unrecognized' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: '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).' vs 'An Extension' |
| Information | CodeSystem.concept.designation.language | Example/preferred bindings differ at CodeSystem.concept.designation.language using binding from SNOMEDChangeSet |
| Information | StructureDefinition.comment | Values for comment differ: 'For Terminology change sets, relationships to child concepts should be done through concept.property values, not concept.concept elements' vs 'For CodeSystem Change Sets, relationships to child concepts should be done through concept.property values, not concept.concept elements' |
| Name | Value | Comments | |
|---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/uv/termchangeset/StructureDefinition/changeset-profile | http://hl7.org/fhir/uv/termchangeset/StructureDefinition/codesystem-change-set |
|
copyright | |||
date | 2024-08-14T14:53:44+00:00 | 2026-04-09T19:24:37+00:00 |
|
description | Profile of CodeSystem to enable lossless representation of a SNOMED change set aligned with Tinkar information model requirements. This profile is a specialization of the broader Terminology Change Set profile. | Profile of CodeSystem to enable lossless representation of a SNOMED CT change set aligned with Tinkar information model requirements. This profile is a specialization of the broader CodeSystem Change Set profile. |
|
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
![]() jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
kind | resource | ||
name | SNOMEDChangeSet | SNOMEDCTChangeSet |
|
publisher | HL7 International / Terminology Infrastructure | ||
purpose | |||
status | draft | ||
title | SNOMED Change Set (CodeSystem) | SNOMED CT Change Set (CodeSystem) |
|
type | CodeSystem | ||
url | http://hl7.org/fhir/uv/termchangeset/StructureDefinition/snomed-changeset-profile | ||
version | 1.0.0-ballot | 1.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]() | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | C | 1..1 | ChangeSet | Declares the existence of and describes a code system or code system supplement | C | 1..1 | CodeSystemChangeSet | Declares the existence of and describes a code system or code system supplement | |||||||||
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
|
| ||||||||||
![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
![]() ![]() | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system). NOTE: Where not specified by an SDO-specific policy (such as SNOMED’s extension process), change sets associated with locally-maintained extensions should include a url clearly identifying the extension as published under the implementer’s authority, and not the SDO. | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system). NOTE: Where not specified by an SDO-specific policy (such as SNOMED’s extension process), change sets associated with locally-maintained extensions should include a url clearly identifying the extension as published under the implementer’s authority, and not the SDO. | |||||||||
![]() ![]() | Σ | 1..1 | Identifier | Additional identifier for the code system (business identifier) | Σ | 1..1 | Identifier | Additional identifier for the code system (business identifier) | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | |||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
![]() ![]() ![]() | Σ | 0..1 | string | The value that is unique Example General: 123456 | Σ | 0..1 | string | The value that is unique Example General: 123456 | |||||||||
![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | Σ | 0..1 | Period | Time period when id is/was valid for use | |||||||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
![]() ![]() | Σ | 1..1 | string | Business version of the code system (Coding.version). NOTE: where not specified by an SDO-specific policy, it is recommended that implementers consider aligning to HL7 terminology versioning approach. | Σ | 1..1 | string | Business version of the code system (Coding.version). NOTE: where not specified by an SDO-specific policy, it is recommended that implementers consider aligning to HL7 terminology versioning approach. | |||||||||
![]() ![]() | ΣC | 1..1 | string | Name for this code system (computer friendly). Should clearly identify the CodeSystem as a Change Set and ideally convey both the source terminology from which it was derived and a notion of its contents. | ΣC | 1..1 | string | Name for this code system (computer friendly). Should clearly identify the CodeSystem as a Change Set and ideally convey both the source terminology from which it was derived and a notion of its contents. | |||||||||
![]() ![]() | Σ | 1..1 | string | Name for this code system (human friendly). Should clearly identify the CodeSystem as a Change Set and ideally convey both the source terminology from which it was derived and a notion of its contents. | Σ | 1..1 | string | Name for this code system (human friendly). Should clearly identify the CodeSystem as a Change Set and ideally convey both the source terminology from which it was derived and a notion of its contents. | |||||||||
![]() ![]() | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | |||||||||
![]() ![]() | Σ | 1..1 | boolean | For testing purposes, not real usage | Σ | 1..1 | boolean | For testing purposes, not real usage | |||||||||
![]() ![]() | Σ | 0..1 | dateTime | Date last changed | Σ | 0..1 | dateTime | Date last changed | |||||||||
![]() ![]() | Σ | 1..1 | string | Name of the publisher (organization or individual) | Σ | 1..1 | string | Name of the publisher (organization or individual) | |||||||||
![]() ![]() | Σ | 0..* | ContactDetail | Contact details for the publisher | Σ | 0..* | ContactDetail | Contact details for the publisher | |||||||||
![]() ![]() | 1..1 | markdown | Natural language description of the code system. Should provide a robust inventory of the contents of the Change Set | 1..1 | markdown | Natural language description of the code system. Should provide a robust inventory of the contents of the Change Set | |||||||||||
![]() ![]() | Σ | 0..* | UsageContext | The context that the content is intended to support | Σ | 0..* | UsageContext | The context that the content is intended to support | |||||||||
![]() ![]() | Σ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. | Σ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. | |||||||||
![]() ![]() | 0..1 | markdown | Why this code system is defined | 0..1 | markdown | Why this code system is defined | |||||||||||
![]() ![]() | 1..1 | markdown | Use and/or publishing restrictions | 1..1 | markdown | Use and/or publishing restrictions | |||||||||||
![]() ![]() | Σ | 0..1 | boolean | If code comparison is case sensitive | Σ | 0..0 | NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, caseSensitive should not be included. |
| |||||||||
![]() ![]() | Σ | 0..1 | canonical(ValueSet) | Canonical reference to the value set with entire code system | Σ | 0..1 | canonical(ValueSet) | Canonical reference to the value set with entire code system | |||||||||
![]() ![]() | Σ | 0..1 | code | NOTE: As a terminology change set should not be fundamentally altering the design and operation of the terminology as a whole, the hierarchyMeaning, if included, should be consistent with the value provided for a CodeSystem representing the entire terminology. Binding: ?? (required): The meaning of the hierarchy of concepts in a code system. | Σ | 0..0 | NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, hierarchyMeaning should not be included. Binding: ?? (required): The meaning of the hierarchy of concepts in a code system. |
| |||||||||
![]() ![]() | Σ | 0..1 | boolean | If code system defines a compositional grammar | Σ | 0..0 | NOTE: As a CodeSystem Change Set should not be fundamentally altering the design and operation of the terminology as a whole therefore, compositional should not be included. |
| |||||||||
![]() ![]() | Σ | 0..1 | boolean | If definitions are not stable | Σ | 0..1 | boolean | If definitions are not stable | |||||||||
![]() ![]() | Σ | 1..1 | code | Change Set CodeSystem resources are most appropriately described as a FRAGMENT Binding: ?? (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. Fixed Value: fragment | Σ | 1..1 | code | Change Set CodeSystem resources are most appropriately described as a FRAGMENT Binding: ?? (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. Fixed Value: fragment | |||||||||
![]() ![]() | Σ | 0..0 | The source terminology from which the Change Set was derived should be conveyed via a Provenance resource, not CodeSystem.supplements | Σ | 0..0 | The source terminology from which the Change Set was derived should be conveyed via a Provenance resource, not CodeSystem.supplements | |||||||||||
![]() ![]() | Σ | 0..1 | unsignedInt | Total concepts in the code system | Σ | 0..1 | unsignedInt | Total concepts in the code system | |||||||||
![]() ![]() | Σ | 0..* | BackboneElement | Filter that can be used in a value set | Σ | 0..* | BackboneElement | Filter that can be used in a value set | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | Σ | 1..1 | code | Code that identifies the filter | Σ | 1..1 | code | Code that identifies the filter | |||||||||
![]() ![]() ![]() | Σ | 0..1 | string | How or why the filter is used | Σ | 0..1 | string | How or why the filter is used | |||||||||
![]() ![]() ![]() | Σ | 1..* | code | = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: ?? (required): The kind of operation to perform as a part of a property based filter. | Σ | 1..* | code | = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: ?? (required): The kind of operation to perform as a part of a property based filter. | |||||||||
![]() ![]() ![]() | Σ | 1..1 | string | What to use for the value | Σ | 1..1 | string | What to use for the value | |||||||||
![]() ![]() | SΣ | 0..* | BackboneElement | Property values should follow the SNOMED-specific guidance available here: https://terminology.hl7.org/SNOMEDCT.html#snomed-ct-properties Slice: Unordered, Open by value:code | SΣ | 0..* | BackboneElement | Property values should follow the SNOMED CT-specific guidance available here: https://terminology.hl7.org/SNOMEDCT.html#snomed-ct-properties Slice: Unordered, Open by value:code | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | Σ | 1..1 | code | Identifies the property on the concepts, and when referred to in operations | Σ | 1..1 | code | Identifies the property on the concepts, and when referred to in operations | |||||||||
![]() ![]() ![]() | Σ | 0..1 | uri | Formal identifier for the property | Σ | 0..1 | uri | Formal identifier for the property | |||||||||
![]() ![]() ![]() | SΣ | 0..1 | string | Why the property is defined, and/or what it conveys | SΣ | 0..1 | string | Why the property is defined, and/or what it conveys | |||||||||
![]() ![]() ![]() | Σ | 1..1 | code | code | Coding | string | integer | boolean | dateTime Binding: ?? (required): The type of a property value. | Σ | 1..1 | code | code | Coding | string | integer | boolean | dateTime Binding: ?? (required): The type of a property value. | |||||||||
![]() ![]() | 1..* | BackboneElement | Concepts in the change set for the code system | 1..* | BackboneElement | Concepts in the change set for the code system | |||||||||||
![]() ![]() ![]() | 0..1 | string | Unique internal identifier maintained by the entity distributing the change set for the concept represented by the terminology-specific concept.code | 0..1 | string | Unique internal identifier maintained by the entity distributing the change set for the concept represented by the terminology-specific concept.code | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | 1..1 | code | Code that identifies concept | 1..1 | code | Code that identifies concept | |||||||||||
![]() ![]() ![]() | 1..1 | string | Text to display to the user representing the concept | 1..1 | string | Text to display to the user representing the concept | |||||||||||
![]() ![]() ![]() | 1..1 | string | Formal definition | 1..1 | string | Formal definition | |||||||||||
![]() ![]() ![]() | 0..* | BackboneElement | Additional representations for the concept | 0..* | BackboneElement | Additional representations for the concept | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 2..* | Extension | Extension Slice: Unordered, Open by value:url | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
![]() ![]() ![]() ![]() | 0..1 | code | Human language of the designation Binding: ?? (preferred): A human language.
| 0..1 | code | Human language of the designation Binding: ?? (preferred): A human language.
|
| ||||||||||
![]() ![]() ![]() ![]() | 0..1 | Coding | Details how this designation would be used Binding: ?? (extensible): Details of how a designation would be used. | 0..1 | Coding | Details how this designation would be used Binding: ?? (extensible): Details of how a designation would be used. | |||||||||||
![]() ![]() ![]() ![]() | 1..1 | string | The text value for this designation | 1..1 | string | The text value for this designation | |||||||||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Property value for the concept Slice: Unordered, Open by value:code | S | 0..* | BackboneElement | Property value for the concept Slice: Unordered, Open by value:code | |||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 2..* | Extension | Extension Slice: Unordered, Open by value:url | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() | 1..1 | code | Reference to CodeSystem.property.code | 1..1 | code | Reference to CodeSystem.property.code | |||||||||||
![]() ![]() ![]() ![]() | 1..1 | code, Coding, string, integer, boolean, dateTime, decimal | Value of the property for this concept | 1..1 | code, Coding, string, integer, boolean, dateTime, decimal | Value of the property for this concept | |||||||||||
![]() ![]() ![]() | 0..0 | Child Concepts (is-a/contains/categorizes) | 0..0 | Child Concepts (is-a/contains/categorizes) | |||||||||||||
Documentation for this format | |||||||||||||||||