SNOMED CT Implementation Guide for FHIR
0.0.1 - CI Build
SNOMED CT Implementation Guide for FHIR
0.0.1 - CI Build
SNOMED CT Implementation Guide for FHIR, published by SNOMED on FHIR project group. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHTSDO/snomed-ig/ and changes regularly. See the Directory of published versions
| Official URL: http://snomed.info/fhir/StructureDefinition/designation-use-context | Version: 0.0.1 | |||
| Active as of 2025-07-09 | Computable Name: DesignationUseContextExtension | |||
Extension to allow specific contexts of use (eg SNOMED Language Reference Sets, LOINC short name, long common name, consumer name, as well as ICD-10 rubrics) to be specified when working with designations
Context of Use
This extension may be used on the following element(s)
Parameters.parameter
Usage info
Usages:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Designation Use Context Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:context |
0..1 | Extension | Designation use context | |
   extension |
0..0 | |||
| url |
1..1 | uri | "context" | |
  value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000506000 and descendants  (example) | |
| extension:role |
0..1 | Extension | Role of designation in context | |
| extension |
0..0 | |||
| url |
1..1 | uri | "role" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000511003 and descendants (example) | |
 extension:type |
0..1 | Extension | Type of designation in context | |
 extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000446008 and descendants (example) | |
 url |
1..1 | uri | "http://snomed.info/fhir/StructureDefinition/designation-use-context" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Designation Use Context Extension | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:context |
0..1 | Extension | Designation use context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "context" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000506000 and descendants (example) | |
| extension:role |
0..1 | Extension | Role of designation in context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "role" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000511003 and descendants (example) | |
| extension:type |
0..1 | Extension | Type of designation in context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000446008 and descendants (example) | |
| url |
1..1 | uri | "http://snomed.info/fhir/StructureDefinition/designation-use-context" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Extension to allow specific contexts of use (eg SNOMED Language Reference Sets, LOINC short name, long common name, consumer name, as well as ICD-10 rubrics) to be specified when working with designations
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Designation Use Context Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:context |
0..1 | Extension | Designation use context | |
| extension |
0..0 | |||
| url |
1..1 | uri | "context" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000506000 and descendants (example) | |
| extension:role |
0..1 | Extension | Role of designation in context | |
| extension |
0..0 | |||
| url |
1..1 | uri | "role" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000511003 and descendants (example) | |
| extension:type |
0..1 | Extension | Type of designation in context | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000446008 and descendants (example) | |
| url |
1..1 | uri | "http://snomed.info/fhir/StructureDefinition/designation-use-context" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Designation Use Context Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:context |
0..1 | Extension | Designation use context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "context" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000506000 and descendants (example) | |
| extension:role |
0..1 | Extension | Role of designation in context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "role" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000511003 and descendants (example) | |
| extension:type |
0..1 | Extension | Type of designation in context | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | Coding | Value of extension Binding: SNOMED CT Concept 900000000000446008 and descendants (example) | |
| url |
1..1 | uri | "http://snomed.info/fhir/StructureDefinition/designation-use-context" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Extension to allow specific contexts of use (eg SNOMED Language Reference Sets, LOINC short name, long common name, consumer name, as well as ICD-10 rubrics) to be specified when working with designations
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:context.value[x] | example | SNOMEDCTConcept900000000000506000 http://snomed.info/sct?fhir_vs=isa/900000000000506000 | |
| Extension.extension:role.value[x] | example | SNOMEDCTConcept900000000000511003 http://snomed.info/sct?fhir_vs=isa/900000000000511003 | |
| Extension.extension:type.value[x] | example | SNOMEDCTConcept900000000000446008 http://snomed.info/sct?fhir_vs=isa/900000000000446008 |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |