Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 United States of America flag

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vrdr/ and changes regularly. See the Directory of published versions

Resource Profile: CodingStatusValues - Detailed Descriptions

Active as of 2025-01-10

Definitions for the vrdr-coding-status-values resource profile.

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

0. Parameters
Definition

This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.

ShortOperation Request or Response
Comments

The parameters that may be used are defined by the OperationDefinition resource.

Control0..*
Is Modifierfalse
Summaryfalse
2. Parameters.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

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

A parameter passed to or received from the operation.

ShortOperation Parameter
Control0..*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
SlicingThis element introduces a set of slices on Parameters.parameter. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ name
  • 6. Parameters.parameter.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Parameters.parameter.name
    Definition

    The name of the parameter (reference to the operation definition).

    ShortName from the definition
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Parameters.parameter:shipmentNumber
    Slice NameshipmentNumber
    Definition

    shipment number


    A parameter passed to or received from the operation.

    Shortshipment numberOperation Parameter
    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
    inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
    12. Parameters.parameter:shipmentNumber.extension
    Definition

    An Extension


    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.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Parameters.parameter:shipmentNumber.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Parameters.parameter:shipmentNumber.name
    Definition

    The name of the parameter (reference to the operation definition).

    ShortName from the definition
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Pattern ValueshipmentNumber
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Parameters.parameter:shipmentNumber.value[x]
    Definition

    If the parameter is a data type.

    ShortIf parameter is a data type
    Control10..1
    This element is affected by the following invariants: inv-1
    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Parameters.parameter:shipmentNumber.resource
    Definition

    If the parameter is a whole resource.

    ShortIf parameter is a whole resource
    Comments

    When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

    Control0..01
    This element is affected by the following invariants: inv-1
    TypeResource
    Is Modifierfalse
    Summarytrue
    22. Parameters.parameter:shipmentNumber.part
    Definition

    A named part of a multi-part parameter.

    ShortNamed part of a multi-part parameter
    Comments

    Only one level of nested parameters is allowed.

    Control0..0*
    TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Parameters.parameter:receiptDate
    Slice NamereceiptDate
    Definition

    receipt date


    A parameter passed to or received from the operation.

    Shortreceipt dateOperation Parameter
    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
    inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
    26. Parameters.parameter:receiptDate.extension
    Definition

    An Extension


    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.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. Parameters.parameter:receiptDate.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. Parameters.parameter:receiptDate.name
    Definition

    The name of the parameter (reference to the operation definition).

    ShortName from the definition
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Pattern ValuereceiptDate
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Parameters.parameter:receiptDate.value[x]
    Definition

    If the parameter is a data type.

    ShortIf parameter is a data type
    Control10..1
    This element is affected by the following invariants: inv-1
    Typedate, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Parameters.parameter:receiptDate.value[x].extension
    Definition

    An Extension


    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.

    ShortExtensionAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Parameters.parameter.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 36. Parameters.parameter:receiptDate.value[x].extension:partialDate
      Slice NamepartialDate
      Definition

      Provides a partial date time.

      ShortPartial Date Time
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Partial Date Time Vital Records) (Complex Extension)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      38. Parameters.parameter:receiptDate.resource
      Definition

      If the parameter is a whole resource.

      ShortIf parameter is a whole resource
      Comments

      When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

      Control0..01
      This element is affected by the following invariants: inv-1
      TypeResource
      Is Modifierfalse
      Summarytrue
      40. Parameters.parameter:receiptDate.part
      Definition

      A named part of a multi-part parameter.

      ShortNamed part of a multi-part parameter
      Comments

      Only one level of nested parameters is allowed.

      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Parameters.parameter:coderStatus
      Slice NamecoderStatus
      Definition

      coder status


      A parameter passed to or received from the operation.

      Shortcoder statusOperation Parameter
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      44. Parameters.parameter:coderStatus.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      46. Parameters.parameter:coderStatus.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      48. Parameters.parameter:coderStatus.name
      Definition

      The name of the parameter (reference to the operation definition).

      ShortName from the definition
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Pattern ValuecoderStatus
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Parameters.parameter:coderStatus.value[x]
      Definition

      If the parameter is a data type.

      ShortIf parameter is a data type
      Control10..1
      This element is affected by the following invariants: inv-1
      Typeinteger, date, Meta, Address, Attachment, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Parameters.parameter:coderStatus.resource
      Definition

      If the parameter is a whole resource.

      ShortIf parameter is a whole resource
      Comments

      When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

      Control0..01
      This element is affected by the following invariants: inv-1
      TypeResource
      Is Modifierfalse
      Summarytrue
      54. Parameters.parameter:coderStatus.part
      Definition

      A named part of a multi-part parameter.

      ShortNamed part of a multi-part parameter
      Comments

      Only one level of nested parameters is allowed.

      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Parameters.parameter:intentionalReject
      Slice NameintentionalReject
      Definition

      Intentional reject


      A parameter passed to or received from the operation.

      ShortIntentional rejectOperation Parameter
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      58. Parameters.parameter:intentionalReject.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. Parameters.parameter:intentionalReject.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      62. Parameters.parameter:intentionalReject.name
      Definition

      The name of the parameter (reference to the operation definition).

      ShortName from the definition
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Pattern ValueintentionalReject
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Parameters.parameter:intentionalReject.value[x]
      Definition

      If the parameter is a data type.

      ShortIf parameter is a data type
      Control10..1
      This element is affected by the following invariants: inv-1
      BindingThe codes SHALL be taken from For codes, see Intentional Reject ValueSet
      (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-intentional-reject-vs)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Parameters.parameter:intentionalReject.resource
      Definition

      If the parameter is a whole resource.

      ShortIf parameter is a whole resource
      Comments

      When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

      Control0..01
      This element is affected by the following invariants: inv-1
      TypeResource
      Is Modifierfalse
      Summarytrue
      68. Parameters.parameter:intentionalReject.part
      Definition

      A named part of a multi-part parameter.

      ShortNamed part of a multi-part parameter
      Comments

      Only one level of nested parameters is allowed.

      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Parameters.parameter:acmeSystemReject
      Slice NameacmeSystemReject
      Definition

      ACME System Reject


      A parameter passed to or received from the operation.

      ShortACME System RejectOperation Parameter
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      72. Parameters.parameter:acmeSystemReject.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      74. Parameters.parameter:acmeSystemReject.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      76. Parameters.parameter:acmeSystemReject.name
      Definition

      The name of the parameter (reference to the operation definition).

      ShortName from the definition
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Pattern ValueacmeSystemReject
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Parameters.parameter:acmeSystemReject.value[x]
      Definition

      If the parameter is a data type.

      ShortIf parameter is a data type
      Control10..1
      This element is affected by the following invariants: inv-1
      BindingThe codes SHALL be taken from For codes, see System Reject ValueSet
      (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-system-reject-vs)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Parameters.parameter:acmeSystemReject.resource
      Definition

      If the parameter is a whole resource.

      ShortIf parameter is a whole resource
      Comments

      When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

      Control0..01
      This element is affected by the following invariants: inv-1
      TypeResource
      Is Modifierfalse
      Summarytrue
      82. Parameters.parameter:acmeSystemReject.part
      Definition

      A named part of a multi-part parameter.

      ShortNamed part of a multi-part parameter
      Comments

      Only one level of nested parameters is allowed.

      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. Parameters.parameter:transaxConversion
      Slice NametransaxConversion
      Definition

      Transax Conversion


      A parameter passed to or received from the operation.

      ShortALIAS: Transax ConversionOperation Parameter
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
      86. Parameters.parameter:transaxConversion.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..0*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      88. Parameters.parameter:transaxConversion.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      90. Parameters.parameter:transaxConversion.name
      Definition

      The name of the parameter (reference to the operation definition).

      ShortName from the definition
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Pattern ValuetransaxConversion
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. Parameters.parameter:transaxConversion.value[x]
      Definition

      If the parameter is a data type.

      ShortIf parameter is a data type
      Control10..1
      This element is affected by the following invariants: inv-1
      BindingThe codes SHALL be taken from For codes, see Transax Conversion ValueSet
      (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transax-conversion-vs)
      TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      94. Parameters.parameter:transaxConversion.resource
      Definition

      If the parameter is a whole resource.

      ShortIf parameter is a whole resource
      Comments

      When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

      Control0..01
      This element is affected by the following invariants: inv-1
      TypeResource
      Is Modifierfalse
      Summarytrue
      96. Parameters.parameter:transaxConversion.part
      Definition

      A named part of a multi-part parameter.

      ShortNamed part of a multi-part parameter
      Comments

      Only one level of nested parameters is allowed.

      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

      0. Parameters
      2. Parameters.parameter
      SlicingThis element introduces a set of slices on Parameters.parameter. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ name
      • 4. Parameters.parameter:shipmentNumber
        Slice NameshipmentNumber
        Definition

        shipment number

        Shortshipment number
        Control0..1
        6. Parameters.parameter:shipmentNumber.extension
        Control0..0
        8. Parameters.parameter:shipmentNumber.name
        Pattern ValueshipmentNumber
        10. Parameters.parameter:shipmentNumber.value[x]
        Control1..?
        Typestring
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        12. Parameters.parameter:shipmentNumber.resource
        Control0..0
        14. Parameters.parameter:shipmentNumber.part
        Control0..0
        16. Parameters.parameter:receiptDate
        Slice NamereceiptDate
        Definition

        receipt date

        Shortreceipt date
        Control0..1
        18. Parameters.parameter:receiptDate.extension
        Control0..0
        20. Parameters.parameter:receiptDate.name
        Pattern ValuereceiptDate
        22. Parameters.parameter:receiptDate.value[x]
        Control1..?
        Typedate
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        24. Parameters.parameter:receiptDate.value[x].extension
        SlicingThis element introduces a set of slices on Parameters.parameter.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 26. Parameters.parameter:receiptDate.value[x].extension:partialDate
          Slice NamepartialDate
          Control0..1
          TypeExtension(Partial Date Time Vital Records) (Complex Extension)
          28. Parameters.parameter:receiptDate.resource
          Control0..0
          30. Parameters.parameter:receiptDate.part
          Control0..0
          32. Parameters.parameter:coderStatus
          Slice NamecoderStatus
          Definition

          coder status

          Shortcoder status
          Control0..1
          34. Parameters.parameter:coderStatus.extension
          Control0..0
          36. Parameters.parameter:coderStatus.name
          Pattern ValuecoderStatus
          38. Parameters.parameter:coderStatus.value[x]
          Control1..?
          Typeinteger
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          40. Parameters.parameter:coderStatus.resource
          Control0..0
          42. Parameters.parameter:coderStatus.part
          Control0..0
          44. Parameters.parameter:intentionalReject
          Slice NameintentionalReject
          Definition

          Intentional reject

          ShortIntentional reject
          Control0..1
          46. Parameters.parameter:intentionalReject.extension
          Control0..0
          48. Parameters.parameter:intentionalReject.name
          Pattern ValueintentionalReject
          50. Parameters.parameter:intentionalReject.value[x]
          Control1..?
          BindingThe codes SHALL be taken from Intentional Reject ValueSet
          (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-intentional-reject-vs)
          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          52. Parameters.parameter:intentionalReject.resource
          Control0..0
          54. Parameters.parameter:intentionalReject.part
          Control0..0
          56. Parameters.parameter:acmeSystemReject
          Slice NameacmeSystemReject
          Definition

          ACME System Reject

          ShortACME System Reject
          Control0..1
          58. Parameters.parameter:acmeSystemReject.extension
          Control0..0
          60. Parameters.parameter:acmeSystemReject.name
          Pattern ValueacmeSystemReject
          62. Parameters.parameter:acmeSystemReject.value[x]
          Control1..?
          BindingThe codes SHALL be taken from System Reject ValueSet
          (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-system-reject-vs)
          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          64. Parameters.parameter:acmeSystemReject.resource
          Control0..0
          66. Parameters.parameter:acmeSystemReject.part
          Control0..0
          68. Parameters.parameter:transaxConversion
          Slice NametransaxConversion
          Definition

          Transax Conversion

          ShortALIAS: Transax Conversion
          Control0..1
          70. Parameters.parameter:transaxConversion.extension
          Control0..0
          72. Parameters.parameter:transaxConversion.name
          Pattern ValuetransaxConversion
          74. Parameters.parameter:transaxConversion.value[x]
          Control1..?
          BindingThe codes SHALL be taken from Transax Conversion ValueSet
          (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transax-conversion-vs)
          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          76. Parameters.parameter:transaxConversion.resource
          Control0..0
          78. Parameters.parameter:transaxConversion.part
          Control0..0

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

          0. Parameters
          Definition

          This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.

          ShortOperation Request or Response
          Comments

          The parameters that may be used are defined by the OperationDefinition resource.

          Control0..*
          Is Modifierfalse
          Summaryfalse
          2. Parameters.id
          Definition

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

          ShortLogical id of this artifact
          Comments

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

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

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

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

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

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

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

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

          A human language.

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

          A parameter passed to or received from the operation.

          ShortOperation Parameter
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
          SlicingThis element introduces a set of slices on Parameters.parameter. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ name
          • 12. Parameters.parameter.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            14. Parameters.parameter.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            16. Parameters.parameter.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Parameters.parameter.name
            Definition

            The name of the parameter (reference to the operation definition).

            ShortName from the definition
            Control1..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. Parameters.parameter.value[x]
            Definition

            If the parameter is a data type.

            ShortIf parameter is a data type
            Control0..1
            This element is affected by the following invariants: inv-1
            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Parameters.parameter.resource
            Definition

            If the parameter is a whole resource.

            ShortIf parameter is a whole resource
            Comments

            When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

            Control0..1
            This element is affected by the following invariants: inv-1
            TypeResource
            Is Modifierfalse
            Summarytrue
            24. Parameters.parameter.part
            Definition

            A named part of a multi-part parameter.

            ShortNamed part of a multi-part parameter
            Comments

            Only one level of nested parameters is allowed.

            Control0..*
            TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Parameters.parameter:shipmentNumber
            Slice NameshipmentNumber
            Definition

            shipment number

            Shortshipment number
            Control0..1
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
            28. Parameters.parameter:shipmentNumber.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            30. Parameters.parameter:shipmentNumber.extension
            Definition

            An Extension

            ShortExtension
            Control0..0
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            32. Parameters.parameter:shipmentNumber.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            34. Parameters.parameter:shipmentNumber.name
            Definition

            The name of the parameter (reference to the operation definition).

            ShortName from the definition
            Control1..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Pattern ValueshipmentNumber
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. Parameters.parameter:shipmentNumber.value[x]
            Definition

            If the parameter is a data type.

            ShortIf parameter is a data type
            Control1..1
            This element is affected by the following invariants: inv-1
            Typestring
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. Parameters.parameter:shipmentNumber.resource
            Definition

            If the parameter is a whole resource.

            ShortIf parameter is a whole resource
            Comments

            When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

            Control0..0
            This element is affected by the following invariants: inv-1
            TypeResource
            Is Modifierfalse
            Summarytrue
            40. Parameters.parameter:shipmentNumber.part
            Definition

            A named part of a multi-part parameter.

            ShortNamed part of a multi-part parameter
            Comments

            Only one level of nested parameters is allowed.

            Control0..0
            TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. Parameters.parameter:receiptDate
            Slice NamereceiptDate
            Definition

            receipt date

            Shortreceipt date
            Control0..1
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
            44. Parameters.parameter:receiptDate.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            46. Parameters.parameter:receiptDate.extension
            Definition

            An Extension

            ShortExtension
            Control0..0
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            48. Parameters.parameter:receiptDate.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            50. Parameters.parameter:receiptDate.name
            Definition

            The name of the parameter (reference to the operation definition).

            ShortName from the definition
            Control1..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Pattern ValuereceiptDate
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. Parameters.parameter:receiptDate.value[x]
            Definition

            If the parameter is a data type.

            ShortIf parameter is a data type
            Control1..1
            This element is affected by the following invariants: inv-1
            Typedate
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. Parameters.parameter:receiptDate.value[x].id
            Definition

            unique id for the element within a resource (for internal references)

            Shortxml:id (or equivalent in JSON)
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            56. Parameters.parameter:receiptDate.value[x].extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Parameters.parameter.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 58. Parameters.parameter:receiptDate.value[x].extension:partialDate
              Slice NamepartialDate
              Definition

              Provides a partial date time.

              ShortPartial Date Time
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Partial Date Time Vital Records) (Complex Extension)
              Is Modifierfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              60. Parameters.parameter:receiptDate.value[x].value
              Definition

              The actual value

              ShortPrimitive value for date
              Control0..1
              Typedate
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              62. Parameters.parameter:receiptDate.resource
              Definition

              If the parameter is a whole resource.

              ShortIf parameter is a whole resource
              Comments

              When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

              Control0..0
              This element is affected by the following invariants: inv-1
              TypeResource
              Is Modifierfalse
              Summarytrue
              64. Parameters.parameter:receiptDate.part
              Definition

              A named part of a multi-part parameter.

              ShortNamed part of a multi-part parameter
              Comments

              Only one level of nested parameters is allowed.

              Control0..0
              TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. Parameters.parameter:coderStatus
              Slice NamecoderStatus
              Definition

              coder status

              Shortcoder status
              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
              68. Parameters.parameter:coderStatus.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              70. Parameters.parameter:coderStatus.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              72. Parameters.parameter:coderStatus.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              74. Parameters.parameter:coderStatus.name
              Definition

              The name of the parameter (reference to the operation definition).

              ShortName from the definition
              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Pattern ValuecoderStatus
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              76. Parameters.parameter:coderStatus.value[x]
              Definition

              If the parameter is a data type.

              ShortIf parameter is a data type
              Control1..1
              This element is affected by the following invariants: inv-1
              Typeinteger
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              78. Parameters.parameter:coderStatus.resource
              Definition

              If the parameter is a whole resource.

              ShortIf parameter is a whole resource
              Comments

              When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

              Control0..0
              This element is affected by the following invariants: inv-1
              TypeResource
              Is Modifierfalse
              Summarytrue
              80. Parameters.parameter:coderStatus.part
              Definition

              A named part of a multi-part parameter.

              ShortNamed part of a multi-part parameter
              Comments

              Only one level of nested parameters is allowed.

              Control0..0
              TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. Parameters.parameter:intentionalReject
              Slice NameintentionalReject
              Definition

              Intentional reject

              ShortIntentional reject
              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
              84. Parameters.parameter:intentionalReject.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              86. Parameters.parameter:intentionalReject.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              88. Parameters.parameter:intentionalReject.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              90. Parameters.parameter:intentionalReject.name
              Definition

              The name of the parameter (reference to the operation definition).

              ShortName from the definition
              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Pattern ValueintentionalReject
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Parameters.parameter:intentionalReject.value[x]
              Definition

              If the parameter is a data type.

              ShortIf parameter is a data type
              Control1..1
              This element is affected by the following invariants: inv-1
              BindingThe codes SHALL be taken from Intentional Reject ValueSet
              (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-intentional-reject-vs)
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              94. Parameters.parameter:intentionalReject.resource
              Definition

              If the parameter is a whole resource.

              ShortIf parameter is a whole resource
              Comments

              When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

              Control0..0
              This element is affected by the following invariants: inv-1
              TypeResource
              Is Modifierfalse
              Summarytrue
              96. Parameters.parameter:intentionalReject.part
              Definition

              A named part of a multi-part parameter.

              ShortNamed part of a multi-part parameter
              Comments

              Only one level of nested parameters is allowed.

              Control0..0
              TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              98. Parameters.parameter:acmeSystemReject
              Slice NameacmeSystemReject
              Definition

              ACME System Reject

              ShortACME System Reject
              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
              100. Parameters.parameter:acmeSystemReject.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              102. Parameters.parameter:acmeSystemReject.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              104. Parameters.parameter:acmeSystemReject.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              106. Parameters.parameter:acmeSystemReject.name
              Definition

              The name of the parameter (reference to the operation definition).

              ShortName from the definition
              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Pattern ValueacmeSystemReject
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              108. Parameters.parameter:acmeSystemReject.value[x]
              Definition

              If the parameter is a data type.

              ShortIf parameter is a data type
              Control1..1
              This element is affected by the following invariants: inv-1
              BindingThe codes SHALL be taken from System Reject ValueSet
              (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-system-reject-vs)
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              110. Parameters.parameter:acmeSystemReject.resource
              Definition

              If the parameter is a whole resource.

              ShortIf parameter is a whole resource
              Comments

              When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

              Control0..0
              This element is affected by the following invariants: inv-1
              TypeResource
              Is Modifierfalse
              Summarytrue
              112. Parameters.parameter:acmeSystemReject.part
              Definition

              A named part of a multi-part parameter.

              ShortNamed part of a multi-part parameter
              Comments

              Only one level of nested parameters is allowed.

              Control0..0
              TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              114. Parameters.parameter:transaxConversion
              Slice NametransaxConversion
              Definition

              Transax Conversion

              ShortALIAS: Transax Conversion
              Control0..1
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
              116. Parameters.parameter:transaxConversion.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              118. Parameters.parameter:transaxConversion.extension
              Definition

              An Extension

              ShortExtension
              Control0..0
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              120. Parameters.parameter:transaxConversion.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              122. Parameters.parameter:transaxConversion.name
              Definition

              The name of the parameter (reference to the operation definition).

              ShortName from the definition
              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Pattern ValuetransaxConversion
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              124. Parameters.parameter:transaxConversion.value[x]
              Definition

              If the parameter is a data type.

              ShortIf parameter is a data type
              Control1..1
              This element is affected by the following invariants: inv-1
              BindingThe codes SHALL be taken from Transax Conversion ValueSet
              (required to http://hl7.org/fhir/us/vrdr/ValueSet/vrdr-transax-conversion-vs)
              TypeCodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              126. Parameters.parameter:transaxConversion.resource
              Definition

              If the parameter is a whole resource.

              ShortIf parameter is a whole resource
              Comments

              When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

              Control0..0
              This element is affected by the following invariants: inv-1
              TypeResource
              Is Modifierfalse
              Summarytrue
              128. Parameters.parameter:transaxConversion.part
              Definition

              A named part of a multi-part parameter.

              ShortNamed part of a multi-part parameter
              Comments

              Only one level of nested parameters is allowed.

              Control0..0
              TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))